[Consensus of diagnosis and treatment of obesity in women in reproductive age and climacterium].
BACKGROUND
The development of obesity is complex and multifactorial, with genetic, biological, environmental and lifestyle of each individual etiology. The different changes in metabolism of women, amongst other factors, lead to disorganization in the distribution of lipids, which gathered in large quantities within the viscera, increases cardiovascular mortality and it is a major determinant factor of the metabolic syndrome.


OBJECTIVE
To homologate and to apply concepts of evidence-based clinical practice in diagnosis and treatment of obesity in women in reproductive age and climacterium.


METHODS
The experts' consensus was done by specialized physicians properly endocrinologists, gynecologists, surgeons, psychologists, nutrition specialists, physical activity and public health, according to their expertise and clinical judgment. The recommendations were based in diagnostic criteria aside from the level of evidence of previously established treatment guidelines, controlled clinical trials and standardized guides for women in reproductive age and climacterium with obesity.


RESULTS
The establishment of a nutritional intervention amongst other aspects of lifestyle is the first-line in the treatment of obesity. Current pharmacological treatments offer modest results in efficiency and security in weight reduction so these must go along with real changes in lifestyle in order to obtain better results in the short and long term.


CONCLUSIONS
The high prevalence of overweight and obesity in our country, especially in women in reproductive age, compels us to pose and work in prevention strategies as well as diverse therapeutic plans favoring safe weight loss and results in the long term.
Carlos
C
Ortega-González
Jesús Rafael
JR
Aguilera-Pérez
Lidia
L
Arce-Sánchez
Simón
S
Barquera-Cervera
Araceli
A
Díaz-Polanco
Mónica
M
Fernández-Sánchez
Aldo
A
Ferreira-Hermosillo
Nayeli
N
Martínez-Cruz
Catalina
C
Medina-García
Mario Antonio
MA
Molina-Ayala
Cinthya Guadalupe
CG
Muñoz-Manrique
Juan Pablo
JP
Pantoja-Millán
Otilia
O
Perichart-Perera
Dian
D
Pimentel-Nieto
Eduardo Armando
EA
Reyes-Rodríguez
Alejandro
A
Romero-Zazueta
Claudia Lorena
CL
Ruiz-Padilla
Alma
A
Vergara-López
Maricela
M
Vidrio-Velázquez
Juan
J
Villagordoa-Mesa
Sergio Antonio
SA
Zúñiga-González
D055317:Evidence-Based Practice; D005260:Female; D006801:Humans; D008019:Life Style; D009765:Obesity / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D050177:Overweight / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D015431:Weight Loss