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3 Lesión de órganos diana como infarto del miocardio, insuficiencia cardíaca,<br />

accidente cerebrovascular, psicopatología significativa, limitaciones funcionales<br />

significativas y/o deterioro del bienestar.<br />

4 Grave (potencialmente fase terminal) discapacidad por enfermedades crónicas<br />

relacionadas con la obesidad, psicopatología severa incapacitante, limitaciones<br />

funcionales graves y/o deterioro grave del bienestar.<br />

Algunos estudios han demostrado una buena capacidad de predecir los<br />

resultados, independientemente de las medidas clásicas de IMC y circunferencia<br />

abdominal (48, 49). Este parece una buena escala para estratificación de riesgos<br />

y para medidas públicas de salud, aunque necesita más estudios para<br />

validación.<br />

Referencias bibliográficas<br />

1 - Pollack A. A.M.A. Recognizes obesity as a disease. [Internet]. 2013 [cited 2014 Nov 20].<br />

Available from: http://www.nytimes.com/2013/06/19/business/ama-recognizes-obesity-as-adisease.html.<br />

2 - Report of a WHO Consultation on Obesity. Defining the problem of overweight and obesity. In:<br />

Obesity. Preventing and managing the global epidemic. WHO,1998.<br />

3 –Puhl RM, Liu S. A A national survey of public views about the classification of obesity as a<br />

disease. Obesity 2015; 23(6):1288-95<br />

4 –Jensen MD, Ryan D, Apovian C, et al. 2013 AHA/ACC/TOS guideline for the management of<br />

overweight and obesity in adults: a report of the American College of Cardiology/American Heart<br />

Association Task Force on Practice Guidelines and The Obesity Society. J Am Coll Cardiol 2014;<br />

63(25PtB):2985-3023<br />

5 –World Health Organization. Obesity: preventing and managing the global epidemic. Report of a<br />

WHO consultation. Geneva, Switzerland: WHO. 2000; 256<br />

6 – Gallagher D, Visser M, Sepúlveda D, et al. How Useful Is Body Mass Index for Comparison of<br />

Body Fatness across Age, Sex, and Ethnic Groups? Am J Epidemiol 1996; 143(3):228-239<br />

7 – Deurenberg P, Yap M, van Sataveren WA. Body mass index and percent body fat: a meta<br />

analysis amongdifferent ethnic groups. Int J Obes 1998; 22:1164-1171<br />

8 – Romero-Corral A, Somers VK, Sierra-Johnson J, et al. Accuracy of Body Mass Index to<br />

Diagnose Obesity In the US Adult Population. Int J Obes 2008; 32(6):959-966<br />

9 - Bray G. An Approach to the classification and evaluation of Obesity. In: Bjorntorp P. Obesity.<br />

Lippincott, Philadlphia. 1992.<br />

10 – Virtue S, Vidal-Puig A. It's Not How Fat You Are, It's What You Do with It That Counts. PLoS<br />

Biol 2008; 6(9):e237<br />

11 - Eckel N, Meidtner K, Kalle-Uhlmann T, et al. Metabolically healthy obesity and cardiovascular<br />

events: A systematic review and meta-analysis. Eur J Prev Cardiol 2015; epub ahead of print<br />

12 – Deurenberg P, Deurenberg-Yap, Guricci S. Asians are different from Caucasians and from<br />

each other in their body mass index/body fat per cent relationship. Obes Rev. 2002; 3:141-146<br />

13 – Filozof C, González C, Sereday M, et al. Obesity prevalence and trends in Latin-American<br />

countries. Obes Rev 2001; 2(2):99-106<br />

14 –Cole TJ, Bellizzi MC, Flegal KM, et al. Estabilishing a standard definition for child overweight<br />

and obesity worldwide: international survey. BMJ 2000; 320:1240-3<br />

15 - Fujiwara CTH, Melo ME,C, Halpern A, Mancini MC. Comparative study between international<br />

charts and the Brazilian body mass index chart in obese children and adolescents. In: 29th<br />

Annual Scientific Meeting of the Obesity Society, 2011, Orlando, FL. Obesity (Silver Spring).<br />

Silver Spring, MD: NAASO, The Obesity Society, 2011. v. 19. p. S213-S214<br />

16 –Barlow SE. Expert committee and treatment of child and adolescent overweight and obesity:<br />

expert committee recommendations regarding the prevention, assessment, report. Pediatrics<br />

2007; 120:S164-S192<br />

17 –Calle EE, Thun MJ, Petrelli JM, et al. Body-mass index and mortality in a prospective cohort<br />

of US adults. N Engl J Med 1999; 341:1097-105<br />

18- de Gonzalez AB, Hartge P, Cerhan JR, et al. Body-Mass Index and Mortality among 1.46<br />

Million White Adults. N Engl J Med 2010; 363:2211-2219<br />

19 – Prospective |Studies Collaboration. Body-mass index and cause-specific mortality in 900 000<br />

adults: collaborative analyses of 57 prospective studies. Lancet 2009. 373(9669):1083-1096<br />

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