{"id":71908,"date":"2025-07-06T23:05:08","date_gmt":"2025-07-06T21:05:08","guid":{"rendered":"https:\/\/www.aeemt.org\/web\/?page_id=71908"},"modified":"2025-07-06T23:05:08","modified_gmt":"2025-07-06T21:05:08","slug":"original-5-mdt-vol-34-n02-junio-2025","status":"publish","type":"page","link":"https:\/\/www.aeemt.org\/web\/original-5-mdt-vol-34-n02-junio-2025\/","title":{"rendered":"Original 5 MDT Vol 34 N02 Junio 2025"},"content":{"rendered":"

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Transiciones, incidencia y concordancia del estado nutricional y obesidad abdominal: an\u00e1lisis de una cohorte ocupacional.<\/h2>\n\t\t\t\t\t<\/div>[\/vc_column][\/vc_row][vc_row rt_row_background_width=\u00bbdefault\u00bb rt_row_style=\u00bbdefault-style\u00bb rt_row_borders=\u00bb\u00bb rt_row_paddings=\u00bbtrue\u00bb rt_bg_effect=\u00bbclassic\u00bb rt_bg_image_repeat=\u00bbrepeat\u00bb rt_bg_size=\u00bbcover\u00bb rt_bg_position=\u00bbright top\u00bb rt_bg_attachment=\u00bbscroll\u00bb rt_bg_video_format=\u00bbself-hosted\u00bb][vc_column rt_wrp_col_paddings=\u00bbfalse\u00bb rt_border_top=\u00bb\u00bb rt_border_bottom=\u00bb\u00bb rt_border_left=\u00bb\u00bb rt_border_right=\u00bb\u00bb rt_border_top_mobile=\u00bb\u00bb rt_border_bottom_mobile=\u00bb\u00bb rt_border_left_mobile=\u00bb\u00bb rt_border_right_mobile=\u00bb\u00bb rt_bg_image_repeat=\u00bbrepeat\u00bb rt_bg_size=\u00bbauto auto\u00bb rt_bg_position=\u00bbright top\u00bb rt_bg_attachment=\u00bbscroll\u00bb][vc_column_text css=\u00bb\u00bb]<\/p>\n

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N\u00famero de la Revista: Vol. 34 – n\u00ba 02- Junio 2025<\/p>\n

Secci\u00f3n:<\/strong>\u00a0Original
\nT\u00edtulo:<\/strong> Transiciones, incidencia y concordancia del estado nutricional y obesidad abdominal: an\u00e1lisis de una cohorte ocupacional.<\/p>\n

Autores:<\/strong><\/p>\n

V\u00edctor Juan Vera-Ponce<\/em><\/strong>(1,2)<\/sup><\/em><\/strong>, Fiorella E. Zuzunaga-Montoya<\/em><\/strong>(3)<\/sup><\/em><\/strong>, Luisa Erika Milagros V\u00e1squez-Romero<\/em><\/strong>(1)<\/sup><\/em><\/strong>,\u00a0 <\/em><\/strong>Joan A. Loayza-Castro<\/em><\/strong>(1)<\/sup><\/em><\/strong>, Nataly Mayely Sanchez-Tamay<\/em><\/strong>(1,2)<\/sup><\/em><\/strong>, Juan Carlos Bustamante-Rodr\u00edguez<\/em><\/strong>(1,2)<\/sup><\/em><\/strong>,\u00a0 Carmen In\u00e9s Guti\u00e9rrez De Carrillo<\/em><\/strong>(1,2)<\/sup><\/em><\/strong><\/p>\n

1<\/sup><\/em>Instituto de Investigaci\u00f3n de Enfermedades Tropicales, Universidad Nacional Toribio Rodr\u00edguez de Mendoza de Ama<\/em>zonas (UNTRM), Amazonas, Per\u00fa<\/em>
\n2<\/sup><\/em>Facultad de Medicina (FAMED), Universidad Nacional Toribio Rodr\u00edguez de Mendoza de Amazonas (UNTRM), <\/em>\u00a0<\/sup><\/em>Amazonas, Per\u00fa<\/em>
\n3<\/sup><\/em>Universidad Continental, Lima, Per\u00fa <\/em>\u00a0<\/sup><\/em><\/p>\n

Correspondencia:<\/strong><\/p>\n

V\u00edctor Juan Vera-Ponce <\/em><\/strong><\/p>\n

Direcci\u00f3n postal: Facultad de Medicina (FAMED), Universidad Nacional Toribio Rodr\u00edguez de Mendoza de Amazonas (UNTRM), Amazonas, Per\u00fa
\nCorreo electr\u00f3nico: vicvepo@gmail.com<\/a><\/p>\n

Palabras Clave<\/strong>: Obesidad; \u00cdndice de Masa Corporal; Circunferencia Abdominal; Salud Laboral; Estudios de Cohortes; Transici\u00f3n Epidemiol\u00f3gica (DeCS).<\/p>\n

Keywords<\/strong>: Obesity; Body Mass Index; Abdominal Circumference; Occupational Health; Cohort Studies; Epidemiologic Transition (MeSH).<\/p>\n

Cita Art\u00edculo<\/strong>: V\u00edctor Juan Vera-Ponce et al. Transiciones, incidencia y concordancia del estado nutricional y obesidad abdominal: an\u00e1lisis de una cohorte ocupacional. Rev Asoc Esp Espec Med Trab 2025; 34(2):165-185<\/p>\n

Acceso al PDF:

PDF del Art\u00edculo<\/strong><\/a><\/div>\n

RESUMEN.<\/strong><\/p>\n

Introducci\u00f3n:<\/strong> la evaluaci\u00f3n conjunta del \u00edndice de masa corporal (IMC) y la obesidad abdominal (OA) podr\u00eda proporcionar una mejor comprensi\u00f3n de las transiciones de estos en trabajadores.<\/p>\n

Objetivo:<\/strong> evaluar la incidencia de las transiciones del estado nutricional seg\u00fan IMC y OA en una cohorte de trabajadores, as\u00ed como analizar su concordancia y diferencias por sexo.<\/p>\n

Material y M\u00e9todos:<\/strong> estudio de cohorte retrospectiva basado en evaluaciones m\u00e9dico-ocupacionales realizadas entre 2013-2022. Se analizaron las transiciones entre categor\u00edas de IMC (normopeso, sobrepeso, obesidad) y OA (normal, elevado, muy elevado). Se calcularon tasas de incidencia por 1000 personas-a\u00f1o y se evalu\u00f3 la concordancia entre ambas medidas antropom\u00e9tricas.<\/p>\n

Resultados:<\/strong> se encontr\u00f3 alta persistencia del estado nutricional inicial, increment\u00e1ndose con la categor\u00eda de riesgo (normopeso 69.2%, sobrepeso 76.7%, obesidad 84.7%). En IMC, el sobrepeso mostr\u00f3 mayor tendencia a revertir a normopeso que a progresar a obesidad (8.2% vs 15.2%), mientras que, en OA, el riesgo elevado tuvo mayor probabilidad de mejorar que empeorar (26.0% vs 10.7%). La mayor\u00eda de las participantes (61.9%) mantuvo concordancia entre ambos con discordancias menores en las transiciones (12.0% empeor\u00f3 solo en IMC, 8.3% solo en OA).<\/p>\n

Conclusiones:<\/strong> este estudio demuestra una alta estabilidad en el estado nutricional de los trabajadores, especialmente en categor\u00edas de mayor riesgo. Se observ\u00f3 una concordancia sustancial entre las transiciones de IMC y OA, con cambios predominantemente sincr\u00f3nicos y graduales entre categor\u00edas adyacentes. Basados en estos hallazgos, se recomienda implementar programas de vigilancia nutricional ocupacional que incluyan ambas medidas antropom\u00e9tricas, con seguimiento m\u00e1s frecuente en grupos de alto riesgo y enfoque en intervenciones preventivas tempranas, dada la baja frecuencia de reversi\u00f3n en estados adversos.<\/p>\n

Title: <\/strong>TRANSITIONS, INCIDENCE, AND CONCORDANCE OF NUTRITIONAL STATUS AND ABDOMINAL OBESITY: AN <\/strong>ANALYSIS OF AN OCCUPATIONAL COHORT<\/strong><\/p>\n

Abstract:<\/strong><\/p>\n

Introduction:<\/strong> Joint assessment of Body Mass Index (BMI) and Abdominal Obesity (AO) could provide a better understanding of their transitions among workers.<\/p>\n

Objective:<\/strong> To evaluate the incidence of nutritional status transitions according to BMI and AO in a worker cohort, and to analyze their concordance and sex-based differences.<\/p>\n

Material and Methods:<\/strong> A retrospective cohort study based on occupational medical evaluations conducted between 2013-2022. Transitions between BMI categories (normal weight, overweight, obesity) and abdominal obesity categories (normal, elevated,<\/p>\n

very elevated) were analyzed. Incidence rates per 1,000 personyears were calculated, and concordance between anthropometric measures was assessed.<\/p>\n

Results:<\/strong> High persistence of initial nutritional status was found, increasing with risk category (normal weight 69.2%, overweight 76.7%, obesity 84.7%). For BMI, overweight showed a higher tendency to revert to normal weight than to progress to obesity (8.2% vs. 15.2%), while for AO, elevated risk was more likely to improve than worsen (26.0% vs. 10.7%). Most participants (61.9%) maintained concordance between both measures, with minor discordances in transitions (12.0% worsened only in BMI, 8.3% only in AO).<\/p>\n

Conclusions:<\/strong> This study demonstrates high stability in workers\u2019 nutritional status, especially in higher-risk categories. Substantial concordance between BMI and AO transitions was observed, with predominantly synchronous and gradual changes between adjacent categories. Based on these findings, we recommend implementing occupational nutritional surveillance programs that include both anthropometric measures, with more frequent monitoring in high-risk groups and focus on early preventive interventions, given the low frequency of reversion in adverse states.<\/p>\n

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