The Pierde Kilos, Gana Vida strategy, scope and prospects
Main Article Content
Keywords
Abstract
Background: The Pierde Peso, Gana Vida (Lose Weight, Gain Life) strategy is granted to patients with overweight or obesity, it started in 2022 with the purpose of ordering, integrating and making efficient actions in the care of overweight and obesity, however, its effectiveness is unknown.
Objective: To analyze the changes in the following parameters: body weight, waist circumference, glucose, cholesterol and triglycerides in patients who received the strategy in the 35 IMSS state offices during the two semesters of 2022.
Material and methods: A retrospective cohort study was conducted including 76,760 patients incorporated into the strategy in the two semesters of 2022. Trend analysis was performed before and after each semester of intervention. Analytical statistics were used for related samples with Student’s t-test. SPSS v25 software was used for data analysis.
Results: Patients who received this strategy in each semester presented significant decrease in the parameters: body weight, waist circumference, glucose, cholesterol and triglycerides.
Conclusions: The Pierde Peso, Gana Vida strategy makes the actions in obesity care efficient and allows achieving good results in the beneficiaries.
References
- World Health Organization. Global Strategy on Diet, Physical Activity and Health. Geneva: WHO; 2004.
- Garrido LF, López MS. Evaluación de los programas y servicios de salud en México. Salud Publica Mex [Internet]. 2011; 53:399–401.
- Montero RE. Marco conceptual para la evaluación de programas de salud. Poblac Salud Mesoam [Internet]. 2014;1(2).
- Canuto R, Garcez A, de Souza RV, et al. Nutritional intervention strategies for the management of overweight and obesity in primary health care: A systematic review with meta‐analysis. Obes Rev [Internet]. 2021;22(3). doi: 10.1111/obr.13143
- Tronieri JS, Wadden TA, Chao AM, et al. Primary care interventions for obesity: Review of the evidence. Curr Obes Rep [Internet]. 2019;8(2):128–36. doi: 10.1007/s13679-019-00341-5
- Durrer SD, Busetto L, Dicker D, et al. European practical and patient-centred guidelines for adult obesity management in primary care. Obes Facts [Internet]. 2019;12(1):40–66. doi: 10.1159/000496183
- Gereklioğlu Ç, Topal K, Velipaşaoğlu H, et al. The effectiveness of the trans-theoretical model in managing adult obese and overweight individuals. Pak J Med Sci Q. 2024;40(4). doi: 10.12669/pjms.40.4.7373
- Huang HC, Szwerinski NK, Nasrallah C, et al. Lifestyle change program engagement in real-world clinical practice: a mixed-methods analysis. Transl Behav Med [Internet]. 2023;13(3):168–82. doi: 10.1093/tbm/ibac098
- Semlitsch T, Stigler FL, Jeitler K, et al. Management of overweight and obesity in primary care—A systematic overview of international evidence-based guidelines. Obes Rev. 2019;20(9):1218-1230. doi:10.1111/obr.12889
- Instituto Mexicano del Seguro Social. Programas Integrados de Salud. Educación para la salud: contenidos técnicos. México: IMSS; 2002
- Gallegos CK, Krug LlE, Doubova SV, et al. PREVENIMSS: un breve recorrido de sus 20 años, retos y oportunidades. Rev Med Inst Mex Seguro Soc. 2022;60(2):134–41.
- Rodríguez GJC, Aguirre MBN, Acosta GMN. Guía Técnica de Educación Nutricional en Primer Nivel de Atención, NutrIMSS: Aprendiendo a Comer Bien. NutrIMSS: Aprendiendo a Comer Bien Documento institucional de Divulgación Interna México: IMSS. 2022.
- Instituto Mexicano del Seguro Social. Guía de PrevenIMSS en Empresas 2250-006-003. Documento institucional de divulgación interna, México: IMSS. 2023.
- Instituto Mexicano del Seguro Social. Procedimiento para las actividades que se realizan en los servicios de prevención y promoción de la salud para trabajadores del IMSS 2C22-003-001. Documento institucional de divulgación interna, México: IMSS. 2022.
- Instituto Mexicano del Seguro Social. Lineamiento Pierde kilos, Gana Vida 2022. Documento institucional de divulgación interna, México: IMSS 2022.
- Kaufer HM, Pérez HJF. La obesidad: aspectos fisiopatológicos y clínicos. Inter Discip [Internet]. 2021;10(26):147.
- Meneses SE, Ochoa MC, Burciaga JE, et al. Abordaje multidisciplinario del sobrepeso y la obesidad en adultos. Med Int Méx. 2023;39(2):329–66
- Instituto Mexicano del Seguro Social. Guía Sistema de Registro de Participantes en la estrategia Pierde Kilos, Gana Vida 2022. Documento institucional de divulgación interna, México: IMSS 2022.
- Pérez LAB, Palacios GB, Castro BAL, et al. Sistema Mexicano de Alimentos Equivalentes. 4.ª edición. México: Fomento de Nutrición y Salud A. C; 2014.
- WHO global sodium benchmarks for different food categories. Geneva: World Health Organization. 2021.
- Álvarez AL, Rubín-GM, Vitelli SF, et al. Efecto de una intervención nutricional intensiva en pacientes refractarios a la pérdida de peso. Semergen [Internet]. 2020;46(3):167–74. doi: 10.1016/j.semerg.2019.09.006
- Acosta GMN, Hernández TAP, Escamilla NMC, et al. Indicadores básicos de salud en el programa NutrIMSS: estudio retrospectivo. Rev Med Inst Mex Seguro Soc. 2023; 61(6): 728–735. doi: 10.5281/zenodo.10064287
- Low JHM, Toh DWK, Ng MTT, et al. A systematic review and meta-analysis of the impact of different intensity of dietary counselling on cardiometabolic health in middle-aged and older adults. Nutrients. 2021;13(9):2936. doi: 10.3390/nu13092936.
- Martín MV. Revisión sistemática y síntesis narrativa de intervenciones sobre obesidad sin complicaciones: pérdida de peso, bienestar e impacto en trastornos alimentarios. Enferm Clin [Internet]. 2018;28(3):212–3. doi: 10.1016/j.enfcli.2017.08.004
- Sunol R, González GAI, Valli C, et al. Self-management interventions for adults living with obesity to improve patient-relevant outcomes: An evidence map. Patient Educ Couns [Internet]. 2023;110(107647):107647. doi: 10.1016/j.pec.2023.107647
- Sudat SEK, Huang Q, Szwerinski N, et al. Changes in healthcare utilization after lifestyle intervention for weight loss. Am J Prev Med [Internet]. 2024;66(4):619–26. doi: 10.1016/j.amepre.2023.10.018
- Sánchez GJM, Betancur MMI, Cardona AJA. Revisión sistemática de evaluaciones económicas en salud para el tratamiento de la obesidad en adultos, 2009-2019. Rev Panam Salud Pública. 2020;44:e158. doi: 10.26633/RPSP.2020.158.
- Guilbert E, Perry R, Whitmarsh A, et al. Short-term effectiveness of nutrition therapy to treat type 2 diabetes in low-income and middle-income countries: systematic review and meta-analysis of randomised controlled trials. BMJ Open. 2022 Mar 10;12(3): e056108. doi: 10.1136/bmjopen-2021-056108.
Article Sidebar
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Authors retain their copyright and grant the Revista Médica del IMSS the right of first publication. Articles are distributed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which allows sharing as long as the author and the original source are properly credited.