Aplicación del proceso de atención nutricional en paciente pediátrico con obesidad referido por el médico.

Abstract

The present paper is a study about the overweight and obesity in paediatric age, considered like Public Health problems, although there is an increasing of the presence of these pathologies (29,9% in school children) in Ecuador, for this reason it is necessary take actions on this problematic. Taking into account the obesity is of multifactorial aetiology, it is necessary to comprehend it from various aspects; so that the treatment be a success it is recommended an integral healthy life style, that consists in: diet, physical activity, and behavioural therapy with a high level of evidence. The proposed methodology for the development for the present clinic case is based on the model of nutritional assistance (PAN); applied in systematic way for the problems solving related to the feeding and nutrition. Through the PAN using, changes in the paediatric patient weight under observation were evidenced, waist circumference, loss in fat mass and free of fat mass, these changes were demonstrated in period near of 45 days of nutritional intervention. In the same way there was a low in capillary glucose and through dietary indicators (according to the 24 hours reminder); it was evidenced a decreasing of 18,7% of energy consumption per day. The (PAN) is an indispensable tool for the development of clinical cases, being the ADIME format (analysis, nutritional diagnostic, intervention, monitoring, evaluation) what allows to evidence and monitoring the changes according to the proposed intervention.