Obesidad y Riesgo
Cardiovascular
Dra. Johanna Toro Yagual
Especialista en Medicina Interna.
MSc. Nutrición y Dietética con mención en enfermedades metabólicas, obesidad y diabetes.
Obesidad
1. Concepto
2. Fisiopatología
3. Fenotipos de la obesidad
4. Obesidad y enfermedades cardiovasculares
5.
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Obesidad
OMS define la obesidad como una acumulación anormal o excesiva de grasa
que puede ser perjudicial para la salud
AACE Define a la obesidad como una enfermedad crónica basada en la adipocidad
Enfermedad crónica asociada a complicaciones que confieren morbilidad y mortalidad
Se clasifica por IMC (Limitado)
• Menor 18,5 Peso bajo
• 18,5-24,9 Normo peso
• 25-29,9 Sobrepeso
• 30 o más Obesidad
Absorciosometría
dual de energía RMN
DEXA
Masa
Bioimpedancia
eléctrica
TAC
grasa
Análisis de
composición
corporal
Masa
magra
Visceral/abdominal Subcutánea
Ginecoide Androide
PERIMETRO DE CINTURA INDICE CINTURA CADERA
• Mayor riesgo de • Cociente superior
presentar a 0,9 en hombres
enfermedad y
• 102 cm en • 0,85 de las
hombres y mujeresINDICE
• 88 cm en CINTURA/
mujeres. TRIGLICERIDOS
Cintura hipertrigliricidémica
Obesidad
1 3
About the patient Diagnosis
You can describe the
topic of the section
here
2 4
Discussion Treatment
You can describe the You can describe the
topic of the section topic of the section
here here
INTRODUCTION
Mercury is the closest planet to
the Sun and the smallest one
in the Solar System—it’s only a
bit larger than the Moon. The
planet’s name has nothing to
do with the liquid metal
OUR CLINIC
You can give a brief description
of the topic you want to talk
about here. For example, if you
want to talk about Mercury, you
can say that it’s the smallest
planet in the entire Solar System
IDENTIFYING INFORMATION
Saturn is the Venus is the Mercury is the
ringed planet second planet smallest
and a gas from the Sun planet of the
giant Solar System
IDENTIFYING INFORMATION
Mercury
It’s the closest
planet to the Sun
and the smallest in
the Solar System Venus
Venus has a
beautiful name and
is the second
Mars planet from the Sun
Despite being red,
Mars is actually a
cold place. It’s full
of iron oxide dust
1
ABOUT THE PATIENT
You can enter a subtitle here if you
need it
PATIENT’S MEDICAL HISTORY
200 Despite being red,
Mars is a cold
8 place. It’s full of
iron oxide dust
201 Saturn is a gas
AGE: 35 years giant mostly
GENDER: Female 0 composed of
ALLERGIES: None hydrogen and
helium
LOCATION:
Spain Malaga, Venus has a
201
beautiful name and
5 is the second
planet from the Sun
PATIENT’S MEDICAL HISTORY
Other Mercury
diseases
70 AGE: +60 years
%
GENDER: Male
20
% ALLERGIES: Nuts
10 LOCATION: Malaga,
% Spain
REVIEW OF SYSTEMS
Symptoms
● You can list the symptoms
observed in the patient
here
● You can list the symptoms
observed in the patient
here
● You can list the symptoms
observed in the patient
here
REVIEW OF SYSTEMS
Symptoms
● You can list the symptoms
observed in the patient here
Patient A
● You can list the symptoms
observed in the patient here
● You can list the symptoms
Patient B
observed in the patient here
● You can list the symptoms
Patient C
observed in the patient here
PHYSICAL EXAMINATION
Saturn is a gas giant mostly
composed of hydrogen and
helium
Despite being red, Mars is a
cold place full of iron oxide dust
Jupiter is a gas giant and the
biggest planet in the Solar
System
2
DISCUSSION
You can enter a subtitle here if you
need it
PHYSICAL EXAMINATION
Mercury is the
closest planet to
the Sun and the
smallest one
Venus has a
beautiful name
and is the second
planet from the
Sun
A PICTURE IS
WORTH A
THOUSAND
WORDS
FINDINGS
Team 1
Despite being red,
Mars is actually a cold
place
Team 2
Venus has a beautiful
name, but it’s terribly
Team 1 Team 2
hot
To modify this graph, click on it, follow the link, change the data and replace this
one here
FINDINGS
Mercury
It’s the closest planet
to the Sun and the
smallest
Mars
Despite being red,
Mars is actually a cold
place
Venus
Venus has a beautiful
Follow the link in the graph to modify its data and then name and high
paste the new one here. For more info, click here temperatures
18,000
Big numbers catch your audience’s attention
9h 55m 23s
is Jupiter's rotation period
333,000
Earths is the Sun’s mass
386,000 km
is the distance between Earth and the Moon
THIS IS A MAP
Despite being red,
Mars is actually a
cold place
Saturn is a gas
giant and has rings
around itself
Venus has a
beautiful name, but
it’s very hot
THIS IS A MAP
Mercury is the
closest planet
to the Sun and
the smallest
one in the Solar
System
DISCUSSION
“Despite being red, “Jupiter is a gas “Saturn is mostly
Mars is a cold giant and the composed of
place” biggest planet” helium”
Dr. Jenna Doe Dr. John James Dr. Ian
Patterson
TESTIMONIALS
“Venus is the “Jupiter is the
second planet from biggest planet of
the Sun” them all”
Jenna Doe Timmy Jimmy
“Despite being red, “Saturn is a gas
Mars is a cold giant and has
place” several rings”
Susan Bones Jennifer
Patterson
DISCUSSION SUMMARY
Mercury is the closest planet
to the Sun and the smallest
one in the Solar System—it’s
only a bit larger than the
Moon. The planet’s name has
nothing to do with the liquid
metal
DISCUSSION SUMMARY
Mercury
Mercury is the closest
planet to the Sun and
the smallest one
Venus
Venus has a beautiful
name and is the
second planet from
the Sun
COMPARISON
Mercury Mars Venus
Patient A
Patient B
Patient C
COMPARISON
Patient A Patient B
Sympto Mercury is the Sympto Mars is actually
ms smallest planet ms a very cold
place
Treatme Venus is the
nt second planet Treatme Jupiter is the
from the Sun nt biggest planet
Recover Recover
y y
A PICTURE
ALWAYS
REINFORCES
THE
CONCEPT
DIAGNOSIS
1 2 3
Mercury is the Venus is the second Despite being red,
closest planet to the planet from the Sun Mars is a cold place
Sun
4 5 6
Jupiter is the biggest Saturn is the only Neptune is the
planet of them all planet with rings farthest planet from
the Sun
DIAGNOSIS
Mercury Venus
It’s the closest planet to Venus has high
the Sun temperatures
Mars Jupiter
Mars is actually a very Jupiter is the biggest
cold place planet
Saturn Neptune
It’s composed of hydrogen Neptune is very far from
the Sun
TREATMENT
Saturn Mars
Saturn is the only Despite being
planet with rings red, Mars is a
cold place
TREATMENT
Mars Jupiter
Despite being red, Jupiter is the
Mars is a cold biggest planet of
place them all
Venus Saturn
Venus is the Saturn is a gas
second planet giant and has
from the Sun several rings
PATIENT MONITORING
Week Week
01 03
Saturn Saturn
Jupiter Jupiter
Week Week
02 04
Saturn Saturn
Jupiter Jupiter
PATIENT MONITORING
Venus has a beautiful name and is the second
planet from the Sun. It’s hot and has a poisonous
atmosphere
Week Week Week Week
01 02 03 04
Satur Jupite Satur Jupite Satur Jupite Satur Jupite
n r n r n r n r
CONTRAINDICATIONS & INDICATIONS
Despite being red, Jupiter is a gas
Mars is a cold place giant and the
full of iron oxide biggest planet in
dust the Solar System
Saturn is a gas Mercury’s name
giant mostly has nothing to do
composed of with the liquid
hydrogen and metal
helium
CONTRAINDICATIONS & INDICATIONS
Contraindication Indications
s
● Venus is the ● Jupiter is the
second planet biggest planet of
from the Sun them all
● Despite being ● Saturn is a gas
red, Mars is a giant and has
cold place several rings
3 DIAGNOSIS
You can enter a subtitle here if you
need it
POST-PREVENTION
Venus is the
second
Saturn is a planet from
gas giant the Sun
and has
several rings
Despite
being red,
Jupiter is the Mars is a
biggest cold place
planet of
them all
POST-PREVENTION
Step 1 Step 2 Step 3 Step 4
Venus is the Jupiter is the Despite Saturn is a
second biggest being red, gas giant
planet from planet of Mars is a and has
the Sun them all cold place several rings
PERCENTAGES
40% 80% 55%
Jupiter is the Saturn is a gas Venus has a
fourth- giant and has beautiful
brightest several rings name, but it’s
object in the
Follow terribly
the link in the graph to modify its data and then paste the new one here. hot
sky For more info, click here
PERCENTAGES
Mercury
60% Mercury is the closest planet to
the Sun and the smallest one in
the Solar System
Venus
40% Venus has a beautiful name and is
the second planet from the Sun
CASE TIMELINE
Saturn
Jupiter
Venus
Mars
Despite Venus is the Jupiter is Saturn is
being red, second the biggest the only
Mars is a planet from planet of planet
cold place the Sun them all with rings
CASE TIMELINE
1 2 3 4 5
Venus Jupiter Mars Saturn Neptune
Venus is Jupiter is Despite Saturn is a It’s the
the second the biggest being red, gas giant farthest
planet from planet of Mars is a and has planet from
the Sun them all cold place several the Sun
rings
CONCLUSIONS
● Despite being red, Mars is
a cold place full of iron
oxide dust
● Jupiter is a gas giant and
the biggest planet in the
Solar System
● Venus has a beautiful
name and is the second
planet from the Sun
CONCLUSIONS
Venus is the second
✔ planet from the Sun
Jupiter is the biggest
✔ planet of them all
Despite being red,
✔ Mars is a cold place
Saturn is a gas giant
✔ and has several
rings
SOCIAL MEDIA
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one, add yours and center
it properly
instagramtemplat
e
Malaga, Spain
SOCIAL MEDIA
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REFERENCES
● AUTHOR (YEAR). Title of the publication.
Publisher
● AUTHOR (YEAR). Title of the publication.
Publisher
● AUTHOR (YEAR). Title of the publication.
Publisher
● AUTHOR (YEAR). Title of the publication.
Publisher
● AUTHOR (YEAR). Title of the publication.
Publisher
“This is a quote, words full of
wisdom that someone
important said and can make
the reader get inspired.”
—SOMEONE FAMOUS
4
TREATMENT
You can enter a subtitle here if
you need it
OUR TEAM
Jenna Doe
You can talk about this
person here
John James
You can talk about this
person here
Jane Patterson
You can talk about this
person here
OUR TEAM
James Doe Timmy Jimmy John Bones
You can speak a bit You can speak a bit You can speak a bit
about this person about this person about this person
here here here
DISEASES
Heart disease Lungs disease
Men 80% Men 60%
Wome Wome
20% 40%
n n
Stomach Brain disease
disease
Men 40% Men 70%
Wome Wome
60% 30%
n n
CLINICAL CASE
Contraindications &
2005-2009
indications
Patient’s name ● List some indications here
● Sort them by relevance
● Adapt this to your needs
● Try to keep it short
● Go straight to the point
THIS IS A GRAPH
60% 40%
Mercury Mars
It’s the closest planet Despite being red,
to the Sun and the Mars is actually a
smallest in the Solar cold place. It’s full of
System iron oxide dust
Follow the link in the graph to modify its data and then paste the new one here.
For more info, click here
A COMPARISON
Venus
● You can write a feature
here
● Another feature can fit
here
● If you wish, you can add
Mercury
more
● You can write a feature
here
● Another feature can fit
here
● If you wish, you can add
ORGANIZATION
Mercury
Mercury is
the smallest
planet
Saturn Venus Mars Neptune
Saturn is the Venus has a Despite Neptune is
ringed beautiful being red, very far from
planet name Mars is cold the Sun
TREATMENT
September October
1 2 3 4 5 1 2 3
6 7 8 9 1 1 1 4 5 6 7 8 9 1
0 1 2 0
1 1 1 1 1 1 1 1 1 1 1 1 1 1
3 4 5 6 7 8 9 1 2 3 4 5 6 7
2 2 2 2 2 2 2 1 1 2 2 2 2 2
0 1 2 3 4 5 6 8 9 0 1 2 3 4
2 2 2 3 2 2 2 2 2 3 3
7 8 9 0 5 6 7
Days of
8 9 0 1
treatment
THANK
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S!
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INFOGRAPHICS
25%
50%
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