Mi primera publicacion ANALES 2018 FINAL FINAL p | Page 300

300 V olumen 55 (2018) tenían normopeso, el 41,3% tenían sobrepeso y el 26,1% tenían un IMC entre 30 y 40 (obesidad) y un 1,6% presentaban un IMC>40. En conclusión, la obesidad se ha convertido en una pandemia a nivel mundial, situándose España en una zona intermedia de prevalencia, así como Castilla y León. EL índice de masa corporal, así como la circunferencia de la cintura son las herramientas más utilizadas a la hora de realizar los estudios de prevalencia de obesidad. Palabras clave: Obesidad, España, Castilla y león ABSTRACT. Obesity, the epidemic of the 21st century (1) , is defined as a disproportionate body weight for height with an excessive accumulation of adipose tissue that is usually accompanied by a mild chronic systemic inflammation. To classify patients with obesity, the Quetelet index or body mass index is used, which is obtained by dividing the weight of the individual in Kg by the square height in meters (kg/m 2 ). A body mass index above 30 kg/m 2 is considered as obesity. Obesity is associated with the development of type 2 diabetes mellitus, cardiovascular diseases, some types of cancer and other chronic pathological conditions. Waist circumference is a risk factor in obesity, too. In the ENPE study, a prevalence in the Spanish population of overweight of 39.3% and of obesity of 21.6% was demonstrated. The prevalence of overweight in women was 32.1% and obesity 22.8%, in men; on the other hand, obesity represented 20.5% and overweight 46.5%. Recently, Castilla y León Health System has published the results of a study of cohorts “Cardiovascular Risk Study in Castilla y León; the evolution of cardiovascular risk factors 2004-2014 “. The prevalence of obesity (BMI ≥30) in 2004 was 22.9% in our Autonomous Community. In the re-evaluation of the same cohort of patients, ten years later, that proportion has increased to 27.6%, almost 5 percentage points. With respect to the total sample of 2014, 31.1% had normal weight, 41.3% were overweight and 26.1% had a BMI between 30 and 40 (obesity) and a 1, 6% had a BMI> 40 In conclusion, obesity has become a pandemic worldwide, placing Spain in an intermediate zone of prevalence as well as Castilla y León. The body mass index, as well as the circumference of the waist are the most used tools when carrying out obesity prevalence studies Key words: Obesity, Spain, Castilla and Leon