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http://dspace.udla.edu.ec/handle/33000/10237| Tipo de material : | bachelorThesis |
| Título : | Validación del score big five como herramienta de tamizaje para identificación de riesgo de obesidad infantil en niños de 6 a 12 años en consulta externa del Hospital un Canto a la Vida |
| Autor : | Campaña Pazuña, Katherine Andrea |
| Tutor : | Ayala Herrera, José Luis |
| Palabras clave : | SOBREPESO;OBESIDAD;SENSIBILIDAD;ESPECIFICIDAD;TAMIZAJE |
| Fecha de publicación : | 2018 |
| Editorial : | Quito: Universidad de las Américas, 2018 |
| Citación : | Campaña Pazuña, K. A. (2018). Validación del score big five como herramienta de tamizaje para identificación de riesgo de obesidad infantil en niños de 6 a 12 años en consulta externa del Hospital un Canto a la Vida (Tesis de pregrado). Universidad de las Américas, Quito. |
| Resumen : | Introducción: En países desarrollados el sobrepeso y la obesidad infantil están entre los principales problemas de salud pública a los que se tiene que enfrentar, en el 2014 según estimaciones unos 41 millones de niños menores de cinco años tenían sobrepeso o eran obesos… |
| Descripción : | Introduction: In developed countries overweight and childhood obesity are among the main public health problems. According to some studies in 2014 about 41 million children under five were overweight or obese. (World Health Organization, 2014). In Ecuador, according to ENSANUT data, the school population had a high percentage of overweight and obesity, especially men, with the highest prevalence of cases in 2012. Children of 6 and 8 years with 40 percent and 26 percent were overweighted and obese respectively. The prevalence was 34.4 percent between overweight and obesity. (ENSANUT-ECU, 2012). There are several forms of screening, among which are the methods of anthropometry for the detection of obesity in school children: the utility of the body mass index (BMI), the thickness of the skin fold (GPC), the circumference of the waist (DC); determined by the World Health Organization as the best option for screening for obesity the BMI taking into account the distribution according to sex and age. (Candide, 2012) However, the use of a less complex process called "Big Five" is currently proposed as a useful starting point for the successful identification of risk of childhood obesity; it´s a fast, simple, cheap scale that any health personnel can do, to evaluate the risk based on the question about the diet without having to perform any particular procedure on the patient (Goutham, 2010). Objective: Decide the clinical and statistical utility of the "Big Five" score for the identification of the risk of childhood obesity. Methodology: Cross-sectional observational descriptive study of quantitative type scales. It was a process that sought to detect sensitivity and specificity by comparing the Big Five scale as a new method in relation to a pattern that was the WHO curves, as an early screening method in the identification of obesity. An evaluation was applied to the two tools to be able to express with sensitivity and specificity respectively and combinations of these indices interpreted by predictive values. Results: The prevalence was 24.4 percent for overweight and 22.2 percent for risk of overweight. The sensitivity was 95 percent (95 percent IC, 0.89 – 0.99), specificity 4 percent (95 percent IC, -0.01 – 0.10), PPV 47 percent (95 percent IC, 0.36 – 0.57), NPV 50 percent (95 percent IC, 0.01 – 0.99), CPP 0.99 (95 percent IC, 0.91 – 0.98) and CPN 1.14 (95 percent IC, 0.21 – 6.19). Conclusions: The Big Five score is an easy to use, quick application, easy to interpret, minimal cost tool that facilitates the orientation of primary care in relation to the problems of overweight and obesity, however, in this study it is shown that it is a tool of little utility, it agrees with the gold standard in a poor way. |
| URI : | http://dspace.udla.edu.ec/handle/33000/10237 |
| Aparece en las colecciones: | Medicina |
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| Fichero | Descripción | Tamaño | Formato | |
|---|---|---|---|---|
| UDLA-EC-TMC-2018-11.pdf | 1,25 MB | Adobe PDF | Visualizar/Abrir |
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