lo mejor de este mundo

ACONDICIONAMIENTO Y FORTALECIMIENTO FISICO





SARA VELÁSQUEZ HERNÁNDEZ













UNIVERSIDAD DE MEDELLIN
NEGOCIOS INTERNACIONALES
2013

Preventing Cardiovascular Disease and Diabetes.
A Call to Action from the American Diabetes Association and the American Heart Association.
Both the American Heart Association and the American Diabetes Association remain jointlycommitted to a reduction in heart disease, stroke, and new-onset diabetes. Excess body weight has become a major public health problem in the U.S., with nearly two-thirds of adults either overweight or obese. The steady gain in the prevalence of obesity over the last 25 years has affected our entire population—no racial or ethnic group, no region of the country, and no socioeconomic group has beenspared. Perhaps most worrisome is the observation that the rise in the rate of obesity has been greatest in children and minorities, which suggests that future generations of Americans, and our fastest growing populations, may bear this ultimate burden of this condition. Overweight or obesity results in a wide range of elevated risk factors and many fatal and nonfatal conditions. Paradoxically,although we have witnessed decades in which heart disease and stroke have steadily declined and cancer mortality has at worse remained stable, the prevalence of diabetes has soared. The increase in diabetes can largely be attributed to weight gain, and it threatens the enormous advances in disease prevention we have seen. Among individuals with diabetes, cardiovascular disease (CVD) is the leadingcause of morbidity and mortality; adults with diabetes have a two- to fourfold higher risk of CVD compared with those without diabetes. Diabetes is also accompanied by a significantly increased prevalence of hypertension and dyslipidemia It is reasonable to postulate that in many individuals, excess weight gives rise to diabetes, hypertension, and dyslipidemia, thereby leading to frank CVD.Thisseemingly simple algorithm is undoubtedly more complex because (1) many studies show that hyperglycemia at pre-diabetic levels is an independent risk factor for CVD, (2) central obesity (i.e., intra-abdominal or visceral fat) may have a greater detrimental effect than overall weight/BMI, and (3) there is a complex relationship between lipid metabolism and hyperglycemia. Moreover, obesity in theabsence of glucose intolerance is associated with CVD, including coronary heart disease, stroke, and heart failure.
The intent of this article is to clarify and reinforce the notion that our organizations remain unified and committed to reducing the burden of diabetes and CVD. The importance of identifying and treating a core set of risk factors (pre-diabetes, hypertension, dyslipidemia, and obesity)cannot be overstated, and our commitment is evidenced by other previous joint publications. While unrelated to an underlying metabolic abnormality, tobacco use also deserves special attention. Moreover, since recent evidence suggests that risk assessment and adherence to national guidelines remains woefully suboptimal, we call for a renewed effort to prevent and treat these conditions.
Laprevención de las enfermedades cardiovasculares y la diabetes.
Un Llamado a la Acción de la Asociación Americana de Diabetes y la asociación americana del corazón

Tanto la Asociación Americana del Corazón y la Asociación Americana de Diabetes conjuntamente permanecer comprometidos con la reducción de las enfermedades del corazón, derrames cerebrales y diabetes de nueva aparición. El exceso de pesose ha convertido en un importante problema de salud pública en los EE.UU., con casi dos tercios de los adultos con sobrepeso u obesidad. El aumento progresivo de la prevalencia de la obesidad en los últimos 25 años ha afectado a toda nuestra población, ningún grupo racial o étnico, ninguna región del país, y ningún grupo socioeconómico se ha librado. Tal vez lo más preocupante es la observación...