<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0016-3813</journal-id>
<journal-title><![CDATA[Gaceta médica de México]]></journal-title>
<abbrev-journal-title><![CDATA[Gac. Méd. Méx]]></abbrev-journal-title>
<issn>0016-3813</issn>
<publisher>
<publisher-name><![CDATA[Academia Nacional de Medicina de México A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0016-38132019000600596</article-id>
<article-id pub-id-type="doi">10.24875/gmm.19005387</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Perímetro de cuello y éxito del tratamiento de pacientes con obesidad: estudio de vida real]]></article-title>
<article-title xml:lang="en"><![CDATA[Neck circumference and success in the weight-reducing treatment of patients with obesity: a real-life study]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Kaufer-Horwitz]]></surname>
<given-names><![CDATA[Martha]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carreto-Adán]]></surname>
<given-names><![CDATA[María Gisela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Hernández]]></surname>
<given-names><![CDATA[Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán Clínica de Obesidad y Trastornos de la Conducta Alimentaria Departamento de Endocrinología y Metabolismo]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>155</volume>
<numero>6</numero>
<fpage>596</fpage>
<lpage>601</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0016-38132019000600596&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0016-38132019000600596&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0016-38132019000600596&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: La evaluación del paciente con obesidad es un reto debido a las dificultades técnicas para efectuar las mediciones.  Objetivo: Evaluar la asociación entre el perímetro de cuello (PCu) y el de cintura (PC) con marcadores de riesgo cardiometabólico y el éxito del tratamiento de pacientes con obesidad mórbida.  Método: Se estudiaron 470 pacientes de 39.3 ± 11.4 años e índice de masa corporal de 44.1 ± 8.4; 73.5 % era del sexo femenino. Se evaluó índice de masa corporal, PC, PCu, perímetro de cadera y marcadores cardiometabólicos basales y finales. Se definió como éxito a una pérdida ponderal &#8805; 5 %.  Resultados: Se encontraron correlaciones significativas entre PC y PCu y entre estos y marcadores de riesgo cardiometabólico, así como entre los cambios en PC y PCu y el éxito en el tratamiento. El PCu predijo el éxito en modelos de regresión logística.  Conclusiones: Se documentó la asociación entre PC y PCu con indicadores de riesgo cardiometabólico y la asociación del PCu con éxito en el tratamiento en pacientes con obesidad mórbida. Dada la sencillez de su obtención, el PCu podría sustituir al PC en la evaluación y seguimiento de pacientes con obesidad clase III.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Evaluation of the patient with obesity is a challenge due to the technical difficulties to carry out measurements.  Objective: To assess the association between neck circumference (NC) and waist circumference (WC) with cardio-metabolic risk markers, as well as treatment success in patients with morbid obesity.  Method: Four-hundred and seventy patients of 39.3 ± 11.4 years of age and with a body mass index (BMI) of 44.1 ± 8.4 were studied; 73.5% were females. Baseline and final BMI, WC, NC, hip circumference and cardio-metabolic markers were assessed. Success was defined as weight loss &#8805; 5%.  Results: Significant correlations were found between WC and NC, and between these and cardio-metabolic risk markers, as well as between changes in WC and NC and treatment success. NC predicted success in logistic regression models.  Conclusions: The association of WC and NC with cardio-metabolic risk indicators and the association of NC with treatment success in patients with morbid obesity was documented. Given the simplicity for obtaining it, NC might replace WC in the assessment and follow-up of patients with class III obesity.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Perímetro de cuello]]></kwd>
<kwd lng="es"><![CDATA[Perímetro de cintura]]></kwd>
<kwd lng="es"><![CDATA[Índice de masa corporal]]></kwd>
<kwd lng="es"><![CDATA[Obesidad]]></kwd>
<kwd lng="es"><![CDATA[Adultos]]></kwd>
<kwd lng="en"><![CDATA[Neck circumference]]></kwd>
<kwd lng="en"><![CDATA[Waist circumference]]></kwd>
<kwd lng="en"><![CDATA[Body mass index]]></kwd>
<kwd lng="en"><![CDATA[Obesity]]></kwd>
<kwd lng="en"><![CDATA[Adults]]></kwd>
</kwd-group>
</article-meta>
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