{"id":21312,"date":"2013-06-24T12:44:00","date_gmt":"2013-06-24T10:44:00","guid":{"rendered":"https:\/\/www.opc.cat\/la-combinacion-de-dieta-y-ejercicio-no-reduce-los-riesgos-cardiacos-en-los-pacientes-de-diabetes-tipo-2-2\/"},"modified":"2013-06-24T12:44:00","modified_gmt":"2013-06-24T10:44:00","slug":"la-combinacion-de-dieta-y-ejercicio-no-reduce-los-riesgos-cardiacos-en-los-pacientes-de-diabetes-tipo-2-2","status":"publish","type":"post","link":"https:\/\/www.opc.cat\/es\/la-combinacion-de-dieta-y-ejercicio-no-reduce-los-riesgos-cardiacos-en-los-pacientes-de-diabetes-tipo-2-2\/","title":{"rendered":"La combinaci\u00f3n de dieta y ejercicio no reduce los riesgos cardiacos en los pacientes de diabetes tipo 2"},"content":{"rendered":"

<\/p>\n

\nPero un estudio de pacientes con sobrepeso hall\u00f3 que los cambios en el estilo de vida podr\u00edan prevenir complicaciones como la insuficiencia renal y los da\u00f1os oculares<\/h4>\n
\n<\/a><\/div>\n
\nLa p\u00e9rdida de peso obtenida a trav\u00e9s de la dieta y el ejercicio no parece reducir el riesgo de problemas cardiacos entre las personas con diabetes, halla un estudio reciente.<\/div>\n
\n<\/div>\n
\nDesde hace tiempo los cambios en el estilo de vida son el fundamento del tratamiento de la diabetes tipo 2. Los m\u00e9dicos aconsejan a los pacientes que coman con cuidado y que se mantengan activos para ayudar a controlar la glucemia y reducir el riesgo de complicaciones a largo plazo, que incluyen un riesgo de al menos el doble de ataques cardiacos y accidentes cerebrovasculares (ACV).<\/div>\n
\nPero el nuevo estudio, que aparece en la edici\u00f3n en l\u00ednea del 24 de junio de la revista New England Journal of Medicine, sugiere que los beneficios de la dieta y del ejercicio podr\u00edan ser m\u00e1s limitados de lo que se pensaba.<\/div>\n
\n<\/div>\n
\nA\u00fan as\u00ed, los investigadores se\u00f1alan que las personas con diabetes no deben darse por vencidos en sus esfuerzos por comer menos y moverse m\u00e1s. Unos hallazgos adicionales del estudio, que est\u00e1 siendo presentado en la reuni\u00f3n de la Asociaci\u00f3n Americana de la Diabetes (American Diabetes Association), en Chicago, muestran que los cambios en el estilo de vida podr\u00edan tener beneficios m\u00e1s all\u00e1 del coraz\u00f3n, e incluir una reducci\u00f3n en los riesgos de insuficiencia renal y el da\u00f1o ocular que puede provocar ceguera.<\/div>\n
\n<\/div>\n
\nPara el ensayo, los investigadores dividieron a m\u00e1s de 5,000 adultos con diabetes tipo 2 en dos grupos. Se asign\u00f3 al primer grupo a perder peso mediante el ejercicio y la reducci\u00f3n de las calor\u00edas. Se les dio una meta de comer entre 1,200 y 1,800 calor\u00edas al d\u00eda, y de realizar al menos 175 minutos de ejercicio de intensidad moderada cada semana.<\/div>\n
\n<\/div>\n
\nPara acelerar la p\u00e9rdida de peso, los participantes utilizaron batidos y barritas de dieta como sustitutos de hasta dos comidas al d\u00eda. Si no hab\u00edan perdido el diez por ciento de su peso inicial a los seis meses, tambi\u00e9n pod\u00edan tomar el f\u00e1rmaco orlistat, que bloquea la grasa, y que se vende sin receta como Alli, durante un periodo corto.<\/div>\n
\n<\/div>\n
\nEl otro grupo de comparaci\u00f3n se reun\u00eda tres veces al a\u00f1o para sesiones grupales de asesor\u00eda. Se les dieron lecciones sobre la importancia de usar el ejercicio, la dieta y el respaldo social para ayudar a gestionar la afecci\u00f3n.<\/div>\n
\n<\/div>\n
\nTodos los participantes ten\u00edan sobrepeso, y entre 45 y 75 a\u00f1os de edad. Su peso inicial promedio era de unas 220 libras (100 kilos). La mayor\u00eda hab\u00edan vivido con la diabetes durante al menos cinco a\u00f1os.<\/div>\n
\nLas personas de ambos grupos perdieron peso y la mayor\u00eda lograron no recuperarlo.<\/div>\n
\n<\/div>\n
\nPero la p\u00e9rdida de peso fue modesta. Tras un a\u00f1o, las personas en el grupo de dieta y ejercicio hab\u00edan perdido alrededor del ocho por ciento de su peso inicial, equivalente a unas 18 libras (8 kilos). Aunque durante los ocho a\u00f1os siguientes recuperaron parte de ese peso, lograron no recuperar una p\u00e9rdida del seis por ciento, un promedio de alrededor de 14 libras (6.4 kilos). El grupo de comparaci\u00f3n perdi\u00f3 unas 10 libras (4.5 kilos) en el estudio, una diferencia de alrededor del 2.5 por ciento entre ambos grupos.<\/div>\n
\nPero el grupo que comi\u00f3 menos y se movi\u00f3 m\u00e1s sufri\u00f3 la misma cantidad de ataques cardiacos, ACV, muertes relacionadas con el coraz\u00f3n y hospitalizaciones por dolor de pecho que el grupo de comparaci\u00f3n.<\/div>\n
\n<\/div>\n
\nLos resultados fueron tan similares entre ambos grupos que el oto\u00f1o anterior los investigadores detuvieron el ensayo unos cuatro a\u00f1os antes de lo que planificaron originalmente, debido a su \u00abfutilidad\u00bb. Los investigadores dijeron que podr\u00eda haber varios motivos de que no vieran una diferencia en los problemas cardiacos entre los dos grupos. Uno fue la p\u00e9rdida de peso, relativamente modesta. Fuente: MedLine Plus<\/i><\/div>\n
\n<\/div>\n
\n(seguir leyendo<\/a>)<\/div>\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Pero un estudio de pacientes con sobrepeso hall\u00f3 que los cambios en el estilo de vida podr\u00edan prevenir complicaciones como la insuficiencia renal y los da\u00f1os oculares La p\u00e9rdida de peso obtenida a trav\u00e9s de la dieta y el ejercicio no parece reducir el riesgo de problemas cardiacos entre las personas con diabetes, halla un 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