<?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>1029-3043</journal-id>
<journal-title><![CDATA[Medicentro Electrónica]]></journal-title>
<abbrev-journal-title><![CDATA[Medicentro Electrónica]]></abbrev-journal-title>
<issn>1029-3043</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Villa Clara]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1029-30432020000100192</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Resistencia a la insulina y excesos ponderales al inicio de la gestación en mujeres sanas]]></article-title>
<article-title xml:lang="en"><![CDATA[Insulin resistance and excess weight gain in healthy women at the beginning of pregnancy]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sarasa Muñoz]]></surname>
<given-names><![CDATA[Nélida L.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz Pérez]]></surname>
<given-names><![CDATA[Betty]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Artiles Santana]]></surname>
<given-names><![CDATA[Alina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Villa Clara  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<volume>24</volume>
<numero>1</numero>
<fpage>192</fpage>
<lpage>197</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1029-30432020000100192&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1029-30432020000100192&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1029-30432020000100192&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La obesidad en las gestantes es una enfermedad compleja que puede condicionar trastornos metabólicos posteriores; sin embargo, la elevación del contenido adiposo en el organismo también puede ocurrir en gestantes de peso corporal normal. El objetivo de esta comunicación fue reflexionar sobre los peligros de la epidemia del trinomio obesidad, resistencia a la insulina y diabetes tipo 2, para las nuevas generaciones y la salud pública en general. Se analizaron los efectos del exceso de adiposidad de las gestantes, por intermedio de los cambios en el transporte de la placenta en la «reprogramación» del metabolismo energético celular, y su incidencia sobre diferentes tejidos, que pueden provocar insulinorresistencia y diabetes tipo 2. Se concluyó que la toma de conciencia del peligro que representa la obesidad, aun cuando esta sea solapada, demanda la estratificación de su riesgo basado en la adiposidad más que en el peso corporal de las pacientes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Obesity in pregnant women is a complex disease that can lead to further metabolic disorders; however increased adipose tissue can also occur in pregnant women of normal body weight. The objective of this communication was to reflect on the dangers of the obesity trinomial epidemic, insulin resistance and type 2 diabetes, for new generations and public health in general. The effects of excess adiposity in pregnant women were analyzed, through the changes in placental transport in the "reprogramming" of cellular energy metabolism, and its incidence on different tissues, which can cause insulin resistance and type 2 diabetes. We concluded that the awareness of the danger posed by obesity, even when it is overlapping, demands the stratification of its risk based on adiposity rather than body weight of patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[resistencia a la insulina]]></kwd>
<kwd lng="es"><![CDATA[diabetes gestacional]]></kwd>
<kwd lng="es"><![CDATA[ganancia de peso gestacional]]></kwd>
<kwd lng="en"><![CDATA[insulin resistance]]></kwd>
<kwd lng="en"><![CDATA[diabetes, gestational]]></kwd>
<kwd lng="en"><![CDATA[gestational weight gain]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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