<?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>1608-8921</journal-id>
<journal-title><![CDATA[Gaceta Médica Espirituana]]></journal-title>
<abbrev-journal-title><![CDATA[Gac Méd Espirit]]></abbrev-journal-title>
<issn>1608-8921</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Sancti Spíritus]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1608-89212018000200040</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Estado nutricional, acumulación de tejido adiposo y vulnerabilidad cardiometabólica en gestantes sanas de peso adecuado]]></article-title>
<article-title xml:lang="en"><![CDATA[Nutritional status, accumulation of adipose tissue and cardio metabolic vulnerability in healthy adequate weight pregnant women]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Orozco Muñoz]]></surname>
<given-names><![CDATA[Calixto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cañizares Luna]]></surname>
<given-names><![CDATA[Oscar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<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-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas  ]]></institution>
<addr-line><![CDATA[Villa Clara ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2018</year>
</pub-date>
<volume>20</volume>
<numero>2</numero>
<fpage>40</fpage>
<lpage>47</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1608-89212018000200040&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1608-89212018000200040&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1608-89212018000200040&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento: Las acumulaciones regionales de tejido adiposo pueden resultar perjudiciales por la producción de factores proinflamatorios, que en individuos sobrepesos y obesos sería fácil inferir, pero en normopesos tales riesgos pueden encubrirse. Esto evidencia la necesidad de incluir en la evaluación nutricional de las gestantes de peso adecuado el análisis de la adiposidad corporal.  Objetivo:  Argumentar la necesidad de incluir en la evaluación nutricional de las gestantes de peso adecuado el análisis de la adiposidad corporal desde la captación, como dimensión de alto valor predictivo de vulnerabilidad cardiometabólica.  Desarrollo: Estudio observacional transversal en 1305 gestantes, aparentemente sanas a la captación, en el área de salud &#8220;Chiqui Gómez Lubián&#8221; del municipio de Santa Clara, entre los años 2012 a 2016. Se usaron técnicas de estadística descriptiva y de conglomerados jerárquicos. Se conformaron 5 conglomerados según los valores medios de los indicadores de adiposidad general (normal, intermedio y alto) y central (normal y alto); entre ellas 773 clasificaron de peso adecuado según el índice de masa corporal, incluidas 216 con algún nivel de adiposidad corporal. Su coincidencia en distintas categorías de adiposidad corporal, reveló 4 estados de vulnerabilidad cardiometabólica.  Conclusiones: Los rangos de normalidad por índice de masa corporal no revelan adiposidad corporal, condicionante de vulnerabilidad a riesgos cardiometabólicos en las gestantes aparentemente sanas al momento de la captación.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background:  Regional accumulations of adipose tissue can be harmful due to the production of proinflammatory factors, which in overweight and obese patients would be easy to infer, but in normal weight patients such risks can be hidden. This evidences the need of including in the nutritional evaluation of adequate weight pregnant women the analysis of body adiposity.  Objective:  To argue the need of including in the nutritional evaluation of the adequate weight pregnant women the analysis of body adiposity at the time of detection, as a dimension with a high predictive value of cardiometabolic vulnerability.  Development:  Observational cross-sectional study in 1305 pregnant women, apparently healthy at the time of pregnancy detection, in the health area "Chiqui Gómez Lubián" in Santa Clara municipality, from 2012 to 2016. Descriptive statistics techniques and hierarchical conglomerates were used. Five conglomerates were formed according to the average values of the indicators of general adiposity (normal, intermediate and high) and central (normal and high); among them 773 were classified as adequate weight according to the body mass index, including 216 with some levels of body adiposity. Its coincidence in different categories of corporal adiposity, revealed 4 states of cardio metabolic vulnerability.  Conclusions:  The ranges of normality by body mass index do not reveal body adiposity, a condition of vulnerability to cardio metabolic risks in apparently healthy pregnant women at the time of pregnancy detection.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Mujeres embarazadas]]></kwd>
<kwd lng="es"><![CDATA[adiposidad]]></kwd>
<kwd lng="es"><![CDATA[estado nutricional]]></kwd>
<kwd lng="es"><![CDATA[sobrepeso]]></kwd>
<kwd lng="es"><![CDATA[obesidad]]></kwd>
<kwd lng="es"><![CDATA[vulnerabilidad en salud.]]></kwd>
<kwd lng="en"><![CDATA[Pregnant women]]></kwd>
<kwd lng="en"><![CDATA[adiposity]]></kwd>
<kwd lng="en"><![CDATA[nutritional status]]></kwd>
<kwd lng="en"><![CDATA[overweight]]></kwd>
<kwd lng="en"><![CDATA[obesity]]></kwd>
<kwd lng="en"><![CDATA[health vulnerability.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<article-title xml:lang=""><![CDATA[Nacional de Atención Materno Infantil]]></article-title>
<source><![CDATA[]]></source>
<year>1999</year>
<publisher-loc><![CDATA[La Habana ]]></publisher-loc>
<publisher-name><![CDATA[Infomed]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<source><![CDATA[Tablas Antropométricas de la Embarazada]]></source>
<year>2010</year>
<publisher-loc><![CDATA[La Habana ]]></publisher-loc>
<publisher-name><![CDATA[Minsap]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Neeland]]></surname>
<given-names><![CDATA[IJ]]></given-names>
</name>
<name>
<surname><![CDATA[Ayers]]></surname>
<given-names><![CDATA[CR]]></given-names>
</name>
<name>
<surname><![CDATA[Rohatgi]]></surname>
<given-names><![CDATA[AK]]></given-names>
</name>
<name>
<surname><![CDATA[Turer]]></surname>
<given-names><![CDATA[AT]]></given-names>
</name>
<name>
<surname><![CDATA[Berry]]></surname>
<given-names><![CDATA[JD]]></given-names>
</name>
<name>
<surname><![CDATA[Das]]></surname>
<given-names><![CDATA[SR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Associations of visceral and abdominal subcutaneous adipose tissue with markers of cardiac and metabolic risk in obese adults]]></article-title>
<source><![CDATA[Obesity]]></source>
<year>2013</year>
<volume>21</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>439-47</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ruderman]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Chisholm]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Pi-Sunyer]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[Schneider]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The metabolically obese, normal-weight individual revisited]]></article-title>
<source><![CDATA[Diabetes]]></source>
<year>1998</year>
<volume>47</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>699-713</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[De Lorenzo]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Martinoli]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Vaia]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Di Renzo]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Normal weight obese (NWO) women: an evaluation of a candidate new syndrome]]></article-title>
<source><![CDATA[Nutr Metab Cardiovasc Dis]]></source>
<year>2006</year>
<volume>16</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>513-23</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bays]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Central obesity as a clinical marker of adiposopathy; increased visceral adiposity as a surrogate marker for global fat dysfunction]]></article-title>
<source><![CDATA[Curr Opin Endocrinol Diabetes Obes]]></source>
<year>2014</year>
<volume>21</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>345-517</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Orozco-Muñoz]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Cañizares-Luna]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Sarasa-Muñoz]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Postpartum Obesity in Cuba: Risk Outweighs Response]]></article-title>
<source><![CDATA[Medicc Review]]></source>
<year>2017</year>
<volume>9</volume>
<numero>2-3</numero>
<issue>2-3</issue>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hernández Díaz]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Sarasa Muñoz]]></surname>
<given-names><![CDATA[NL]]></given-names>
</name>
<name>
<surname><![CDATA[Cañizares Luna]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[El índice de masa corporal puede no ser suficiente en el seguimiento ponderal de las gestantes]]></article-title>
<source><![CDATA[Medicentro Electrónica]]></source>
<year>2016</year>
<volume>20</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>209-12</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hernández Díaz]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Sarasa Muñoz]]></surname>
<given-names><![CDATA[NL]]></given-names>
</name>
<name>
<surname><![CDATA[Cañizares Luna]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Orozco Muñoz]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Limas Pérez]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Machado Díaz]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Antropometría de la gestante y condición trófica del recién nacido]]></article-title>
<source><![CDATA[AMC]]></source>
<year>2016</year>
<volume>20</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>477-87</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sarasa Muñoz]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández Díaz]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Satorre Ygualada]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Obesidad y riesgo cardiovascular en la gestante]]></article-title>
<source><![CDATA[CorSalud]]></source>
<year>2016</year>
<volume>8</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>200-2</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Orozco Muñoz]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Sarasa Muñoz]]></surname>
<given-names><![CDATA[NL]]></given-names>
</name>
<name>
<surname><![CDATA[Cañizares Luna]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández Díaz]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Limas Pérez]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Machado Díaz]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Retención de peso postparto y riesgo cardiovascular]]></article-title>
<source><![CDATA[CorSalud]]></source>
<year>2016</year>
<volume>8</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>94-101</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hernández Díaz]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Las Acciones Sistemáticas en Salud Mejoran el Control y Seguimiento Ponderal de las Embarazadas]]></article-title>
<source><![CDATA[ARS Medica Revista de Ciencias Médicas]]></source>
<year>2015</year>
<volume>40</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-11</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
