<?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>0034-7531</journal-id>
<journal-title><![CDATA[Revista Cubana de Pediatría]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Pediatr]]></abbrev-journal-title>
<issn>0034-7531</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-75312018000400003</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Motivo de consulta y manifestaciones gastrointestinales en pacientes pediátricos con sobrepeso y obesidad en Colombia]]></article-title>
<article-title xml:lang="en"><![CDATA[Reasons for consultation and gastrointestinal manifestations in pediatric patients with overweight and obesity in Colombia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Daza Carreño]]></surname>
<given-names><![CDATA[Wilson]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dadán]]></surname>
<given-names><![CDATA[Silvana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Higuera Carrillo]]></surname>
<given-names><![CDATA[Michelle]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad El Bosque Unidad de Gastroenterología, Hepatología y Nutrición Pediátrica (Gastronutriped) ]]></institution>
<addr-line><![CDATA[Bogotá, D. C. ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad del Salvador Hospital Italiano de Buenos Aires ]]></institution>
<addr-line><![CDATA[Buenos Aires ]]></addr-line>
<country>Argentina</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>90</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-75312018000400003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-75312018000400003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-75312018000400003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Los síntomas gastrointestinales determinan diagnóstico y tratamiento en niños con exceso de peso.  Objetivo:  Definir motivo de consulta y manifestaciones gastrointestinales en pacientes con exceso de peso.  Métodos:  Estudio descriptivo retrospectivo realizado en un centro de Gastroenterología y Nutrición Pediátrica de Colombia entre 2009 - 2015. Se revisaron 1 650 historias clínicas de pacientes con exceso de peso que asistieron a consulta. Se analizó con STATA V12, se incluyó Test de Fisher de una cola, significación de p &#8804; 0,05.  Resultados:  Se estudiaron 222 pacientes, edad media de 71 meses (rango intercuartílicol 19-124). Tenían sobrepeso 57,7 % y 42,3 % obesidad y 73,9 % consultó por síntomas gastrointestinales. Se presentó alto porcentaje de cesárea y lactancia materna exclusiva de corta duración. En pacientes con sobrepeso, el principal motivo de consulta fue dolor abdominal; en obesos, el exceso de peso. En ambos grupos, el síntoma más frecuente fue dolor abdominal (41,6 % en sobrepeso; 48,9 % en obesidad). Apetito aumentado fue el único síntoma con diferencia estadísticamente significativa (p= 0,010). Estreñimiento funcional fue el diagnóstico gastrointestinal más frecuente. Al comparar los grupos, se encontraron diferencias entre diagnósticos de estreñimiento funcional (p= 0,004), alergia alimentaria (p= 0,003) y reflujo gastroesofágico (p= 0,011).  Conclusiones:  Las manifestaciones gastrointestinales son frecuentes y resultan motivo de consulta principal en pacientes con exceso de peso; dentro de ellos se destaca el dolor abdominal, que los incapacita y obliga a consultar al gastroenterólogo pediatra. El exceso de peso no es motivo de consulta principal. El estreñimiento funcional es el diagnóstico gastrointestinal más común.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Gastrointestinal symptoms determine diagnosis and treatment in children with excess weight.  Objective: To define reason of consultation and gastrointestinal manifestations in patients with overweight or obesity.exeso  Methods: A retrospective descriptive study was carried out in a Pediatric Gastroenterology and Nutrition Center of Colombia from 2009 to 2015. 1 650 clinical records of patients with excess weight who attended the consultation were reviewed. Data was analyzed with STATA V12, one-tailed Fisher's test was included, significance of p &#8804; 0.05.  Results: 222 patients were studied with a mean age of 71 months (Interquartile range 19-124). 57.7 % of them presented overweight and 42.3 % obesity and 73.9 % were consulted due to gastrointestinal symptoms. A high percentage of cesarean sections and exclusive breastfeeding of short duration were presented. In overweight patients, the main reason for consultation was abdominal pain and in obese ones it was excess weight. In both groups, the most frequent symptom was abdominal pain (41.6 % in overweight, 48.9 % in obesity). Increased appetite was the only symptom with a statistically significant difference (p= 0.010). Functional constipation was the most frequent gastrointestinal diagnosis. When comparing the groups, differences were found among diagnoses of functional constipation (p= 0.004), food allergy (p= 0.003) and gastroesophageal reflux (p= 0.011).  Conclusions: Gatrointestinal manifestations are frequent and are the main reason of consultation in patients with excess weight. Abdominal pain is a frequent symptom in those patients incapacitating them and compelling to consult a pediatric gastroenterologist. Excess weight is not the main consultation reason. Functional constipation is the most common gastrointestinal diagnosis. Lifestyle changes are required to prevent or treat excess weight and associated symptoms.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[sobrepeso]]></kwd>
<kwd lng="es"><![CDATA[obesidad]]></kwd>
<kwd lng="es"><![CDATA[enfermedades gastrointestinales]]></kwd>
<kwd lng="es"><![CDATA[pediatría]]></kwd>
<kwd lng="en"><![CDATA[overweight]]></kwd>
<kwd lng="en"><![CDATA[obesity]]></kwd>
<kwd lng="en"><![CDATA[gastrointestinal diseases]]></kwd>
<kwd lng="en"><![CDATA[Pediatrics]]></kwd>
</kwd-group>
</article-meta>
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