<?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>2709-7927</journal-id>
<journal-title><![CDATA[Acta Médica del Centro]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd centro]]></abbrev-journal-title>
<issn>2709-7927</issn>
<publisher>
<publisher-name><![CDATA[Hospital Provincial Clínico Quirúrgico Universitario Arnaldo Milián Castro]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2709-79272023000200275</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Adiposidad de la pared abdominal anterior en gestantes de peso adecuado y crecimiento fetal]]></article-title>
<article-title xml:lang="en"><![CDATA[Anterior abdominal wall adiposity in pregnant women of adequate weight and fetal growth]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez Mesa]]></surname>
<given-names><![CDATA[Celidanay]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sarasa Muñoz]]></surname>
<given-names><![CDATA[Nélida Liduvina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez-Guerra González]]></surname>
<given-names><![CDATA[Elizabeth]]></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[Artiles Santana]]></surname>
<given-names><![CDATA[Alina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<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-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Villa Clara  ]]></institution>
<addr-line><![CDATA[Santa Clara Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Policlínico Universitario &#8220;Chiqui Gómez Lubián&#8221;  ]]></institution>
<addr-line><![CDATA[Santa Clara Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<volume>17</volume>
<numero>2</numero>
<fpage>275</fpage>
<lpage>285</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2709-79272023000200275&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2709-79272023000200275&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2709-79272023000200275&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  el incremento del tejido adiposo del abdomen al inicio del embarazo suscita cambios metabólicos que promueven la resistencia a la insulina, la que se vincula a alteraciones del crecimiento fetal detectables mediante ultrasonografía.  Objetivo:  determinar la asociación de la variación de los estratos adiposos de la pared abdominal anterior con la presencia de resistencia a la insulina y con la biometría fetal.  Métodos:  estudio analítico longitudinal en una población de 144 gestantes normopeso, aparentemente sanas, con edad reproductiva óptima, nulíparas, pertenecientes al Policlínico &#8220;Chiqui Gómez Lubián&#8221; de la Ciudad de Santa Clara. La muestra fue de 123. Se emplearon métodos teóricos, empíricos y estadísticos.  Resultados:  la grasa subcutánea disminuye en la medida que incrementa la grasa preperitoneal del primero al segundo trimestre, ambos expresados con mayor intensidad en las gestantes que no tuvieron resistencia a la insulina al inicio de la gestación. En las gestantes que no tuvieron resistencia a la insulina todas las variables biométricas disminuyen en la clasificación de fetos adecuados para la edad gestacional del segundo al tercer trimestre e incrementan las frecuencias de pequeños y grandes, mientras que en las que tenían resistencia a la insulina la circunferencia cefálica y la circunferencia abdominal muestran estabilidad en la identificación de fetos grandes.  Conclusiones:  la menor variación de los estratos adiposos de la pared abdominal anterior se vincula con la presencia de resistencia a la insulina al inicio de la gestación en las gestantes en las que se asocia la variable biométrica circunferencia abdominal con la identificación de los fetos grandes para la edad gestacional desde el segundo trimestre.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  the increase of abdominal adipose tissue in early pregnancy causes metabolic changes that promote insulin resistance, which is linked to alterations in fetal growth detectable by ultrasonography.  Objective:  to determine the association of the variation of the adipose strata of the anterior abdominal wall with the presence of insulin resistance and with fetal biometry.  Methods:  longitudinal analytical study in a population of 144 normopoietic pregnant women, apparently healthy, with optimal reproductive age, nulliparous, belonging to the Polyclinic &#8220;Chiqui Gómez Lubián&#8221; of Santa Clara City. The sample was 123. Theoretical, empirical and statistical methods were used.  Results:  subcutaneous fat decreases as preperitoneal fat increases from the first to the second trimester, both expressed with greater intensity in pregnant women who did not have insulin resistance at the beginning of gestation. In the pregnant women who did not have insulin resistance, all the biometric variables decreased in the classification of fetuses appropriate for gestational age from the second to the third trimester and increased the frequencies of small and large fetuses, while in those who had insulin resistance, the cephalic circumference and the abdominal circumference showed stability in the identification of large fetuses.  Conclusions:  the lower variation of the adipose strata of the anterior abdominal wall is related to the presence of insulin resistance at the beginning of gestation in pregnant women in whom the biometric variable abdominal circumference is associated with the identification of large fetuses for gestational age from the second trimester.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[resistencia a la insulina]]></kwd>
<kwd lng="es"><![CDATA[adiposidad abdominal]]></kwd>
<kwd lng="es"><![CDATA[crecimiento fetal]]></kwd>
<kwd lng="es"><![CDATA[biometría fetal]]></kwd>
<kwd lng="en"><![CDATA[insulin resistance]]></kwd>
<kwd lng="en"><![CDATA[abdominal adiposity]]></kwd>
<kwd lng="en"><![CDATA[fetal growth]]></kwd>
<kwd lng="en"><![CDATA[fetal biometry]]></kwd>
</kwd-group>
</article-meta>
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