Acosta-Gutiérrez María Nayeli, Hernández-Torres Alma Patricia, Escamilla-Nuñez María Consuelo, Blanco-Muñoz Julia, Camarillo-Nava Víctor Manuel, Atrisco-Olivos Rosaura, Rodriguez-Garcia Julia Del Carmen
Instituto Mexicano del Seguro Social, Dirección de Prestaciones Médicas, Unidad de Atención Médica, Coordinación de Unidades de Primer Nivel. División de Promoción a la Salud. Ciudad de México, México.
Instituto Nacional de Salud Pública, Centro de Investigación en Salud Poblacional, Dirección de Salud Ambiental. Cuernavaca, Morelos, México.
Rev Med Inst Mex Seguro Soc. 2023 Nov 6;61(6):728-735. doi: 10.5281/zenodo.10064287.
The NutrIMSS program is granted to populations with chronic conditions to improve basic health indicators and its effectiveness in this population is unknown.
To analyze the change in the basic health indicators of patients who attended the NutrIMSS Program, at the UMF No. 2 of the IMSS in Mexico City, during the period 2018 to 2019.
From 105 files of IMSS beneficiaries, a retrospective cohort study was carried out considering two measurements, before and after the NutrIMSS program. To evaluate the average change over time of health indicators, GEE models (Generalized Estimation Equations) and multiple linear regression models were used. Statistical analysis was used using the statistical program StataCorp 2015.
Patients who attended the Program showed changes between the beginning and end of the period with an average of three months of follow-up. They presented a decrease in the following health indicators: body weight of 1 kg, body mass index: 0.8 kg/m2, glucose of 13 mg/dL, triglycerides of 57 mg/dL and cholesterol of 17 mg/dL (p < 0.005 in all cases). There was no difference in the level of blood pressure.
The NutrIMSS program influenced the improvement of the health indicators of the population of the program and is an ally to improve the health of the IMSS beneficiary population.
NutrIMSS项目被授予患有慢性病的人群，以改善基本健康指标，但其在该人群中的有效性尚不清楚。
分析2018年至2019年期间，在墨西哥城IMSS的第2号大学医学中心参加NutrIMSS项目的患者基本健康指标的变化。
从105份IMSS受益人的档案中，进行了一项回顾性队列研究，考虑了NutrIMSS项目前后的两次测量。为了评估健康指标随时间的平均变化，使用了广义估计方程（GEE）模型和多元线性回归模型。使用StataCorp 2015统计软件进行统计分析。
参加该项目的患者在随访期平均三个月的开始和结束之间出现了变化。他们的以下健康指标有所下降：体重下降1千克，体重指数下降0.8千克/平方米，血糖下降13毫克/分升，甘油三酯下降57毫克/分升，胆固醇下降17毫克/分升（所有情况下p<0.005）。血压水平没有差异。
NutrIMSS项目影响了该项目人群健康指标的改善，是改善IMSS受益人群健康的一个助力。
