Más allá del IMC: Cuando el cuerpo habla en señales eléctricas y la clínica aprende a escucharlas
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Durante d�cadas, un solo n�mero ha dominado la evaluaci�n del peso corporal en consultorios, hospitales y programas de salud p�blica de todo el mundo: el �ndice de masa corporal. Un n�mero que no distingue entre m�sculo y grasa, que clasifica como obeso a un atleta y como sano a alguien que lleva a�os perdiendo m�sculo en silencio. Un n�mero que, en el siglo XXI, ya no es suficiente.
Este libro nace de una pregunta inc�moda pero necesaria: qu� pasa en las c�lulas de una persona con obesidad que no tiene s�ntomas, que no tiene diagn�sticos, que aparentemente est� bien? La respuesta, documentada en 1.729 adultos de Colombia y M�xico mediante bioimpedancia el�ctrica multifrecuencia, es clara: muchos de ellos no est�n bien. Sus membranas celulares ya hablan. La cl�nica, a�n no sabe escucharlas.
Lo que encontrar� en estas p�ginas
El autor presenta el Espacio Integrado de Estados Corporales (EIEC), un sistema clasificatorio original que integra cuatro dimensiones en 108 estados cl�nicos diferenciados: masa grasa, masa muscular, integridad de membranas celulares y distribuci�n del agua corporal. Los hallazgos son contundentes: el 24% de quienes ten�an composici�n corporal aparentemente normal present� deterioro funcional celular. El 13% de los clasificados como obesidad metab�licamente sana mostr� integridad celular comprometida.
Para qui�n es este libro?
Para el m�dico, el nutricionista y el fisioterapeuta que quieren ir m�s all� de la b�scula. Para el investigador en salud p�blica que busca herramientas diagn�sticas apropiadas para la realidad latinoamericana. Para el estudiante de posgrado en ciencias de la salud. Y para el lector informado que quiere entender c�mo funciona realmente su cuerpo cuando los an�lisis convencionales dicen que todo est� bien.
Un libro para este momento
En enero de 2025, la Comisi�n Lancet redefini� los criterios diagn�sticos de la obesidad. Este libro no contradice ese avance: lo completa. A�ade la dimensi�n que la Comisi�n no contempl� - la funci�n celular - y propone las herramientas para medirla con tecnolog�a disponible, accesible y validada en poblaci�n latinoamericana.
El cuerpo siempre habl� en se�ales el�ctricas. Este libro ense�a c�mo escucharlas, pero solo es el principio.
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