El papel de los datos del mundo real en la prevención y el abordaje estructural de la obesidad infantil y adolescente en España: e202607041

Joaquín Dopazo

Authors

Joaquín Dopazo Barcelonaβeta Brain Research Center (BBRC). Barcelona. España. / Hospital del Mar Research Institut Barcelona (HMRIB). Barcelona. España. / Plataforma de Medicina Computacional. Fundación Progreso y Salud (FPS). Hospital Virgen del Rocío. Sevilla. España. https://orcid.org/0000-0003-3318-120X

Keywords:

Obesity, Real-world data, Public Health prevention, Social inequalities, Real-world evidence, Health information systems, Health Population Database, Secure processing environment

Abstract

Childhood and adolescent obesity represent a priority challenge for public health due to its high prevalence, long-term consequences and strong link to social inequalities. Compared to approaches focused exclusively on the individual, structural and intersectoral preventive strategies have proven to be more effective at the population level.
In this context, real-world data (RWD) offer a unique opportunity to analyze the distribution of obesity longitudinally, evaluate the impact of public policies, and anticipate emerging inequalities. This article advocates for the systematic incorporation of real-world evidence (RWE) in the planning and evaluation of preventive interventions in childhood obesity, highlighting the potential of infrastructures such as the Andalusian Population Health Database (BPS) and the PAGEM secure analysis platform. RWD allows clinical trajectories, obesogenic environments and social gaps to be characterized with an unprecedented level of granularity. Its systematic use in public health could mark a turning point towards more proactive, equitable and sustainable models. In short, the article proposes a roadmap for the ethical, safe and effective use of RWD in the structural approach to childhood obesity in Spain.

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