Monday , October 25 2021

Stigma is the weight of a pound



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The United States is a cradle of obesity as a chronic illness, an authentic pandemic that spreads all over the world, without specific solutions.

In that country, everything is great: clothes, cars, shopping, people, as well as foods, high calorific content, which doubles among us, is still a reasonable snack.

Here, in a typical Southeast city of the United States, when country music bands live at all times, the Obesity Week was celebrated, an important scientific meeting on obesity.

Gradually, he is getting stigma, prejudice and obesity among the experts. A negative view of more than a kilo of them is that 82% of them feel their problem "responsible" or "guilty", an IO (Awareness, Care and Treatment of Obesity), in 11 countries (not in Argentina) with 14,500 patients with obesity and 2,800 health professionals , focused on the analysis of barriers that affect the treatment.

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Olivia Cavalcanti, the Director of the Health System and Professional Education of the World Obesity Federation, says: "Obesity is not a possibility, it is a cancer-like disease and it is very simple to say that overeating and not being exercised. Other variables in the field are involved, psychology and individual activities, biology, consumption and nutrition production, social impacts ". As the experts have achieved, the stigma that causes more than obesity causes stigma: they appear unidentified, they show a half face or unpleasant expression. Food is the importance of the person who is associated with a sedentary lifestyle, out of groups, eating healthy foods. "The image is miserable and that's something to change," he said.

Cavalcanti, a Brazilian, has stressed that the epidemic of obesity epidemic in the industrial world is part of the growing responsibility. "In the favelas of Brazil, for example, obesogenic foods are sold cheaper but lower quality, they would not be placed in other areas. There is no point in the idea of ​​a proper approach to what is the disease, not by governments or societies." Ada Cuevas, Obesity World Food Federation specialist in Chile, explained the proportion of people with obesity in their country, but it is the primary care, but it has not been diagnosed. "The lack of training in medical care, lack of official policies, such as labeling of products," he added.

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Unreal goals and fulfillment commitments

Among the obstacles that explain the failure of most treatments, Cuevas refers to high rates of stress, excessive working hours, anxiety states, healthier meals, lack of time or safe space. and the lack of treatment to return.

On the other hand, many doctors say that patients may have a higher weight loss rate of between 5 and 10 percent, but high blood pressure, dyslipidemia (high cholesterol). The risk of diabetes and death from cardiovascular reasons.

Obesity, on the other hand, leaves important psychological consequences: depression, loneliness, isolation, feelings of guilt and shame, labor difficulties and general health strengthening.

"Conventional therapy fails and there is not much help, so it only suffers people and does not seek treatment," says Flavia Christina Ladwig Robles, member of the Panel of Experienced Experiences for Disease in the Novo Nordisk ACTION IO Study- Sponsor.

Ladwig Robles was weighed more than 100 kg and suffered a variety of surgery last year (lose weight). These interventions, Sean Wharton, chief medical officer at Obesity Clinic in Ontario, Canada, explains the most successful treatment for weight loss and sustainable achievement, both for physiological reasons and for people who need to be adjusted. major changes in behavior after surgery.

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However, these interventions only reach a small percentage of patients, lower than 3 percent, in cases where it is applied, excessive weight is very important or less, but other diseases. For example, diabetes. Most questions that are trying to explain obesity biology and genetics are not answered. Different paths involved in the complex brain and the inflammatory circuit are known.

It is known, for example, that a minority maintains a weight loss after at least 3 or 4 years. Reducing calories increases appetite, but lowers energy costs and reduces appetite and soreness. "Whatever the human body loses weight is not natural," warns Wharton. But the latest advances in the understanding of the problem creates energy-consuming medications, increases satiety, reduces appetite or reduces calories. If the drug gets a reduction of 30 percent and changes in lifestyle changes and the variety of consumables, today's obesity treatments will reduce. "New legislation in our country was approved, a pre-filled feather that applies daily injection product and lifestyle changes along with the initial percentage of the annual weight It can reduce the amount of 15. This drug acts in the brain centers that regulate appetite and is one of the accepted suppositories and two Argentine therapists. Orlistat is the one that reduces fat absorption by losing weight.

The only indicator should be taken into account when the Body Mass Index (BMI) began 180 years ago and many questions are asked. However, it is the criteria used to classify obesity today. For this purpose, the weight of the formula kg in square meters is equal to the height (kg / height in m2). For example, 60 kilograms measure 1.60 a BMI 23.4, that is, normal weight. But 1.60 and 80 kg are type 1 obesity (IME, 31.2). If you measure 1.60 and weigh 120 kg, you have painful obesity: almost 47 HMI.

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