“Obesity does not depend on the person who suffers from it,” explains the dietitian and nutritionist Julio Basulto in its section “Healthy life” in the program It is not an ordinary day. For example, one of the possible causes of suffering from it is if a rape has been suffered in childhood, these “are clearly related to a greater risk”. Another example is if during this stage of life you have lived “in a family where you were forced to eat, there was a lot of shouting, a lot of violence or there was an environment where there was a lot of unhealthy product, the parents were not aware of it and When the older child is obese, it is already very difficult to reverse it”.
According to World Health Organization between 1975 and 2016 “it has tripled worldwide”. This is one of the most worrying issues in It is not an ordinary day and in the section “Healthy Life” by Julio Basulto, which is why they have periodically discussed it with different specialists.
March 4 is the world obesity daysummons the World Obesity Federation. So, taking advantage of this appointment, we have compiled the “Vida sana” podcasts related to this matter and we will tell you about some of the main recommendations that have been transmitted to listeners about obesity and how to treat it.
take into account everything
It has to be addressed in a “comprehensive” way, explain the doctors Clotilde Vazquez Y Ana Isabel de Coswhen they presented the book Obesity Handbook in the program that he directs and presents Carlos Mesa. Therefore, it is a treatment that has to address “food, eating pattern, physical activity, start or schedule it, we must talk about motivation, we must reinforce, if there is an emotional intake, do an emotional regulation. We have to treat if there are associated pathologies and diseases”.
This is a “complex” disease and “it’s not a matter of scale”, whose common trait “is that they store too much fat”. The mechanisms by which this occurs are “very different” for this reason “they must be diagnosed and prioritized, because in many people several things can occur at the same time: incorrect diet, sedentary lifestyle, drugs, hormonal problems.” “The first step is a correct diagnosis”, from here “the strategy” is established.
Fat, what does it do? Where is?
“Fat is one more endocrine organ,” explains the doctor Guadalupe Sabio In “Healthy Living” “It is able to control our sense of hunger and obesity, sometimes it comes from genetic data or genetic modifications.” Therefore, obesity is a combination of lifestyle habits and genetics.
Regarding where the fat accumulates, Sabio points out that “the intra-abdominal is closer to very key organs such as the liver. This will cause it to have an endocrine effect on the brain, the muscle, but also on the liver. That abdominal fat being closer to the liver, its effect tends to be greater and have more inflammation. Why? It is not known very well. There are still many questions that we don’t know”. Another reflection that is proposed in his research group and for which he has no answer is “why do some people tend to store more abdominal fat and others more in the buttocks?”
And the drugs?
One of Guadalupe Sabio’s areas of research is the development of drugs to fight obesity. In this sense, he explains that “we need to find therapeutic targets that are safe. We cannot afford any side effects to try to reduce a person’s obesity.” His research does not focus so much on whether this person is obese, but rather that these pills “do not create a serious illness.”
“We must launch the idea that the population It won’t be soon before we have a pill that makes people effortlessly slim.. I think that is not the way and I think that it is trying to make people as healthy as possible ”.
Without miracles
We usually find advertising in all kinds of spaces, books or voices that highlight a diet as the solution to lose weight easily. Doctor Clotilde Vázquez explains in “Vida sana” that these supposed miracles are “the door to obesity”. “Any incorrect diet always entails a metabolic adaptation, changes, disturbances in the body.” This is not the fault of the person who follows it, but it is the “biological continuation of that incorrect diet” that leads “to a rebound”. Therefore, “if someone wants to lose weight, never do anything like that”.
the yoyo effect
Through these types of diets that offer quick and effective solutions, you can lose weight quickly but like a yoyo, it goes down but then goes up again. This is precisely called the “yoyo effect” in nutrition. This rebound “causes you to gain more weight than you had before starting the diet,” explains Julio Basulto in an edition of “Vida sana” dedicated to this topic.
After performing a miracle diet of this type, people return to their previous habits because they have not changed them. “You can’t follow that, it’s unsustainable, they make you feel guilty,” says the dietitian and nutritionist Olga Ayllon. “You regain weight mainly because a good part of the weight you have lost is muscle mass,” explains Basulto, adding “it is a low blow to your metabolism, because muscle mass is what causes you to consume energy.”
Basulto cites in this program a document from the American Obesity Treatment Association: “Patients have a right to know that losing weight quickly can cause serious health problems. For example, high blood pressure, gallstones, an increased risk of premature death.”
learn self control
The objective when starting a diet does not have to be weight loss, “even if it is difficult for them to understand that, but to go on making them see that it is a Lifestyle”, says Olga Ayllon. “Sometimes we cannot lower that number as they imagine it can go down.” To treat it, she uses as a metaphor the way in which a university career is faced: “When you make a change in food and you are at a very high weight, you have to see years ahead.”
So to learn how to eat better, the nutritionist proposes self-control, that is, working with the “diet diary”: “The knowledge of what you are doing empowers you.” “Everyone who writes something every day a little, realizes many things. If you do it with food, you realize everything”.
words and obesity
“It is not the same to say”be obese‘ what ‘suffering from obesity‘. It is a very grammatical reflection, but it has a very important impact on how we interpret the content of the sentences”, pointed out the doctor and professor of Spanish Language at the University of Barcelona Estrella Montolío. “When we say that someone is something, we are talking about a categorization of traits that we call permanent. That is why we say that the verb ‘to be’ is a stative verb, because it does not refer to transformation and change but rather to immanent categorization”.
“When we say that someone is obese or obese, we are defining them in their essence. It is as if he had no other condition other than his obesity. On the other hand, when we say that someone suffers from or has obesity, we are talking about a characteristic, among many other possible ones, in addition to being susceptible to transformation”, adds Montolío.
The tilde in the stalker
In “Healthy life” they analyzed the unfortunate headline “The University of Córdoba suggests that overweight children who suffer bullying exercise.” Julio Basulto points out that “there are things that one cannot stop being and stop suffering from obesity is not as easy as people think”. “We put the tilde in the harassed, instead of the tilde in the harasser.”
“Physical exercise is not a magic wand that systematically loses weight. It helps on a population scale to prevent obesity and can do a little with weight control. Correlation is not causation. What does this mean? The less fit get more bullying, but does that mean being more fit is going to translate into less bullying? We do not know”.
The nutritionist puts forward the following hypothesis: “It is not that obesity causes bullying, the child who is repeatedly harassed for multiple reasons, for example emotional abandonment at home, ends up taking refuge in food and ends up suffering from obesity. Therefore, the solution has nothing to do with dieting or exercising.”