“Being obese or overweight is becoming commonplace”

2 min reading time

LUXEMBOURG – Faced with the sharp rise in obesity, a nutritionist explains the phenomenon and possible remedies for those affected.

Obesity numbers send shivers down your spine. It already affects 16.5% of adults, according to 2019 data released by the government in March. Overweight concerns 40% of men and 24% of women. Children are not spared, as 4.3% of elementary school children are obese and 7.5% are overweight. Participation rises to 9.9% and 9.3% among high school adolescents.

These numbers, which have been increasing in recent years, are in line with what nutritionist Sofia Rodrigues Fialho, who works in Esch and Bonnevoie, observed. “The number of people seeking medical care for obesity continues to increase,” she said. “Being obese or overweight is starting to become the norm,” laments the nutritionist, who notes that her patients are often shocked when they find they fall into the obese category.

The snack trap

She explains the trend towards “increasingly easy access to food”, through ordering groceries and meals, and by “an increasingly important sedentary lifestyle”. The specialist found that the situation worsened with the crisis and teleworking: “At home we are more tempted by food”, especially snacks.

Sofia Rodrigues Fialho says that obesity “appears to be a multifactorial disease”, which combines “genetics, diet, physical activity and environmental factors, such as insufficient sleep and endocrine disruptors”. To combat the phenomenon, the nutritionist recommends “avoid having at home foods that encourage compulsive eating, such as snacks, chocolate and cookies”. Instead, it’s best to prefer “fresh fruit or low-fat yogurt with no added sugar.”

Some people are genetically predisposed to weight gain. But “a healthy eating program to prevent this weight gain would benefit them even more,” said Sofia Rodrigues Fialho, who cites scientific studies. For obese people, “the real challenge is not to reach a healthy weight, but to stop gaining the lost pounds.” For this, individualized care is required.

(Joseph Gaulier/L’essentiel)

Source: L’essentiel

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D01 : Hipertensão arterial

D02 : Insuficiência renal crônica com depuração de creatinina <30ml / min

D03 : Doença inflamatória intestinal crônica (DII: doença de Crohn e colite ulcerativa)

D04 : Doença celíaca

D05 : Comprovada intolerância alimentar à lactose

D06 : Comprovada intolerância alimentar à frutose

D07 : Fibrose cística

D08 : Adultos com obesidade grave: IMC> 35

D09 : Obesidade adulta com IMC> 30 em associação com pelo menos um dos seguintes critérios:

  • diabetes mellitus com HbA1c> 7%;
  • hipertensão resistente ao tratamento e definida como pressão arterial maior que 140/90 mmHg, apesar do tratamento por um ano com três anti-hipertensivos ao mesmo tempo;
  • síndrome da apneia do sono objetivada por exame polissonográfico realizado em hospital com laboratório do sono;
  • tipo morfológico andróide (circunferência da cintura superior a 88 cm nas mulheres e 102 cm nos homens);
  • história cardiológica (doença arterial coronariana documentada / cardiomiopatia).

D10 : Obesidade infantil e adolescente: a ser determinada de acordo com as curvas de distribuição do IMC de acordo com a idade e sexo

D11 : Diabetes tipo I

D12 : Diabetes tipo II

D13 : Pré-diabetes (glicose no sangue ≥ 106 mg / dl)

D01 : Hypertension artérielle

D02 : Insuffisance rénale chronique avec une clearance à la créatinine < 30ml/min

D03 : Maladie inflammatoire chronique de l’intestin (MICI : maladie de Crohn et rectocolite hémorragique)

D04 : Maladie cœliaque

D05 : Intolérance alimentaire avérée au lactose

D06 : Intolérance alimentaire avérée au fructose

D07 : Mucoviscidose

D08 : Obésité sévère adultes : BMI > 35

D09 : Obésité adultes avec un BMI > 30 en association avec au moins l’un des critères suivants :

  • diabète sucré avec HbA1c > 7 %;
  • hypertension résistante au traitement et définie comme une pression sanguine supérieure à 140/90 mmHg, malgré un traitement pendant un an au moyen d’une prise simultanée de trois antihypertenseurs;
  • syndrome d’apnée du sommeil objectivé via un examen polysomnographique réalisé dans un hôpital disposant d’un laboratoire de sommeil;
  • type morphologique androïde (tour de taille dépassant 88 cm chez la femme et 102 cm chez l’homme);
  • antécédents cardiologiques (coronaropathie/ cardiomyopathie documentée).

D10 : Obésité enfants et adolescents : à déterminer selon courbes de distribution de l’IMC en fonction de l’âge et du sexe

D11 : Diabète type I

D12 : Diabète type II

D13 : Prédiabète (glycémie ≥ 106 mg/dl)