DIA MUNDIAL DE LA OBESIDAD – ENTREVISTA A PROFESIONALES DE SAN LUIS
En nuestro país el 41,1 por ciento de los niños y adolescentes de entre 5 y 17 años presenta exceso de peso, mientras que esta problemática afecta al 67,9 por ciento de las personas mayores de 18 años.
Para conocer e informarnos mas sobre este estado o trastorno patológico denominado Obesidad, entrevistamos a dos profesionales referentes en esta área en la provincia de San Luis, el Dr. Marcelo Abdala y la Lic. Cecilia Albisu.
Para comenzar , hablamos con Cecilia Albisu , Licenciada en Nutrición , Esp. en nutrición clínica metabólica y diplomada en diabetes.
¿Cuál es la definición de obesidad?
C.A: Se entiende por obesidad, el exceso de peso a expensas del tejido graso que condiciona la salud de las personas aumentando el riesgo de padecer diferentes enfermedades como hipertensión arterial, diabetes tipo II, índices elevados de colesterol y triglicéridos, problemas osteoarticulares, cáncer, apnea del sueño y problemas cardiovasculares.
¿ Como se diagnostica?
C.A: Para determinar si el peso de una persona se encuentra dentro del rango saludable los profesionales de la salud utilizan el índice de masa corporal (IMC).
El IMC es una fórmula simple que relación dos variables: Peso y Altura.
¿Algunos consejos para comer mas saludable y ayudar al descenso de peso?
C.A:
- Cocina tu propia comida. Aprende recetas de comidas mucho más saludables.
- Revisa las etiquetas de los alimentos, si no conoces los ingredientes, tu cuerpo tampoco.
- Evitar el consumo de alimentos ultra procesados con alto contenido de grasas, azúcares y sal.
- Toma agua y evita los refrescos. Las personas que consumen refrescos con frecuencia tienen mayor susceptibilidad a padecer obesidad y a tener un índice de masa corporal (IMC) elevado.
El Dr. Marcelo Abdala, es médico especialista en obesidad y director de la Fundación Vida Sana San Luis.
Desde su visión como medico, ¿Cuál cree que es el mejor enfoque terapéutico para trabajar sobre la obesidad?
M.A: El mejor enfoque es interdisciplinario, debido a los diferentes componentes que intervienen en la obesidad, como los procesos psicológicos, lo cual baja la autoestima de la persona y deja de prestar atención algunos cuidados importantes y incorporando nuevos hábitos para ocultar la obesidad . Es muy importante la presencia de un profesional que estimule el movimiento para realizar cambios de hábitos, como la actividad física controlado, junto con un plan de alimentos para ordenar la alimentación, cubriendo, el desayuno, media mañana, almuerzo, media tarde , merienda y cena, cubriendo un día estimulativo para el metabolismo, estimulando estimativamente cada 2 hs, , lo que produce un cambio de un metabolismo generador de grasa a otro quemador de grasas, de esta manera podemos cambiar la manera de funcionar de nuestro metabolismo para recuperar el peso acorde para una vida saludable.
Si tuvieras que darle 5 pautas imprescindibles , para un persona que quiere comenzar a bajar de peso y mejorar la calidad de vida , cuales les darias.
M.A:
- Aceptar lo que le esta sucediendo.
- Después decidirse y animarse a realizar el cambio para vivir mejor.
- Comenzar plan de alimentación.
- Arrancar un plan de actividad física.
- Sostén psico emotivo, por medio del psicólogo para mantener la constancia de todo el cambio físico que se ha logrado.
¿Las personas deben consumir pastillas para adelgazar?
M.A: Se dice que las pastillas tiene un alto efecto de daño a largo plazo, porque atacan un proceso de control interno que tiene el cuerpo de set point (punto limite), una persona puede consumir altas cantidades de comidas y mantener un peso estable durante mucho tiempo aunque sea alto de 120kg. , pero cuando consume pastillas se altera el control interno y al recuperar el peso, el mecanismo de freno que esta roto puede llevar al paciente un peso 135 o 145 kg, que quizás antes jamás hubiera llegado. Estas pastillas actúan en distintos niveles, produciendo un de desequilibro de la homeostasis, ocasionando daños metabólicos.
¿Qué opinión tiene de la cirugía bariátrica ?
M.A: Esta intervención vino a sumar una herramienta terapéutica, muy relevante para ayudar a los pacientes obesos donde corre riesgo su integridad y su salud, sobre todo en personas con antecedentes de diabetes, hipertensión arterial o patologías cardiacas. Sin duda esta intervención quirúrgica mejora la calidad de vida del paciente, y se recomienda en aquellos que no puede por voluntad propia mejorar su estado de salud o el que tiene riesgo de vida.
Sin duda aparte de informarnos y recibir estos consejos , expertos en esta área, debemos consultar a los profesionales especialistas en Nutrición y Obesidad.
-Dr. Marcelo Abdala: 2664317381
Lic. Cecilia Albisu: 4422349 – Rivadavia 1062
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