{"id":16803,"date":"2025-01-27T14:23:48","date_gmt":"2025-01-27T12:23:48","guid":{"rendered":"https:\/\/jurmed.ro\/medici\/?p=16803"},"modified":"2025-01-27T14:23:48","modified_gmt":"2025-01-27T12:23:48","slug":"un-roman-din-doi-are-probleme-cu-greutatea-iar-in-urmatorii-10-ani-proportia-va-depasi-trei-din-patru-persoane","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/medici\/un-roman-din-doi-are-probleme-cu-greutatea-iar-in-urmatorii-10-ani-proportia-va-depasi-trei-din-patru-persoane\/","title":{"rendered":"Un rom\u00e2n din doi are probleme cu greutatea, iar \u00een urm\u0103torii 10 ani propor\u021bia va dep\u0103\u0219i trei din patru persoane"},"content":{"rendered":"

Peste jum\u0103tate din popula\u021bia adult\u0103 din Rom\u00e2nia se confrunt\u0103 cu probleme legate de greutate: 31,1% cu supraponderabilitate \u0219i 21,3% sufer\u0103 de obezitate*, iar estim\u0103rile indic\u0103 o cre\u0219tere semnificativ\u0103 \u00een urm\u0103torii zece ani. Asocia\u021bia \u00cempreun\u0103 \u00cempotriva Obezit\u0103\u021bii atrage aten\u021bia asupra importan\u021bei abord\u0103rii obezit\u0103\u021bii ca pe o boal\u0103 cronic\u0103 \u0219i nu doar ca pe rezultatul unui stil de via\u021b\u0103 nes\u0103n\u0103tos.<\/p>\n

Obezitatea \u2013 o problem\u0103 de s\u0103n\u0103tate public\u0103 major\u0103<\/strong><\/p>\n

Cea mai obi\u0219nuit\u0103 abordare a obezit\u0103\u021bii \u00een Rom\u00e2nia este aceea c\u0103 este responsabilitatea pacientului \u0219i se poate rezolva prin diet\u0103 \u0219i exerci\u021bii fizice. Rar s-a discutat \u00eens\u0103 despre obezitatea ca boal\u0103 cronic\u0103 ce, la r\u00e2ndul ei, conduce c\u0103tre multe alte afec\u021biuni grave.<\/p>\n

\u201eDe\u0219i nu este recunoscut\u0103 ca atare, obezitatea este cea mai r\u0103sp\u00e2ndit\u0103 boal\u0103 cronic\u0103 netransmisibil\u0103 \u0219i este cauza a peste 200 de complica\u021bii, printre care diabetul de tip 2, cancerul \u0219i bolile cardiovasculare – 3 dintre cele 4 boli cronice netransmisibile recunoscute \u00een prezent la nivel interna\u021bional. Este absolut necesar ca la nivel de societate, at\u00e2t \u00een popula\u021bia general\u0103, c\u00e2t \u0219i \u00een mediul sanitar s\u0103 se cunoasc\u0103 fiziopatologia obezit\u0103\u021bii \u0219i s\u0103 fie tratat\u0103 \u00een mod adecvat, ca boal\u0103 cronic\u0103 asociat\u0103 cu un dezechilibru \u00een controlul apetitului \u0219i al metabolismului, cauzat de factori multipli, printre care genetici (40-70%) \u0219i biologici\u201d spune dr. Andreea Ciudin Mihai, expert \u00een Endocrinologie \u0219i Nutritie, Coordonatoarea Unit\u0103\u021bii de Tratament Integral al Obezitatii din Spitalul Universitar Vall Hebron, Barcelona.<\/p>\n

\u201cSunt multe lucruri pe care le putem face \u0219i poate ca unul dintre cele mai importante este acela de a schimba paradigma, de a schimba percep\u021bia obezit\u0103\u021bii, din condi\u021bie care \u021bine de estetica, \u00een paradigma legat\u0103 de obezitatea – ca boal\u0103 cronic\u0103 netransmisibila. Cred ca aceasta percep\u021bie trebuie schimbat\u0103 nu numai \u00een r\u00e2ndul societ\u0103\u021bii si nu numai \u00een r\u00e2ndul pacien\u021bilor, dar \u0219i \u00een r\u00e2ndul profesioni\u0219tilor din s\u0103n\u0103tate\u201d spune prof. univ. dr. C\u0103t\u0103lina Poian\u0103, medic primar endocrinologie, pre\u0219edinta Colegiului Medicilor din Romania.<\/p>\n

De asemenea, conform Agen\u021biei Interna\u021bionale de Cercetare \u00een domeniul Cancerului, obezitatea este asociat\u0103 cu un risc crescut pentru cel pu\u021bin 13 tipuri de cancer**. La nivel global se estimeaz\u0103 c\u0103 \u00eentre 4 \u0219i 8% dintre cazurile de cancer diagnosticate anual sunt direct atribuite obezit\u0103\u021bii***. \u00cen Rom\u00e2nia, prevalen\u021ba obezit\u0103\u021bii este \u00een cre\u0219tere, ceea ce indic\u0103 o posibil\u0103 viitoare cre\u0219tere a inciden\u021bei cancerelor asociate.<\/p>\n

Copiii \u0219i adolescen\u021bii, cei mai vulnerabili<\/strong><\/p>\n

Situa\u021bia este chiar mai alarmant\u0103 \u00een cazul copiilor \u0219i adolescen\u021bilor. Un sfert dintre copiii rom\u00e2ni sufer\u0103 deja de obezitate, iar num\u0103rul acestora este \u00een cre\u0219tere alarmant\u0103. Estim\u0103rile Federa\u021biei Mondiale a Obezit\u0103\u021bii incluse \u00een Atlasul Mondial al Obezit\u0103\u021bii edi\u021bia 2024 indic\u0103 pentru \u021bara noastr\u0103 o rat\u0103 de cre\u0219tere anual\u0103 de 3,1% pentru perioada 2020-2035****, Rom\u00e2nia situ\u00e2ndu-se peste \u021b\u0103rile vecine precum Ungaria (2,5%) \u0219i Bulgaria (1,3%). \u00cen lipsa unor m\u0103suri eficiente, \u00een urm\u0103torii cinci ani, jum\u0103tate de milion de copii rom\u00e2ni cu v\u00e2rste \u00eentre 5 \u0219i 19 ani ar putea fi afecta\u021bi de aceast\u0103 boal\u0103. Tr\u0103im o epidemie de obezitate \u2013 un copil care sufer\u0103 de la o v\u00e2rst\u0103 fraged\u0103 de obezitate va deveni foarte probabil un adult cu probleme cronice de s\u0103n\u0103tate (hipertensiune, dislipidemie, diabet zaharat de tip 2, cancer etc.)<\/p>\n

Stigmatizarea \u2013 o barier\u0103 major\u0103 \u00een gestionarea obezit\u0103\u021bii<\/strong><\/p>\n

O barier\u0103 major\u0103 \u00een gestionarea obezit\u0103\u021bii o reprezint\u0103 stigmatizarea. Persoanele care sufer\u0103 de obezitate se confrunt\u0103 cu judecat\u0103, at\u00e2t intern\u0103 (ru\u0219ine, vinov\u0103\u021bie, sc\u0103derea stimei de sine), c\u00e2t \u0219i extern\u0103 (discriminare din partea familiei, colegilor \u0219i profesioni\u0219tilor din s\u0103n\u0103tate). Aceast\u0103 situa\u021bie contribuie la probleme psihologice precum depresia, anxietatea sau tulbur\u0103rile de alimenta\u021bie ce reduc motiva\u021bia pentru schimb\u0103ri benefice \u0219i astfel perpetueaz\u0103 un ciclu negativ. Din p\u0103cate, stigmatizarea cauzeaz\u0103 \u0219i accesul inegal la \u00eengrijire medical\u0103 pentru c\u0103 pacien\u021bii tind s\u0103 evite interac\u021biunile sociale \u0219i s\u0103 se retrag\u0103 din comunitate, nu mai caut\u0103 sprijinul medical pentru a nu fi judeca\u021bi, se \u00eenvinov\u0103\u021besc pentru ceea ce li se \u00eent\u00e2mpl\u0103 \u0219i consider\u0103 c\u0103 pot remedia situa\u021bia prin voin\u021b\u0103 \u0219i abstinen\u021ba de la m\u00e2ncare.<\/p>\n

Este nevoie de o schimbare de perspectiv\u0103. Obezitatea nu este doar o problem\u0103 individual\u0103, ci o boal\u0103 complex\u0103 influen\u021bat\u0103 de factori genetici, biologici, psihologici \u0219i sociali, iar compasiunea \u0219i acceptarea sunt piloni de baz\u0103 \u00een tratamentul obezit\u0103\u021bii.
\n\u201eObezitatea este o boal\u0103 complex\u0103, nu o alegere sau o problem\u0103 de voin\u021b\u0103. Discu\u021biile ar trebui s\u0103 fie centrate pe sprijin, nu pe critic\u0103. Recomand evitarea limbajului care implic\u0103 vin\u0103 sau ru\u0219ine. \u00cen loc s\u0103 spunem \u201etrebuie s\u0103 sl\u0103be\u0219ti\u201d, putem formula: \u201eCum te sim\u021bi din punct de vedere al s\u0103n\u0103t\u0103\u021bii \u0219i cum te pot ajuta?\u201d. E important s\u0103 folosim termeni care pun accent pe persoan\u0103, nu pe boal\u0103, de exemplu, \u201epersoan\u0103 care tr\u0103ie\u0219te cu obezitate\u201d \u00een loc de \u201epersoan\u0103 obez\u0103\u201d, spune Cristina Fedorovici, psihoterapeut.<\/p>\n

\u201eObezitatea este un fel de boal\u0103 orfan\u0103. O vedem peste tot \u00een jurul nostru, \u0219tim ce pericole genereaz\u0103, \u0219tim ce scrie \u00een c\u0103r\u021bi, dar nu facem nimic, pentru c\u0103 persoana care sufer\u0103 de obezitate e singura vinovat\u0103 \u0219i nu trebuie dec\u00e2t s\u0103 sl\u0103beasc\u0103, dar nu vrea. Sunt prea mul\u021bi profesioni\u0219ti \u00een s\u0103n\u0103tate care consider\u0103 c\u0103 dac\u0103 spun unei persoane cu obezitate c\u0103 trebuie s\u0103 sl\u0103beasc\u0103, s\u0103 fac\u0103 efort fizic, s\u0103 m\u0103n\u00e2nce s\u0103n\u0103tos, \u0219i-au \u00eendeplinit treaba. P\u00e2n\u0103 nu vom \u00een\u021belege ca profesioni\u0219ti c\u0103 este vorba despre un proces, c\u0103 este mai mult dec\u00e2t diet\u0103, activitate fizic\u0103 \u0219i voin\u021b\u0103, p\u00e2n\u0103 c\u00e2nd nu vom avea un sistem sanitar preg\u0103tit \u00een mod real s\u0103 se ocupe de obezitate \u00een sine, nu doar ca afec\u021biune conex\u0103 altor patologii, p\u00e2n\u0103 nu vom avea un sistem educa\u021bional care s\u0103 fac\u0103 educa\u021bie sanitar\u0103 pentru prevenirea obezit\u0103\u021bii, vom continua s\u0103 ne minun\u0103m de epidemia de obezitate\u201d, dr. Daciana Toma, medic de familie.<\/p>\n

Obezitatea nu este doar o responsabilitate individual\u0103 \u2013 ce poate face statul<\/strong><\/p>\n

Contrar percep\u021biilor comune, obezitatea este o boal\u0103 complex\u0103 care necesit\u0103 tratament multidisciplinar care include activitate fizic\u0103 terapeutic\u0103, nutri\u021bie terapeutic\u0103, terapie psihologic\u0103, farmacoterapie, chirurgie bariatric\u0103, sau, de cele mai multe ori, o combina\u021bie a acestora. Sunt \u021b\u0103ri din Europa \u00een care tratamentele medicamentoase sau chirurgia bariatric\u0103 sunt compensate total sau par\u021bial. \u00cen Rom\u00e2nia, preven\u021bia \u0219i educa\u021bia pentru s\u0103n\u0103tate sunt insuficient sprijinite de autorit\u0103\u021bi, iar despre obezitate se vorbe\u0219te mult prea pu\u021bin.<\/p>\n

\u201eMomentul pentru a ac\u021biona a fost ieri. Este timpul ca fiecare dintre noi \u2013 autorit\u0103\u021bi, profesioni\u0219ti din s\u0103n\u0103tate \u0219i cet\u0103\u021beni \u2013 s\u0103 contribuie pentru a preveni o criz\u0103 de s\u0103n\u0103tate public\u0103 f\u0103r\u0103 precedent. Primul pas \u00een rezolvarea unei probleme e s\u0103 recunoa\u0219tem c\u0103 ea exist\u0103. E mare nevoie de educa\u021bie pentru s\u0103n\u0103tate \u00een \u0219coli, pentru c\u0103 situa\u021bia e mai grav\u0103 la copii \u0219i adolescen\u021bi dec\u00e2t la popula\u021bia adult\u0103. La noi, subiectul educa\u021biei pentru s\u0103n\u0103tate e pasat de ani de zile \u00eentre Ministerul Educa\u021biei \u0219i cel al S\u0103n\u0103t\u0103\u021bii, f\u0103r\u0103 vreun progres vizibil. To\u021bi putem pune presiune pe deciden\u021bi pentru ca lucrurile s\u0103 se schimbe.\u201d spune Lorenzo Radu, pre\u0219edintele Asocia\u021biei \u00cempreun\u0103 \u00cempotriva Obezit\u0103\u021bii.<\/p>\n

Programele de preven\u021bie \u0219i educa\u021bie sunt esen\u021biale pentru a gestiona prevalen\u021ba \u00een cre\u0219tere a obezit\u0103\u021bii \u0219i supraponderii \u00een Rom\u00e2nia \u0219i este important s\u0103 ac\u021bion\u0103m rapid, pentru c\u0103 obezitatea este o boal\u0103, este pe via\u021b\u0103 \u0219i este un factor de risc important pentru sute de alte afec\u021biuni, inclusiv multe forme de cancer.<\/p>\n

Asocia\u021bia \u00cempreun\u0103 \u00cempotriva Obezit\u0103\u021bii<\/strong><\/p>\n

\u00cenfiin\u021bat\u0103 \u00een 2022 pentru a sus\u021bine preven\u021bia, tratamentul \u0219i educa\u021bia privind obezitatea, Asocia\u021bia \u00cempreun\u0103 \u00cempotriva Obezit\u0103\u021bii \u00ee\u0219i propune s\u0103 creeze un dialog constructiv \u00eentre profesioni\u0219tii din s\u0103n\u0103tate, autorit\u0103\u021bi \u0219i publicul larg. Prima conferin\u021b\u0103 a organiza\u021biei aduce \u00een prim-plan necesitatea de a recunoa\u0219te obezitatea ca boal\u0103 cronic\u0103 \u0219i de a adopta m\u0103suri eficiente pentru a reduce impactul acesteia asupra societ\u0103\u021bii. Asocia\u021bia \u00cempreun\u0103 \u00cempotriva Obezit\u0103\u021bii ofer\u0103 persoanelor care tr\u0103iesc cu obezitate sprijin pentru un stil de via\u021b\u0103 s\u0103n\u0103tos \u0219i combate cu informa\u021bii validate medical miturile \u0219i neadev\u0103rurile spuse frecvent despre obezitate.<\/p>\n","protected":false},"excerpt":{"rendered":"

Peste jum\u0103tate din popula\u021bia adult\u0103 din Rom\u00e2nia se confrunt\u0103 cu probleme legate de greutate: 31,1% cu supraponderabilitate \u0219i 21,3% sufer\u0103 de obezitate*, iar estim\u0103rile indic\u0103 o cre\u0219tere semnificativ\u0103 \u00een urm\u0103torii […]<\/p>\n","protected":false},"author":1,"featured_media":16804,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[1],"tags":[1133,1129,1131,1130,1128,1127,214,1132],"class_list":["post-16803","post","type-post","status-publish","format-standard","has-post-thumbnail","category-stiri-noutati","tag-asociatiei-impreuna-impotriva-obezitatii","tag-cristina-fedorovici","tag-dr-andreea-ciudin-mihai","tag-dr-catalina-poiana","tag-dr-daciana-toma","tag-greutate-corporala","tag-obezitate","tag-orenzo-radu"],"yoast_head":"\nUn rom\u00e2n din doi are probleme cu greutatea, iar \u00een urm\u0103torii 10 ani propor\u021bia va dep\u0103\u0219i trei din patru persoane - Jurmed - Medici<\/title>\n<meta name=\"description\" content=\"Un rom\u00e2n din doi are probleme cu greutatea, iar \u00een urm\u0103torii 10 ani propor\u021bia va dep\u0103\u0219i trei din patru persoane\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jurmed.ro\/medici\/un-roman-din-doi-are-probleme-cu-greutatea-iar-in-urmatorii-10-ani-proportia-va-depasi-trei-din-patru-persoane\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Un rom\u00e2n din doi are probleme cu greutatea, iar \u00een urm\u0103torii 10 ani propor\u021bia va dep\u0103\u0219i trei din patru persoane - Jurmed - Medici\" \/>\n<meta property=\"og:description\" content=\"Un rom\u00e2n din doi are probleme cu greutatea, iar \u00een urm\u0103torii 10 ani propor\u021bia va dep\u0103\u0219i trei din patru persoane\" \/>\n<meta property=\"og:url\" content=\"https:\/\/jurmed.ro\/medici\/un-roman-din-doi-are-probleme-cu-greutatea-iar-in-urmatorii-10-ani-proportia-va-depasi-trei-din-patru-persoane\/\" \/>\n<meta property=\"og:site_name\" content=\"Jurmed - Medici\" \/>\n<meta property=\"article:published_time\" content=\"2025-01-27T12:23:48+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2025\/01\/prezidiu-1_300x226.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"300\" \/>\n\t<meta property=\"og:image:height\" content=\"226\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Gabriel\" \/>\n<meta name=\"twitter:label1\" content=\"Scris de\" \/>\n\t<meta name=\"twitter:data1\" content=\"Gabriel\" \/>\n\t<meta name=\"twitter:label2\" content=\"Timp estimat pentru citire\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/jurmed.ro\/medici\/un-roman-din-doi-are-probleme-cu-greutatea-iar-in-urmatorii-10-ani-proportia-va-depasi-trei-din-patru-persoane\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/jurmed.ro\/medici\/un-roman-din-doi-are-probleme-cu-greutatea-iar-in-urmatorii-10-ani-proportia-va-depasi-trei-din-patru-persoane\/\"},\"author\":{\"name\":\"Gabriel\",\"@id\":\"https:\/\/jurmed.ro\/medici\/#\/schema\/person\/33a8cfa97687970b1e60b21cfefad2fa\"},\"headline\":\"Un rom\u00e2n din doi are probleme cu greutatea, iar \u00een urm\u0103torii 10 ani propor\u021bia va dep\u0103\u0219i trei din patru persoane\",\"datePublished\":\"2025-01-27T12:23:48+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/jurmed.ro\/medici\/un-roman-din-doi-are-probleme-cu-greutatea-iar-in-urmatorii-10-ani-proportia-va-depasi-trei-din-patru-persoane\/\"},\"wordCount\":1464,\"commentCount\":0,\"image\":{\"@id\":\"https:\/\/jurmed.ro\/medici\/un-roman-din-doi-are-probleme-cu-greutatea-iar-in-urmatorii-10-ani-proportia-va-depasi-trei-din-patru-persoane\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2025\/01\/prezidiu-1_300x226.jpg\",\"keywords\":[\"Asocia\u021biei \u00cempreun\u0103 \u00cempotriva Obezit\u0103\u021bii\",\"Cristina Fedorovici\",\"dr. 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