en.aazsante.fr
Obesity has a new name? Among the many factors, the term "obesity" has been recognized as an aggravating factor in overcoming the disease.
redefines the medical diagnosis term for obesity and shifts the emphasis to the pathophysiological effects of overweight rather than weight and / or body mass index (BMI) per se.
The "adiposity" of the term points to abnormalities in the mass, distribution and / or function of adipose tissue, while the "chronic disease" part highlights associated complications such as hypertension, diabetes and sleep apnea, which produce The authors, led by the clinical professor of medicine, Dr. Jeffrey I Mechanick of the Icahn School of Medicine in the United States, argue that Chronic Adiposity-Based Disease represents a structured approach focused on reduction of the risk of disease through better nutrition, increased levels of physical activity and behavioral interventions. "It allows a more robust ability for diagnoses based not only on weight and height and waist circumference, but also body image and biology molecular, "Dr. Mechanick said in an interview with Medscape Medical News. The term emerged at the Consensus Conference on Obesity in 2014 in which biomedical participants, government agencies, the health care industry, and professional organizations recognized a disconnect between the use of the term obesity in relation to the health of individuals.
In addition, the associated stigma to the term was recognized as a barrier to successful disease management.
In yet another interview, Mechanick emphasized that the new statement defies stigma and explained that although the prevalence of overweight / obesity is stagnating in the general population of the United States, prevalence continues to increase in some subgroups, including those with severe obesity, children and minority groups.
"We are not slowing the curve as we would like, so we need to change the health message of this disease" , said the expert. He notes that despite advances in understanding disease, medications, surgery, and lifestyle medicine awareness, "we are missing out on the right messages and communications around obesity, including the stigma attached to it."
Mechanick says Chronic Adiposity-Based Disease is not yet defined to replace the term obesity. "We are introducing it as a new diagnostic term so that the medical community can familiarize themselves with the nomenclature and reconceptualize this disease within the pillars of the DCBA."
The goal is also to improve care for people with obesity. "We believe that when this disease is seen through the lens of the DCBA, it will become clearer and we can help more people," he said. The statement is also intended to change the doctor-patient dialogue to the need to prevent complications and problems of adipose tissue. "Physical activity, eating patterns, sleep, behavior, all non-pharmacological and non-pharmacological means. "Surgical management of the disease is central," Mechanick said. "We know that this paradigm is part of primary, secondary, and tertiary prevention, but it is also the primary prevention, based on population, when the risk has not been identified.This also works at the quaternary level of prevention, which prevents over-medicalization, where treatments and surgeries can pose a high risk if they are not absolutely necessary.In this situation, lifestyle changes can prevent this excessive treatment and associated complications, "he says.
Another major challenge for the use of the term DCBA, according to the authors, is the identification of appropriate, available and accessible markers / metrics that reflect the effect of adiposity on health. They point out that BMI still plays an important role, but that "to combat this prevalent, chronic and harmful disease, health professionals will need to incorporate a conceptual approach to management that goes beyond a single focus on BMI. is a clear step forward. "
The authors followed 9,276 women between the ages of 40 and 50, all enrolled in the Australian Longitudinal Study on Women's Health. After two years, 55% of the participants gained an average of 1.5% of their initial weight. Analyzing the women's work day, the experts concluded that those who worked 35 hours a week were more likely to be sedentary and fatter than those who worked for a shorter period.
Renata Banhara is without part of the face movements
The model Renata Banhara, who is hospitalized in the Hospital Israelita Albert Einstein in serious condition due to an infection in the brain, lost part of the movements of the face, according to information from his advice. She has been hospitalized since April 5. Renata had been undergoing a canal treatment for 6 years and never gave her problems.
