Wednesday , December 2 2020

To lose weight, what's on the head is as important as the plate

Watching what you eat is far from sufficient to lose weight, a neuroscientist and an endocrinologist.

Fabien Dworczak, PhD, is a researcher in the neuroscience and public policy of the National Institute for Health and Medical Research (Inserm). This article was written with Lélia Bracco, the Endocrinologist. He went into the book The Conversation under the Creative Commons license. Read the original article.

Until 10 years ago, infectious diseases such as tuberculosis, HIV / AIDS and malaria were the biggest public health concerns in the world. But today there is another threat: non-communicable diseases such as diabetes or cardiovascular diseases. They are now a health emergency in both high-income and low-income countries. However, only 2% of the total funding allocated by the international health partners is devoted to the fight against these diseases.

To combat them, the struggle against the obesity epidemic spreading all over the planet is a priority.

The report is alarming: Obesity is growing across the entire planet, affecting both wealthy and developing countries. In particular, childhood obesity is growing alarmingly with 41 million children under 5 years of age who are overweight or obese. According to Gilles Fumey, professor of geography at the ESPE-Paris and author of the book. Food geopolitics, "Over 1 million people body mass index (BMI> 25) worldwide is overweight and at least 300 million people are obese (BMI> 30) and cause overweight and obesity..

The reflections of these weight problems are worrying because they cause many diseases that reduce life expectancy and burden public health budgets. These are not only metabolic diseases such as diabetes, high blood pressure, high cholesterol, heart disease and atherosclerosis, but also osteoarticular diseases, lung diseases and increased frequency. specific cancers.

Unfortunately, in spite of its auspiciousness, the problem of excess weight is not a real solution on a global scale because of its large complexity.Lélia Bracco and Fabien Dworczak

Indeed, obesity results from very heterogeneous social factors: excessive consumption, junk food, sedentary lifestyle, accelerated rates of urban life, stress, social exclusion ter Genetic, neurohormonal and psychological factors are added to these factors, and restriction steps are also added. Two-way to the central nervous system. This dialogue is reflected in the place where the food is occupied with pleasure. As portrayed by the famous anecdote of the Madelein of Proust, it is felt by the sensation, in connection with the emotional environment, but also by memory, waiting for the pleasure that the mind expects.

Pleasure also allows for a hormonal modulation of appetite and satiety feelings, depending on the sensitivity of the brain areas involved in the reward and self-control system for each individual. This neurohormonal cascade originates from a complex mix of emotions, stress, and nutrition. Genetic and epigenetic sensitivity is at the intersection of psychological parameters and personal environmental impacts.

Understanding how these various factors affect one's self may help to better combat obesity, especially avoiding stigmatization due to guilt or negative judgment. Most people who want to lose weight are actually psychological pain. However, anxiety, like the pleasure of food, can encourage food without a real physiological need.

The harmful consequences of obesity on health are not limited to, physical sonuç medical problems where weight reduction is required. Another result, independent of the level of obesity, is psychic pain. The complexity of the management of the latter comes as support for multiple reasons, multiple (self-esteem, obsessive thought). Psychic pain, paradoxically, can be aggravated by the measures taken to lose weight and should therefore be treated independently of the nutritional problems.

In long-term nutrition monitoring, a sense of failure and guilt is everywhere …Lélia Bracco and Fabien Dworczak

Obesity and excessive weight management do not require many up-to-date practices in the face of the failure to approve simple diet recommendations. To date, since no approach has a lasting effect, health authorities must protect the individual's attention and provide a comprehensive body-mind support, taking into account the contradictions of society. Second, it exposes consumption, creates needs, desires … And so, in the same way, disappointments and addictions. We are the happy victims of large surfaces filled with numerous rays of industrial food, irresistible packagings, calories!

This industrialization of food has led to the enrichment of palate and sugar, increasing the taste and increasing sales. This is the main factor in diseases such as diabetes. These dietary changes resulted in foods with high calorie levels in small volumes. Our physiological regulation capacity is being deceived by this industrial food. The feeling of fullness is, in fact, based on the expansion of the stomach; this is interpreted as a sign that the food needs are met.

In addition, excessive food intake leads to addictive behavior. In addition, it is already nourished by nutrition and our physiological balance is more established, depending on the modern lifestyle.

It is not trivial that the occurrence of obesity in a country is related to the level of economic and industrial development. It favors urbanization and affects the disadvantaged social classes in the first place. At the economic level, therefore, it is the problem of finding a balance between the profit and mass distribution of agricultural holdings and the power between losses and losses due to the exponential increase in health costs produced by obesity. nutrition quality.

The most effective solution for weight loss is gastric surgery (bariatric surgery). Given that intrusive and irreversible nature, it is reserved for heavy or complicated obesity. For this reason, changes in lifestyle and lifestyle changes are necessary for weight reduction, therefore, as a struggle against a sedentary lifestyle.

It's easier to say: after watching a wide range of medical, social, or friendly advice, and after a long period of hard effort, struggle, control, and loss of self-confidence, people result in ik cracking ça and cause a paradoxical increase in food intake and weight. Lélia Bracco and Fabien Dworczak

To avoid the crisis, it is imperative to understand the vicious cycle of this resistance that leads to weight loss. This requires discovery of both the neurobiological and psychological plan.

The person who suffers from obesity has the suspicious sources on his own. New perspectives on the reshaping of the brain suggest that it is possible to change habits and change positively in all ages.

And for those who want to live with excess weight, then the question of the free will and the possibility of everyone living differently.Talk

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