Summer leaves us holding the pants dry and packed. Dieting for a few weeks before returning to the habits of always just multiply the number and thickness of handles. It is best not to deceive. The only solution: to change their habits.
Each May, the operation bikini preaches that it is possible to achieve perfection in two weeks. That yes, hungry. Then comes the summer and stay healthy habits at the entrance kiosk. Until that September surprises with more than four kilos and the urgency to get, again, to plan. “It’s barbaric,” said Clotilde Vazquez, head of nutrition services Ramón y Cajal hospital in Madrid. Having a system like someone open a parenthesis and then follow with your life without any lessons learned, not only thins the medium term, is that fat.
Half of the Spanish weighs more than it should, increasing the risk of diabetes and cardiovascular problems
“After two years, which has been lost is recovered, probably with some more kilos tip,” says Felipe Casanueva, director of the Center for Biomedical Research in Red-Physiopathology of Obesity and Nutrition (CIBERobn). “Syndrome of weight regain is a difficult phase in which problems can arise from hypertension,” says Susana Monereo, chief of endocrinology, University Hospital of Getafe (Madrid). When it comes to saving energy, humans are “stingy and greedy,” said Vazquez endocrinologist, which means that if we skip a meal (breakfast is typical), our body is put on guard to spend less. And when the next batch of food falls into the stomach, she lunges for squeezing every last calorie. This feature, which has allowed our survival as a species, in times of abundance becomes a curse for many people. “The more fat I am, more fast, thereby saving mechanisms are triggered and fatter”. That explains Dr. vicious circle. He knows Cristina V., Madrid 37, is remembered on a diet since she was 16. “I got tired, he left her and stayed with twice his weight before.” He reached the 121 kilos (measured 1.53 meters): “And take care not for a bad diet and bad habits,” sentence.
Over 30% of respondents in a study of the Spanish Confederation of Organizations of Housewives, Consumers and Users (CEACCU) had ever followed a weight loss plan. The majority, on its own, without consulting a doctor. Less than 12% took five pieces of fruit and vegetables a day. 25% did not perform any physical activity.
“The only way to lose weight and keep it change of life ‘, sentencing experts. Eating better, exercising more. So, before you join the scheme miraculous six weeks he has told his brother’s hand that is holy, stop to think: why is fat?, Does less exercise than before?, Now do not eat at home ?, “eat enough fruit and vegetables?,” pica more between meals? The origin of the rolls, if you search well, eventually revealing. It may have been a job change, menopause, quitting smoking, start living with a partner, a medication …
Once detected the cause, the remedy will be clearer, not closer. “No choice but to give up things that cause us pleasure,” he acknowledges Casanueva. And it seems that we are for the work, in view of the latest National Health Survey: of every 10 adults, 4 are overweight, and 1.5, obesity. In other words, more than half of the Spanish population weighs more than medically recommended.
The ultimate deterrent, according Monereo, is the welfare, quality of life. “A person is only kept as lost if it perceives the thinning as a benefit to your health” sentence. Only if you know that controlling reduce the danger of flab to him fire the cholesterol and triglycerides, to have hypertension, sleep apnea and respiratory problems, back pain and cervical or lumbar problems in knees, hips and ankles .. . Or certain types of cancer, another disease associated with obesity.
“Someone with morbid obesity (50 kilos or more over ideal), with hypertension or diabetes can have a reduced life expectancy by 10 years,” says Manuel Puig, endrocrinología Service of Hospital Clínic de Barcelona and vice Spanish Society of Endocrinology and Nutrition (SEEN). “In addition, the years you live, the live worse,” he adds. But eye, because there is no need to get to this point so that the body will suffer. Just a few extra kilos concentrated in the abdominal area. What is called the curve of happiness and Xavier Formiguera, president of the Spanish Society for the Study of Obesity (SEED), prefers to define as “mortality curve” measured over 102 inches of waist is to have more ballots for diabetes or cardiovascular collapse, no matter who the person in question has some legs and arms that look like wires.
There is no research that has figured out how a body is overloaded if you add up 10, 20, 30 kilos more, points out Dr. Formiguera. But there is evidence of what happens when the process is the reverse: “It has been shown to lose 10% of the weight-pass, for example, 90 to 81 kilos, if you are overweight, improved between 40% and 60 % the quality of life, because diabetes is controlled, very significantly decrease the cholesterol level and blood pressure, reduces sleep apneas …”. Nearly three years ago, Cristina V. underwent stomach reduction surgery. Of those 121 kilos has gone above 64. His sore feet have disappeared, their migraines can give you the very least have their hypertension under control and has noticed improvement in their sex lives. “They gave me a tool and I use it well, watching what I eat and exercising,” he says.
The four “P”
Weigh myself, thinking, planning, purposes. The specialist Susana Monereo proposing these four “P” to implement around a holiday. As improvement purposes, suggests eating slowly, do not skip meals, do not snack between meals, eat less fat and more fruits and vegetables, walk for half an hour a day and do an hour of moderate exercise a week. Advisable to plan a weekly menu and go buy without hunger, with a list (and the money just to stay on it), with shopping cart and instead of skipping through the aisles of snacks and pastries, prepared dishes and avoid not store food.
Lies as fists
Doctors Casanueva, Vazquez Formiguera Monereo and dismantled several misconceptions about what thins and thickens:
The metabolism changes. Well it does, only when there is an illness. Changing lifestyles, increasing physical inactivity or poor eating habits.
From the 35 is fat more easily. Again, often change is the way of life: a job safer, more money for culinary homages to a car … “You lose your vanity, which is an important phenomenon for the epidemic of obesity,” says Dr. Casanueva. We got married, we play less football with friends, we care less kilos …
Drink plenty of water thins. The water, with 0 calories, is neutral, neither fat nor thin. The only certainty is that drinking before a meal may give a sensation of fullness in the stomach and to diminish the appetite.
The toast and thin light foods. Less fattening with fewer calories, but that does not mean that thin.
The fruit for dessert fat. Neither. Calories are the same, before, during or after.
The avoidance of carbohydrates. She is the mother of all lies, according to Dr. Vazquez. “It must have carbohydrates in each meal to prevent weight gain and for the mechanism of satiety is well regulated,” he insists.
A chubby child is healthier. Perhaps this was true in postwar Spain (meaning that at least he ate every day), but overweight today provides no advantages and it may cause serious problems: better chance of becoming an obese adult, and also , your body is exposed longer to the attacks of the disease. It’s like smoking: start made worse at 16 than at age 50.
What it costs
Social coverage and treatment of diseases related to obesity represents 6.9% of total health expenditure as a cost study sponsored by SEED in 1999. Jose Maria Labeaga, director of the Institute of Fiscal Studies and an expert on the subject, it appears to be an exaggerated percentage when computing a decade ago – “Spain was a country not obese” – but that becomes more real as advancing age. “Right now I would say is around 5% and rising.” In 2006, Elena Salgado, Minister of Health then said that the disease reached 7% of health costs in developed countries, what in Spain would be about 3,000 million annually. In our country have not been calculated yet the “invisible costs” as defined Labeaga, and can be infinite. For example, what a person does not win unless you live or whether to retire early for reasons connected with their weight.
Obesity also has economic causes, according to the expert emphasizes. “There is more to look at the evolution of prices of healthy and unhealthy foods (fats, pastries) in the last 20 years the CPI has risen the first nonstop, while the second is down,” he argues. “You now have fast food restaurants that were in Madrid 15 years ago and there today,” he adds. “Calculate how much and how fast it is, buy a prepared food and heat in the microwave,” he says as the last factor.
Lower quality of life
Susana says that the more kilos Monereo us on, we realized that our health is worse. The expert investigates the inverse relationship between weight and quality of life. And it concluded that obesity is among the diseases that impair quality of life. Not only because the patient has pain or physical problems, but because you are seen when walking down the street or do not fit on a bus or airplane seat in coach. The working group on obesity SEEN that Monereo coordinates, has adapted a test of quality of life from the United States and is implementing 400 morbidly obese and 400 normal weight people to see the differences. The figures will be released later this year. For now, Dr. Assumpta CAIXA that has been translated and validated the survey, said: “At least 40% of morbidly obese women suffering from depression.”
What is BMI?
The body mass index (BMI) is a mathematical formula that doctors use to calculate the excess fat that a body, minus the height (80 kilos mean obesity as measured 1.60, but not someone two meters). Is obtained by dividing weight (in kilos) between height (in meters) squared. If the resulting number is between 20-25, the normal weight for height. Above 25 is overweight. More than 30, obesity (and is considered disease). More than 40, morbid obesity.
Tags: diet, Dieting, Extra kilos, food, less welfare, Weight Loss