The tide of obesity, which is almost three times the 1975 world level and affects 1 in 4 Argentines, often associated with the behavior of the victims in bad eating habits and physical activity. But now with the & # 39 are strong indications that the doctors who care for these people have their share of responsibility for the situation, rather than action, but by default.
It happens that the majority of health professionals do not take the initiative to pick up during the consultations on time and -more sur & # 39; ozna typical "eat healthy and move more" – the need of the patient Encare specific measures and it is scheduled to lose weight. Just do it, and not necessarily only if a & # 39 are the worst effects of the condition, such as diabetes or hypertension. And this is mainly due to a number of biases that lead to health agents underestimate the willingness of patients to change Your diet and your lifestyle.
That is, in short, what emerges from the results of a major international study is still on the causes of high levels of under diagnosis and lack of treatment. Work, which included consultations more than 14,500 professionals and 2800 obesity in 11 countries on five continents.
action research IV, recently published in the scientific journal Diabetes, Obesity and MetabolismHe showed that Only 51% of the obese said their doctors in the last five years about the need to lose weight.
And those who are to discuss the issue with their doctors make, on average, Six years later, they began to have a body mass excess: A "considerable delay"According to the study's authors. In addition, 46% of patients who took the initiative, was the patient, not the doctor.
Action IO presentation of research at the European Congress on Obesity, on Monday in Glasgow, with the participation of people who are obese.
-Presentados data on Monday at the 26th European Congress on Obesity, which he attended horn Glasgow, Scotland- show, which has become a kind double bar & # 39; er so that obesity and may remain so.
The first obstacle to the patient's side and often think that only they have to do something about it: 81% of obese people, says and & # 39; is the main reason why not take an object in the office. The second obstacle, meanwhile, is on the side of doctors who also do silent on the issue in their offices. And in this case, although issues such as the impact of short time consultationThe most important reason to & # 39 is the battery prejudices about patientswhich proved to be incorrect.
The figures show this clearly. 71% of health professionals surveyed said their patients with a body mass index (BMI) of 30 or more (a parameter that determines obesity) "not interested"Lose weight. However, in reality, Only 7% of obese people surveyed expressed a similar position.
Similarly, 68% of doctors believe that these patients "not motivated"In order to lose weight. If, in fact, only 20% of people suffering from obesity, said something in the poll. 48%, in contrast, has said motivation.
Another surprising inconsistency with the & # 39; was when the experts estimate that only 35% their obese patients surahs & # 39; ozna trying to lose weight permanently. But among obese advice 81% said that they didThat would mean that the doctors do not examine enough on a key part of the history of their patients, or they do not feel confident enough to show that.
"Among health professionals, these views about his patients little interest or motivation to lose weight can be a real obstacle to talking about weight control is initiated" it begins to generate change, warns a study.
Because, as it turned out to be far from the medical concepts, 46% of obese people are concerned about the high body weight influence on their health, 62% believe that they will be able to make progress, 68% would be willing to start chatting about this with your doctor, when he offered it, and only 3% to take offense.
"These findings suggest that obese people are motivated to lose weight and there is a possibility for professionals from effective negotiations weight loss patientsBefore a & # 39 will be complications and has an impact on their health, "said Ian Caterson, a researcher at the University of Sydney, who led the study, which is funded by the Danish laboratory Novo Nordisk.
"But this is a more positive attitude of doctors would be necessary and more education about weight management and its biological basisFor themselves and their patients, "he added the expert.
Ian Caterson, director of research Action IO, presented the findings at the European Congress on Obesity in Glasgow.
"It is interesting that while both obese people and health professionals generally defined obesity as a disease, They do not act accordingly, Both are handled as if it was full of human responsibility, to do something to fix it, then, that you would not think of other chronic diseases, "analyzed Veronica Vasquez Velasquez, a clinical psychologist at the National Institute of Medical Sciences and Nutrition in Mexico and co-author of the study, dialogue with horn.
"Perhaps, prejudices and previous bad experiences, he continued, the doctor thinks that say more than" eat healthy and exercise "can not do to address the patient thinksWhy ask if I know what you're going to tell meAnd while this issue is not addressed. It takes place there a hole that no one fills. There, now we're in a trap, and while the problem continues to grow. "
"Instead of saying" diet and exercise "or" you know what you should do, "doctors need to start being a little more cautious. ask the person how does it affect you in your life overweight, and from there, to give the necessary information and open doors that may be true, or under their control or aligning with a specialist in the field of psychology, nutrition and other disciplines, "said Vasquez Velasquez.
The situation in Argentina
The study was conducted in O & # 39; the United Arab Emirates, Chile, Mexico, Australia, Israel, Italy, Spain, Great Britain, Japan, South Korea and Saudi Arabia. Our country was not in the sample. However, the Argentine experts who attended the presentation felt that if they are held in the country, the results They would not have been other.
Albert Cormillot, a medical degree in the field of chronic diseases and director of nutrition with Isalud University, also warned that obesity in Argentina socially, it is still not seen as a chronic disease that, but as a "reluctance the patient can be solved only when the battery gets to control what you eat, as if it was always possible without treatment. "
"Many people think that obese, but too many doctorsBecause they are not on the ability to teach them to give the issue of public health significance, which he does. Spend 90% of the race focused on other diseases that affect 10% of the population, with the result that 10% of the time the questions contained overweight and obesity, though, that, despite affecting a majority of patients, "he analyzes.
The world, according to WHO data, more than 1,900 million adults aged 18 years and older are overweight, of which over 650 million are obese. (Photo: Obesity Canada)
"In this there is a lot of what we call"therapeutic inertia". -Resume Cormillot- consequence of & # 39 is that in our country as a whole andl clinician does not prevent weight because I do not know how to do it, because you have a fear of offending or because query short priorities and other issues. The fact is that even if you raise this question, I do not know how to direct a person to improve. At best, he may recommend a change of habits and send you to a specialist, but even what they are doing".
Thus, in accordance with Cormillot, the most common of & # 39 is that nutritionists prepared for overweight people who received no clinical and physiotherapists, gynecologists, hematology, after you've found various problems start to arise when the disease progresses.
In the same vein, Monica Katz, president of the Argentine Society Nutrition (SAN), said horn Results of action research, IV, regardless of cultural differences "totally agree"Registered research on medical association in the country and what they saw on a daily basis in hospitals.
"Since many Argentines still have no training in the field of obesity and consider it as a matter of individual responsibility, and not a public health problem, They do not ask about the problem in the course of consultations, until the patient has high blood pressure, diabetes, arthritis or heart attack"Said the expert, as well as director of the Obesity Diplomatura Favaloro University.
"In this regard, the patient ends up if you do not have the right to ask for help, it does not comment directly concern, because you know what the doctor says.Why do not you shut your mouth? Movete more and eat less. Will the starvation designed to quickly lose many kilos, but not to create lasting change in the long term, "Katz said.
"In Argentina and he made the world, health professionals, of course, partly responsible for the obesity epidemic we are experiencing."
Risky disease progresses and the world has increased in the country
We're talking about outweigh when a person begins to accumulate fat in an abnormal and excessive, it can be harmful to health. For adults, doctors believe that patients fall into a state where your body mass index (BMI), which is obtained by dividing weight in kilograms by the square of height in meters, more than 25. If the figure is above 30, the person is already suffering from obesity status which, with 39 & # it is the most serious & # 39; oznay form of overweight.
Overweight and obesity, is formed from an energy imbalance. That is, if the calories that are included in food products is higher than spent. And what has happened in recent years around the world, according to the World Health Organization (WHO), with & # 39 is that these imbalances have become much more common, movable increased energy consumption of energy-dense foods and lifestyles more sedentary.
Obesity increases the risk of developing more than 200 related diseases, including cardiovascular disease and diabetes. (Photo: Obesity Canada)
Thus, the WHO, she said that since 1975 obesity "is nearly three times around the world." Its latest figures, from 2016, are already talking about more than 1.900 million adults aged 18 years and older are overweight, and that among them 650 million are obese.
In turn, the 41 million children aged under five years are overweight or obese, and in the same condition, more than 340 million children and adolescents aged 5 to 19 years.
Argentina did not have to get used to with the & # 39; waking. Quite the contrary: the 4th National Risk Factor Survey, released this month, showed that the situation was a further deterioration in the last five years.
The study showed that 61.6% of the population aged over 18 in the past year was overweight, and that 25.4% are obeseCompared with 20.8% in 2013 to 18.0% in 2009, and 2005 14.6%.
Great danger, in case of illness, which greatly increases the risk of patients developing more than 200 other conditions, including cardiovascular disease, diabetes, osteoarthritis, respiratory diseases and various types of cancer.
Glasgow, Scotland. Special Envoy.