{"id":103677,"date":"2021-06-09T21:03:31","date_gmt":"2021-06-09T21:03:31","guid":{"rendered":"https:\/\/raed.academy\/?p=103677"},"modified":"2021-06-11T08:09:49","modified_gmt":"2021-06-11T08:09:49","slug":"de-lobesitat-a-laddiccio-al-menjar","status":"publish","type":"post","link":"https:\/\/raed.academy\/ca\/de-lobesitat-a-laddiccio-al-menjar\/","title":{"rendered":"De l’obesitat a l’addicci\u00f3 al menjar"},"content":{"rendered":"

Francisco L\u00f3pez Mu\u00f1oz<\/em><\/strong><\/a>
\nProfessor de Farmacologia i vice-rector de Recerca i Ci\u00e8ncia i director de l’Escola Internacional de Doctorat de la Universitat Camilo Jos\u00e9 Cela. Acad\u00e8mic de n\u00famero de la Reial Acad\u00e8mia Europea de Doctors-Barcelona 1914 (RAED)<\/em><\/p>\n

Article publicat al portal especialitzat The Conversation el 13 de maig de 2021 i al diari “ABC” el 15 de maig de 2021<\/em><\/p>\n

Francisco L\u00f3pez Mu\u00f1oz<\/em><\/strong><\/a>, professor de Farmacologia de la Universitat Camilo Jos\u00e9 Cela<\/strong> i acad\u00e8mic de n\u00famero de la Reial Acad\u00e8mia Europea de Doctors-Barcelona 1914<\/strong> (RAED), aborda el silenciat debat sobre l’obesitat com un problema d’addicci\u00f3 als pa\u00efsos avan\u00e7ats fins al punt d’esdevenir un problema social a l’article “Obesidad y adicci\u00f3n a la comida: un problema emergente de salud p\u00fablica”<\/strong>, publicat al portal especialitzat The Conversation<\/strong> el passat 13 de maig i al diari “ABC”<\/strong> el 15 de maig. L’acad\u00e8mic signa aquest article al costat de Gabriel Rubio Valladolid<\/strong>, catedr\u00e0tic de Psiquiatria de la Universitat Complutense de Madrid<\/strong>.<\/p>\n

Tots dos especialistes parteixen d’unes dades que assenyalen que en pa\u00efsos com Espanya el 39,4% de la poblaci\u00f3 adulta t\u00e9 sobrep\u00e8s i el 22,9%, obesitat. Si aquesta tend\u00e8ncia continua en increment, s’estima que el 2030 la quantitat de persones amb exc\u00e9s de pes augmentar\u00e0 un 16% m\u00e9s, el que suposaria un cost afegit de 3.100 milions d’euros anuals nom\u00e9s de costos m\u00e8dics. Es considera obesitat quan una persona t\u00e9 un \u00edndex de massa corporal (IMC) igual o superior a 30 kg\/m\u00b2. Un IMC igual o major de 40 kg\/m\u00b2 es considera obesitat extrema. El sobrep\u00e8s queda definit entre 25 i 29,9 kg\/m\u00b2.<\/p>\n

Els autors apunten que la denominada addicci\u00f3 al menjar podria estar relacionada amb una tend\u00e8ncia a l’obesitat i la seva base seria biol\u00f2gica. “Cada cop hi ha m\u00e9s suport al fet que l’addicci\u00f3 al menjar podria relacionar-se amb un fenotip present en un subgrup de persones amb obesitat. Quan s’ha fet servir l’escala de Yale per l’addicci\u00f3 al menjar s’ha constatat la pres\u00e8ncia d’aquest trastorn en pacients que presenten afartaments de menjar, que pateixen freq\u00fcents cicles d’aprimament i engreix a causa de les dietes, i en persones amb obesitat. Entre les persones amb obesitat, la prevalen\u00e7a de l’addicci\u00f3 oscil\u00b7la entre el 15 i el 25% i es considera el factor causal del desenvolupament de l’exc\u00e9s de pes. En un recent treball realitzat sobre poblaci\u00f3 general nord-americana s’ha confirmat que, dels 986 individus representatius d’aquest pa\u00eds, el 15% complia criteris de l’addicci\u00f3 i s’associava a la pres\u00e8ncia d’obesitat, edat jove, dones amb elevat \u00edndex de massa corporal i a menors ingressos econ\u00f2mics”, assenyalen.<\/p>\n

\"\"Abundant en aquest argument, L\u00f3pez Mu\u00f1oz<\/strong> i Rubio<\/strong> assenyalen que els estudis d’imatges cerebrals indiquen que els circuits alterats en persones amb obesitat s\u00f3n els mateixos que es troben alterats en persones amb addicci\u00f3 a drogues d’ab\u00fas i posa en evid\u00e8ncia un desequilibri entre els que motiven les conductes (per la seva implicaci\u00f3 en la recompensa i el condicionament) i els que controlen i inhibeixen les respostes d’alimentaci\u00f3. “Als individus vulnerables, el consum d’aliments desitjables, en grans quantitats, pot alterar l’equilibri normal entre aquests circuits. Aix\u00f2 d\u00f3na lloc a un major valor hed\u00f2nic dels aliments i a un debilitament del control inhibitori. L’exposici\u00f3 perllongada a dietes hipercal\u00f2riques tamb\u00e9 pot alterar directament l’aprenentatge condicionat i, per tant, reajustar els llindars de recompensa en aquestes persones”, expliquen els autors.<\/p>\n

Aquesta base cerebral de l’exc\u00e9s de pes pot permetre actuar d’una manera concreta per pal\u00b7liar el problema en aquest tipus de persones, ja que per als dos estudiosos, descon\u00e8ixer que almenys un subgrup de persones amb obesitat pugui tenir addicci\u00f3 al menjar t\u00e9 importants repercussions pel que fa a la planificaci\u00f3 d’un tractament espec\u00edfic.<\/p>\n

 <\/p>\n

Llegiu l’article a The Conversation<\/a><\/h2>\n

Llegiu l’article a “ABC”<\/a><\/h2>\n","protected":false},"excerpt":{"rendered":"

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