{"id":185852,"date":"2026-05-29T09:27:28","date_gmt":"2026-05-29T09:27:28","guid":{"rendered":"https:\/\/raed.academy\/?p=185852"},"modified":"2026-05-29T09:27:28","modified_gmt":"2026-05-29T09:27:28","slug":"de-la-salut-individual-a-la-sistemica","status":"publish","type":"post","link":"https:\/\/raed.academy\/ca\/de-la-salut-individual-a-la-sistemica\/","title":{"rendered":"De la salut individual a la sist\u00e8mica"},"content":{"rendered":"
\"Enric

Sr. Enric Canela<\/p><\/div>\n

Enric Canela<\/strong>, catedr\u00e0tic em\u00e8rit de Bioqu\u00edmica i\u00a0Biologia\u00a0Molecular de la\u00a0Universitat\u00a0de Barcelona<\/strong> i col\u00b7laborador de la Reial Acad\u00e8mia Europea de\u00a0Doctors\u00a0<\/strong>(RAED), comparteix amb la comunitat acad\u00e8mica els \u00faltims articles que ha publicat al seu blog, enriccanela.cat<\/strong><\/a>, un espai divulgatiu dedicat a la salut i el benestar, a m\u00e9s de les seves \u00faltimes publicacions al diari “El Punt-Avui”<\/strong>, on es focalitza en la formaci\u00f3 i la recerca. Es tracta, en concret, de les entrades “M\u00e9s suport real a la innovaci\u00f3”<\/strong>, “La nova amena\u00e7a opioide”<\/strong>, “Per qu\u00e8 el cos no vol aprimar-se”<\/strong>, “Com el cos decideix quan parar de menjar”<\/strong> i “La incapacitat temporal a Catalunya”<\/strong>, aparegudes entre els mesos d’abril i maig als dos espais informatius.<\/p>\n

A “M\u00e9s suport real a la innovaci\u00f3”, l’expert reclama un suport m\u00e9s decidit i, sobretot, efectiu a la innovaci\u00f3 per part de les administracions catalanes. Canela destaca que Catalunya compta amb un ecosistema d’innovaci\u00f3 oberta relativament consolidat i interconnectat, amb una bona xarxa d’empreses, universitats, centres tecnol\u00f2gics i agents intermediaris. Tot i aix\u00f2, aquest potencial xoca amb importants dificultats per generar impacte econ\u00f2mic a gran escala, principalment per l’abs\u00e8ncia de grans corporacions globals i un teixit empresarial dominat per pimes. Segons l’autor, el principal problema no est\u00e0 en la falta d’estrat\u00e8gies o de marc legal, sin\u00f3 en la deficient execuci\u00f3 de les pol\u00edtiques existents on l’exc\u00e9s de burocr\u00e0cia, la lentitud administrativa, la fragmentaci\u00f3 d’instruments, la baixa toler\u00e0ncia al risc i una cultura excessivament formalista frenen el desenvolupament innovador.<\/p>\n

Canviant totalment de tema, a “La nova amena\u00e7a opioide”, Canela alerta d’una nova i extremadament perillosa amena\u00e7a al mercat il\u00b7legal de drogues: els nitazens, una fam\u00edlia d’opioides sint\u00e8tics que representen un risc encara m\u00e9s gran que el fentanil. “Els nitazens s\u00f3n un grup d’opioides sint\u00e8tics, estructuralment diferents dels opioides cl\u00e0ssics com la morfina o el fentanil. Es van desenvolupar a mitjans del segle XX com possibles analg\u00e8sics, per\u00f2 no van arribar a comercialitzar-se mai: la difer\u00e8ncia entre una dosi psicoactiva i una dosi letal \u00e9s tan petita que el risc supera qualsevol benefici terap\u00e8utic”, explica. El divulgador esmenta el cas d’un jove de 21 anys mort a Navarra el 2024 despr\u00e9s d’inhalar un nitaz\u00e8. Tot i que a Catalunya encara no s’han detectat de forma significativa, l’autor adverteix que la seva aparici\u00f3 \u00e9s nom\u00e9s q\u00fcesti\u00f3 de temps, com ja ha ocorregut en pa\u00efsos com Est\u00f2nia, Irlanda i el Regne Unit.<\/p>\n

A “Per qu\u00e8 el cos no vol aprimar-se”, el col\u00b7laborador de la RAED assegura que la dificultat per aprimar-se no \u00e9s es deu exclusivament a una q\u00fcesti\u00f3 de car\u00e0cter o de falta de voluntat o const\u00e0ncia, sin\u00f3 que \u00e9s en gran manera una q\u00fcesti\u00f3 de biologia. “Cada persona t\u00e9 un pes de refer\u00e8ncia i l’hipot\u00e0lem, una petita estructura cerebral, estableix quin \u00e9s el rang de pes que considera normal per a cada individu. Aquest pes de refer\u00e8ncia \u00e9s el resultat d’un ajust biol\u00f2gic que integra la base gen\u00e8tica, la programaci\u00f3 prenatal i infantil, l’aprenentatge fisiol\u00f2gic al llarg dels anys i la regulaci\u00f3 bioqu\u00edmica. Quan intentem allunyar-nos d\u2019aquell pes, el cos reacciona per evitar el canvi: defensa activament el seu pes”, explica.<\/p>\n

Canela incideix en els processos biol\u00f2gics relacionats amb l’alimentaci\u00f3 i el pes a “Com el cos decideix quan parar de menjar”, insistint que l’organisme no est\u00e0 dissenyat per aprimar-se, sin\u00f3 per evitar la desnutrici\u00f3 i mantenir suficients reserves energ\u00e8tiques. Davant aix\u00f2, cal explorar la sensaci\u00f3 de sacietat. “Una vegada escollits els aliments m\u00e9s adequats, una bona estrat\u00e8gia per modular la ingesta \u00e9s menjar lentament. Per exemple, prendre un aliment d’alta palatabilitat, com una truita a la francesa, i allargar la seva ingesta augmentant la masticaci\u00f3 pot reduir significativament la quantitat de menjar ingerit. Imaginem dedicar deu minuts a la truita”, afirma.<\/p>\n

\"\"Finalment, a “La incapacitat temporal a Catalunya”, destaca que les hores de baixa per treballador han passat d’unes 3,8 de mensuals el 2013 a prop de 8 hores el 2025. Aquest increment afecta especialment la competitivitat industrial, representa un cost econ\u00f2mic superior al 8% del PIB i fa el pa\u00eds menys atractiu per a la inversi\u00f3. Tot i que la incid\u00e8ncia \u00e9s similar a la resta d’Espanya, duplica la mitjana de la Uni\u00f3 Europea. Davant aquesta realitat, atribu\u00efda a una combinaci\u00f3 de factors estructurals que en bona mesura no depenen del treballador, Canela apel\u00b7la a eliminar la burocr\u00e0cia innecess\u00e0ria a l’atenci\u00f3 prim\u00e0ria, refor\u00e7ar els recursos de salut mental p\u00fablica i portar-los als ambulatoris, millorar la coordinaci\u00f3 entre metges, m\u00fatues i administraci\u00f3 i reformar la governan\u00e7a del sistema amb m\u00e9s flu\u00efdesa d\u2019informaci\u00f3 i criteris cl\u00ednics clars. “Les accions proposades no volen restringir l’acc\u00e9s a la incapacitaci\u00f3 temporal, sin\u00f3 eliminar les inefici\u00e8ncies que perjudiquen a treballadors, empreses i el sistema p\u00fablic”, conclou.<\/p>\n

Llegiu “M\u00e9s suport real a la innovaci\u00f3”<\/a><\/span><\/span><\/em><\/h2>\n

Llegiu “La nova <\/span>amena\u00e7a opioide”<\/span><\/a><\/span><\/span><\/span><\/em><\/h2>\n

Llegiu “Per <\/span>qu\u00e8<\/span>\u00a0el cos no\u00a0<\/span>vol <\/span>aprimar-se”<\/span><\/a><\/span><\/span><\/span><\/em><\/h2>\n

Llegiu “<\/span>Com<\/span>\u00a0el cos\u00a0<\/span>decideix <\/span>quan<\/span>\u00a0parar de\u00a0<\/span>menjar”<\/span><\/a><\/span><\/span><\/span><\/em><\/h2>\n

Llegiu “La <\/span>incapacitat<\/span> temporal a Catalunya”<\/span><\/span><\/a><\/span><\/span><\/em><\/h2>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Alerta sobre els nitazens: la nova amena\u00e7a al mercat il\u00b7legal de drogues; la dificultat de les persones per aprimar-se i l’increment de les hores de baixa per treballador, amb la conseq\u00fcent p\u00e8rdua de competitivitat industrial a Catalunya, en els darrers articles d’Enric Canela, a enriccanela.cat<\/p>\n","protected":false},"author":12,"featured_media":185780,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[237,332,455,304,213],"tags":[],"class_list":["post-185852","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-alimentacio-i-nutricio","category-biologia-ca","category-ciencies-de-la-salut","category-economia-i-politica-ca","category-medicina-i-cirurgia","et-has-post-format-content","et_post_format-et-post-format-standard"],"yoast_head":"\nDe la salut individual a 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