Being thin does not mean that it is healthy and considered overweight does not mean being sick, we all know, but the problem is when the importance of more or less happens to result in diseases that compromise the quality of life.
To assist in weight control, the State Government of Acre through the State Health Department (Sesacre) undertakes several actions that directly and indirectly contribute to obesity prevention.
Within the healthcare network there is the overweight program that operates within Hospital das Clínicas. Created in 2004, it currently has a multidisciplinary team formed by surgeon, endocrinologist, psychiatrist, psychologist, nutritionist and speech therapist.
Patients requiring care are evaluated and become part of the program by medical reference with respect for the indicative parameters.
The Health Secretariat assumes Body Mass Index (BMI), as a parameter for clinical evaluation of the general population. It is from the BMI of 35 to 40 kg / m that there is a possible indication of a bariatric surgery.
In Acre, 83 Bariatric operations have been carried out since the beginning of the program. The number may be much higher, but the program's help enables patients to lose weight without the need for surgery.
"The patient enters the program and begins to get all the follow-up required for a change, not just measures but mainly habits, and this means that many people achieve weight loss in a healthy way without going through a surgical procedure." Explains the person responsible for the obesity program, Laura Maria Aroeira.
Diseases and treatments
In order to fight obesity and prevent diseases such as hypertension, ventricular hypertrophy, apnea, depression, type 2 diabetes, the easiest way to adopt healthy methods such as an adequate diet and certain physical activity.
"Obesity needs to be treated with dietary education, physical activity, psychological and drug support and in some cases with bariatric surgery," says Laura Aroeira.
The citizen can seek help in the state health network. By referencing, the person can make meetings with specialists who help weight control, such as nutrients, endocrine and in more serious cases, doctors recommend the use of medications and even operations.
In the state of Acre, the population has parks and an outdoor fitness center for exercising physical activity, free of cost.
An example of determination is Ângela Roberta de Souza. Seven years ago, he entered the obesity program at the hospital, Das Clínica, and after following the schedule handed over by doctors and making the necessary changes in habits that enabled weight loss, he performed bariatric surgery.
"Bariatric surgery is not a miracle, it helps, but you must be willing and focused not to give as many people as possible. An adequate diet with physical exercises, even when you help home at home, explains Ângela.
In total, 70 kilos were lost. Before surgery, Angela refused 150 pounds, just after the procedure, went to 130 and currently weighing 80 pounds continues to follow up with professionals.
"My quality of life has improved a lot over the years, today I am pedal, I am taking walks outdoors, I avoid using the car for nearby places, I go to the gym," he says.
As regards the relationship with food, she explains that she started consuming healthier foods, stopped drinking soda and replaced with juice.
"Even with changes in food, I continue to eat everything but in small amounts and I shoot once or twice a month to eat goodies," adds Angela.
After bariatric surgery, patients continue to receive follow-up from the HC program as they are long-term results and need adequate follow-up to make these changes routine in patient life.
In Brazil, data show that, even with major concerns about food and lifestyle, there is a significant increase in overweight obese Brazilians, which according to the Ministry of Health reaches 54% of the number of obese people.
In terms of obesity, the numbers are even more worrying in some age groups. MS found that in ten years there was an increase of 110% of people over the age of 18-24 who are overweight, almost double the increase in all age groups (60%). And in bands of 25 to 34 years, there was an increase of 69.0%; from 35 to 44 years (23.0%); 45 to 54 years (14.0%); from 55 to 64 years (16.0%); and in older people over 65 years, growth was 2.0%.
To evaluate obesity and obesity, the MS study took into account Body Mass Index (BMI), which calculates the individual in relation to his own weight and through him it is possible to know about metabolic and other complications of health risks.