{"id":1359,"date":"2024-11-21T17:02:47","date_gmt":"2024-11-21T15:02:47","guid":{"rendered":"https:\/\/roneuro.ro\/blog\/?p=1359"},"modified":"2025-03-26T12:47:09","modified_gmt":"2025-03-26T10:47:09","slug":"care-este-impactul-obezitatii-asupra-inimii","status":"publish","type":"post","link":"https:\/\/roneuro.ro\/blog\/care-este-impactul-obezitatii-asupra-inimii\/","title":{"rendered":"Care este impactul obezit\u0103\u021bii asupra inimii?"},"content":{"rendered":"\n<h2>Care este impactul obezit\u0103\u021bii asupra inimii?<\/h2>\n<p>Obezitatea este un factor de risc major pentru bolile cardiovasculare [10] \u0219i afecteaz\u0103 supravie\u021buirea general\u0103. Obezitatea este \u00een mod esen\u021bial asociat\u0103 cu:<\/p>\n<ul>\n<li>insuficien\u021b\u0103 cardiac\u0103,<\/li>\n<li>boal\u0103 coronarian\u0103,<\/li>\n<li>moarte cardiac\u0103 subit\u0103,<\/li>\n<li>fibrila\u021bie atrial\u0103.<\/li>\n<\/ul>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-1360\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/afectiuni-asociate-cu-obezitatea-scaled.jpg\" alt=\"\" width=\"700\" height=\"320\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/afectiuni-asociate-cu-obezitatea-scaled.jpg 2560w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/afectiuni-asociate-cu-obezitatea-300x137.jpg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/afectiuni-asociate-cu-obezitatea-1024x468.jpg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/afectiuni-asociate-cu-obezitatea-768x351.jpg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/afectiuni-asociate-cu-obezitatea-1536x702.jpg 1536w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/afectiuni-asociate-cu-obezitatea-2048x936.jpg 2048w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/afectiuni-asociate-cu-obezitatea-750x343.jpg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/afectiuni-asociate-cu-obezitatea-1140x521.jpg 1140w\" sizes=\"(max-width: 700px) 100vw, 700px\" \/><\/p>\n<p>Datorit\u0103 faptului c\u0103 obezitatea pe termen lung poate conduce la apari\u021bia sindromului metabolic, acesta la r\u00e2ndul s\u0103u poate favoriza apari\u021bia bolii cardiace ischemice, a\u0219adar impactul obezit\u0103\u021bii asupra inimii este unul foarte mare.<\/p>\n<p>\u00cen plus fa\u021b\u0103 de bolile cardiovasculare, s-a demonstrat c\u0103 obezitatea m\u0103re\u0219te riscul de <a href=\"https:\/\/roneuro.ro\/blog\/ce-este-hipertensiunea-arteriala\/\">hipertensiune arterial\u0103<\/a> (HTA) iar hipertensiunea persistent\u0103 [11] reprezint\u0103 unul dintre factorii de risc pentru:<\/p>\n<ul>\n<li>accident vascular cerebral,<\/li>\n<li>infarct miocardic,<\/li>\n<li>anevrism arterial, care reprezint\u0103 o cauz\u0103 principal\u0103 a<\/li>\n<li>insuficien\u021bei renale cronice,<\/li>\n<li>diabet \u0219i alte afec\u021biuni grave.<\/li>\n<\/ul>\n<p><img decoding=\"async\" class=\"aligncenter wp-image-1363 \" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/riscurile-HTA-scaled.jpg\" alt=\"\" width=\"601\" height=\"466\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/riscurile-HTA-scaled.jpg 2560w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/riscurile-HTA-300x233.jpg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/riscurile-HTA-1024x795.jpg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/riscurile-HTA-768x596.jpg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/riscurile-HTA-1536x1192.jpg 1536w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/riscurile-HTA-2048x1590.jpg 2048w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/riscurile-HTA-750x582.jpg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/riscurile-HTA-1140x885.jpg 1140w\" sizes=\"(max-width: 601px) 100vw, 601px\" \/><\/p>\n<h2>C\u00e2nd este necesar s\u0103 v\u0103 adresa\u021bi medicului specialist?<\/h2>\n<p>Este necesar s\u0103 face\u021bi aceasta \u00een momentul \u00een care observa\u021bi apari\u021bia unor simptome [12] \u0219i afec\u021biuni asociate cu obezitatea, precum:<\/p>\n<ul>\n<li>palpita\u021bii cardiace,<\/li>\n<li>somn greu sau sfor\u0103it,<\/li>\n<li>dureri articulare sau dureri de spate,<\/li>\n<li>dispozi\u021bie general\u0103 proast\u0103 sau energie sc\u0103zut\u0103,<\/li>\n<li>dificult\u0103\u021bi \u00een deplasare, mi\u0219care sau ridicare din pat.<\/li>\n<\/ul>\n<h2>Ce este obezitatea?<\/h2>\n<p>Obezitatea este o condi\u021bie medical\u0103, uneori considerat\u0103 o boal\u0103, \u00een care excesul de gr\u0103sime corporal\u0103 s-a acumulat \u00eentr-o asemenea m\u0103sur\u0103 \u00eenc\u00e2t are influen\u021be negative asupra s\u0103n\u0103t\u0103\u021bii [1].<\/p>\n<p>Conform Centrului pentru Prevenirea \u0219i Controlul Bolilor din SUA, o persoan\u0103 adult\u0103 este considerat\u0103 obez\u0103 dac\u0103 are un indice de mas\u0103 corporal\u0103 (IMC exprimat \u00een kg\/m<sup>2<\/sup>) mai mare sau egal cu 30 [2]. Organiza\u021bia Mondial\u0103 a S\u0103n\u0103t\u0103\u021bii (OMS) define\u0219te obezitatea ca fiind o afec\u021biune \u00een care procentul de gr\u0103sime corporal\u0103 \u00eencepe s\u0103 afecteze s\u0103n\u0103tatea \u0219i bun\u0103starea indivizilor. Din cauza cre\u0219terii alarmante a prevalen\u021bei, OMS a declarat-o ca fiind \u201do epidemie global\u0103\u201d [3].<\/p>\n<p>\u00cen ceea ce prive\u0219te Rom\u00e2nia, conform datelor OMS, Rom\u00e2nia este \u021bara cu cea mai mare rat\u0103 a obezit\u0103\u021bii din Europa \u00eencep\u00e2nd cu anul 2022. Statisticile prezint\u0103 faptul c\u0103 34% din popula\u021bia adult\u0103 de peste 18 ani este obez\u0103 \u00een Rom\u00e2nia [4].<\/p>\n<h2>Care sunt grupele principale de obezitate?<\/h2>\n<h3>Clasificare din punct de vedere metabolic<\/h3>\n<p>Din punct de vedere metabolic, obezitatea este \u00eemp\u0103r\u021bit\u0103 \u00een 4 categorii [5]:<\/p>\n<ul>\n<li>obezitate cu greutate normal\u0103;<\/li>\n<li>obezitate metabolic\u0103 cu greutate normal\u0103;<\/li>\n<li>obezitate metabolic\u0103 s\u0103n\u0103toas\u0103;<\/li>\n<li>obezitate metabolic\u0103 nes\u0103n\u0103toas\u0103.<\/li>\n<\/ul>\n<p><img decoding=\"async\" class=\"aligncenter wp-image-1362\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/clasificarea-obezitatii-metabolic-scaled.jpg\" alt=\"\" width=\"700\" height=\"320\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/clasificarea-obezitatii-metabolic-scaled.jpg 2560w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/clasificarea-obezitatii-metabolic-300x137.jpg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/clasificarea-obezitatii-metabolic-1024x468.jpg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/clasificarea-obezitatii-metabolic-768x351.jpg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/clasificarea-obezitatii-metabolic-1536x702.jpg 1536w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/clasificarea-obezitatii-metabolic-2048x936.jpg 2048w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/clasificarea-obezitatii-metabolic-750x343.jpg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/clasificarea-obezitatii-metabolic-1140x521.jpg 1140w\" sizes=\"(max-width: 700px) 100vw, 700px\" \/><\/p>\n<h3>Clasificare din punct de vedere al IMC<\/h3>\n<p>Din punct de vedere a IMC, obezitatea poate fi \u00eemp\u0103r\u021bit\u0103 \u00een 4 categorii conform [6], la care Colegiul American de Cardiologie a mai ad\u0103ugat \u00eenc\u0103 dou\u0103 [7]:<\/p>\n<ul>\n<li>supraponderal (risc sc\u0103zut), dac\u0103 IMC este \u00eentre 25,0 \u0219i 29,9;<\/li>\n<li>obezitate grad 1 (risc redus), dac\u0103 IMC este \u00eentre 30,0 \u0219i 34,9;<\/li>\n<li>obezitate grad 2 (risc moderat), dac\u0103 IMC este \u00eentre 35,0 \u0219i 39,9;<\/li>\n<li>obezitate grad 3, cunoscut\u0103 \u0219i sub numele de obezitate morbid\u0103 (risc ridicat), dac\u0103 IMC este egal sau mai mare de 40,0;<\/li>\n<li>obezitate grad 4 (risc foarte ridicat), dac\u0103 IMC este egal sau mai mare de 50,0;<\/li>\n<li>obezitate grad 5 (risc extrem de ridicat), dac\u0103 IMC este egal sau mai mare de 60,0.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1361\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/clasificarea-obezitatii-IMC-scaled.jpg\" alt=\"\" width=\"700\" height=\"386\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/clasificarea-obezitatii-IMC-scaled.jpg 2560w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/clasificarea-obezitatii-IMC-300x165.jpg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/clasificarea-obezitatii-IMC-1024x564.jpg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/clasificarea-obezitatii-IMC-768x423.jpg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/clasificarea-obezitatii-IMC-1536x846.jpg 1536w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/clasificarea-obezitatii-IMC-2048x1128.jpg 2048w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/clasificarea-obezitatii-IMC-750x413.jpg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/clasificarea-obezitatii-IMC-1140x628.jpg 1140w\" sizes=\"(max-width: 700px) 100vw, 700px\" \/><\/p>\n<h3>Clasificare din punct de vedere al localiz\u0103rii depozitelor de gr\u0103sime \u00een organism<\/h3>\n<p>Din punct de vedere a localiz\u0103rii depozitelor de gr\u0103sime \u00een organism, a fost introdus\u0103 o nou\u0103 categorie [8] numit\u0103 obezitate abdominal\u0103 (sau visceral\u0103), care poate fi reg\u0103sit\u0103 \u00een una din cele 4 categorii ale obezit\u0103\u021bii definite din punct de vedere metabolic, indiferent de valoarea IMC.<\/p>\n<h2>Resurse \u0219i suport pentru pacien\u021bi<\/h2>\n<p>A\u021bi semnalat apari\u021bia unor simptome din cele enumerate sau a\u021bi observat o cre\u0219tere \u00een greutate \u0219i b\u0103nui\u021bi c\u0103 aceasta v\u0103 poate afecta s\u0103n\u0103tatea? Programa\u021bi-v\u0103 acum contact\u00e2nd recep\u021bia Institutului <strong>RoNeuro<\/strong> la num\u0103rul de telefon<strong> <a href=\"tel:+40374462222\">0374 46 2222<\/a><\/strong>, luni \u0219i mar\u021bi \u00eentre orele <strong>08:00 &#8211; 19:00<\/strong>, iar de miercuri p\u00e2n\u0103 vineri \u00eentre orele <strong>08:00 &#8211; 18:00. <\/strong><\/p>\n<p>La momentul program\u0103rii, pute\u021bi opta \u0219i pentru consulta\u021bie neurologic\u0103 gratuit\u0103, decontat\u0103 prin Casa Na\u021bional\u0103 de Asigur\u0103ri de S\u0103n\u0103tate. Mai mult, pot fi efectuate program\u0103ri online.<\/p>\n<p style=\"text-align: center;\"><a style=\"background-color: #6852ed; color: white; text-decoration: none; border: none; padding: 10px 20px; cursor: pointer; display: inline-block;\" href=\"https:\/\/www.roneuro.ro\/progamari.html\">Program\u0103ri online aici!<\/a><\/p>\n<p>Locui\u021bi \u00eentr-o zon\u0103 izolat\u0103 sau nu v\u0103 pute\u021bi deplasa la clinic\u0103? RoNeuro ofer\u0103 \u0219i op\u021biunea de <strong><a href=\"https:\/\/www.roneuro.ro\/telemedicina.html\" target=\"_blank\" rel=\"noopener\">telemedicin\u0103<\/a>.<\/strong><\/p>\n<h2>Ce analize sunt necesare pentru evaluarea obezit\u0103\u021bii?<\/h2>\n<h3>M\u0103surarea circumferin\u021bei taliei<\/h3>\n<p>Valorile normale sunt 90 cm la b\u0103rba\u021bi \u0219i 80 cm la femei, indiferent de IMC. Dac\u0103 valorile sunt peste 90-94 cm la b\u0103rba\u021bi \u0219i peste 80-84 cm la femei, atunci se va \u021bine cont \u0219i de IMC.<\/p>\n<h3>M\u0103surarea IMC<\/h3>\n<p>Dac\u0103 IMC este mai mare de 25 atunci se va \u021bine cont \u0219i de evaluarea celor 4 <a href=\"https:\/\/roneuro.ro\/blog\/impactul-stresului-asupra-inimii\/\">indicatori ai st\u0103rii de s\u0103n\u0103tate<\/a>.<\/p>\n<h3>Evaluarea celor 4 indicatori ai st\u0103rii de s\u0103n\u0103tate<\/h3>\n<ul>\n<li>Tensiunea arterial\u0103: \u00eentre 90\/60 mmHg \u0219i 120\/80 mmHg,<\/li>\n<li>Respira\u021bie: \u00eentre 12 \u0219i 18 respira\u021bii pe minut,<\/li>\n<li>Puls: \u00eentre 60 \u0219i 100 de b\u0103t\u0103i pe minut,<\/li>\n<li>Temperatur\u0103: de la 36,5\u00b0C p\u00e2n\u0103 la 37,3\u00b0C.<\/li>\n<\/ul>\n<p>Dac\u0103 oricare unul sau mai mul\u021bi dintre ei sunt peste valorile normale (de exemplu tensiunea arterial\u0103) atunci se recomand\u0103 m\u0103surarea nivelurilor serice ale trigliceridelor (TGD) \u0219i colesterolului HDL.<\/p>\n<h3>M\u0103surarea TGD \u0219i HDL<\/h3>\n<p>Dac\u0103 TGD sunt peste 150 mg\/dL* iar HDL sunt mai mici sau egale cu 35 mg\/dL*, atunci se recomand\u0103 evaluarea sindromului metabolic.<\/p>\n<h3>Evaluarea sindromului metabolic<\/h3>\n<p>Organiza\u021bia Mondial\u0103 a S\u0103n\u0103t\u0103\u021bii [9] a propus diagnosticarea sindromului metabolic atunci c\u00e2nd este identificat unul din urm\u0103torii parametri sanguini:<\/p>\n<ul>\n<li>hiperinsulinemie, (c\u00e2nd valorile nivelului de insulin\u0103 \u00een s\u00e2nge sunt peste 24,9 \u00b5UI\/ml*)<\/li>\n<li>valori plasmatice ridicate ale glicemiei a jeun (adic\u0103 dup\u0103 o perioad\u0103 de post de cel pu\u021bin 8 ore) de peste 110 mg\/dL*.<\/li>\n<li>o circumferin\u021b\u0103 mare a taliei de peste 102 cm la b\u0103rba\u021bi \u0219i peste 88 cm la femei, reprezint\u0103 un factor risc.<\/li>\n<\/ul>\n<p><em>* Trebuie corelate cu valorile de referin\u021b\u0103 oferite de aparatur\u0103, metoda de lucru \u0219i reactivii folosi\u021bi.<\/em><\/p>\n<blockquote><p>Institutul <a href=\"https:\/\/www.roneuro.ro\/specialitati\/diabet-si-boli-metabolice.html\">RoNeuro<\/a> furnizeaz\u0103 servicii rapide \u0219i de \u00eenalt\u0103 calitate: urm\u0103rirea\u00a0profilului glicemic, dozarea\u00a0hemoglobinei glicate (HbA1c), realizarea\u00a0bilan\u021bului nutri\u021bional\u00a0\u0219i determinarea\u00a0compozi\u021biei corporale\u00a0cu analizorul InBody, care este de un real ajutor \u00een controlul echilibrului ponderal.<\/p><\/blockquote>\n<h2>Cum se poate trata obezitatea?<\/h2>\n<p>\u00cen func\u021bie de \u00eencadrarea st\u0103rii actuale de obezitate, conform clasific\u0103rilor men\u021bionate \u0219i \u00een func\u021bie de rezultatele analizelor indicate mai devreme, tratamentele necesare trebuie personalizate pacientului. Echipa RoNeuro v\u0103 pune la dispozi\u021bie urm\u0103toarele terapii \u0219i analize medicale principale:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.roneuro.ro\/specialitati\/cardiologie.html\">Consultul cardiologic<\/a> (necesar evalu\u0103rii st\u0103rii de bine a organismului \u0219i a s\u0103n\u0103t\u0103\u021bii inimii);<\/li>\n<li><a href=\"https:\/\/www.roneuro.ro\/specialitati\/diabet-si-boli-metabolice.html\">Analiza periodic\u0103 a profilului glicemic \u0219i lipidic<\/a> (\u00een vederea diagnostic\u0103rii, gestion\u0103rii \u0219i preven\u021biei diabetului, precum \u0219i ale altor boli metabolice, ce pot apare ca urmare a obezit\u0103\u021bii);<\/li>\n<li><a href=\"https:\/\/www.roneuro.ro\/specialitati\/nutritie-si-dietetica.html\">Consulta\u021bii \u00een domeniul nutri\u021biei \u0219i dietetic\u0103<\/a> (necesare pentru combaterea obezit\u0103\u021bii, controlul greut\u0103\u021bii corporale, \u00eembun\u0103t\u0103\u021birea parametrilor sanguini, reducerea HTA, etc.);<\/li>\n<li><a href=\"https:\/\/roneuro.ro\/blog\/ce-este-kinetoterapia\/\">Kinetoterapie<\/a> (v\u0103 poate ajuta la gestionarea greut\u0103\u021bii corporale, combaterea stresului, cre\u0219terea masei musculare, etc.);<\/li>\n<li><a href=\"https:\/\/www.roneuro.ro\/specialitati\/medicina-interna.html\">Consulta\u021bie de medicin\u0103 intern\u0103<\/a> (mai ales \u00een situa\u021bia \u00een care obezitatea este \u00eenso\u021bit\u0103 \u0219i de alte afec\u021biuni);<\/li>\n<li style=\"text-align: left;\"><a href=\"https:\/\/roneuro.ro\/blog\/cum-putem-trata-hipertensiunea-arteriala\/\">Tratamentul \u0219i profilaxia HTA<\/a>.<\/li>\n<\/ul>\n<p style=\"text-align: center;\"><iframe title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/OKN0iC9bop4?si=5Ulrhzm-bMiko0c5\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>Deoarece obezitatea este o afec\u021biune complex\u0103, determinat\u0103 de multiple cauze, gener\u00e2nd un lan\u021b \u00eentreg de patologii, ar mai putea fi recomandate urm\u0103toarele terapii cu rol complementar:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.roneuro.ro\/specialitati\/genetica-medicala.html\">Consulta\u021bie genetic\u0103 medical\u0103<\/a> (dac\u0103 starea de obezitate se men\u021bine de la o v\u00e2rst\u0103 fraged\u0103);<\/li>\n<li><a href=\"https:\/\/www.roneuro.ro\/specialitati\/acupunctura.html\">\u0218edin\u021be de acupunctur\u0103<\/a> (o op\u021biune terapeutic\u0103 eficient\u0103 pentru controlul obezit\u0103\u021bii [13]);<\/li>\n<li><a href=\"https:\/\/www.roneuro.ro\/specialitati\/homeopatie.html\">Homeopatia<\/a> (ar putea fi indicat\u0103 ca metod\u0103 indirect\u0103 de reducere a efectelor obezit\u0103\u021bii datorit\u0103 faptului c\u0103 aceasta este o terapie holistic\u0103 care se adreseaz\u0103 at\u00e2t corpului fizic c\u00e2t \u015fi componentei emo\u0163ionale \u015fi mentale);<\/li>\n<li><a href=\"https:\/\/www.roneuro.ro\/specialitati\/psihologie.html\">\u0218edin\u021be de psihoterapie<\/a> (recomandate \u00een cazul \u00een care pacientul se simte incapabil s\u0103 \u00ee\u0219i schimbe stilul de via\u021b\u0103 \u0219i\/sau dieta, \u00een vederea reducerii efectelor obezit\u0103\u021bii \u0219i a stresului).<\/li>\n<\/ul>\n<p>Pe l\u00e2ng\u0103 toate acestea v\u0103 mai recomand\u0103m:<\/p>\n<ul>\n<li>Evitarea sedentarismului \u0219i adoptarea unui mod de via\u021b\u0103 activ;<\/li>\n<li>Evitarea exceselor alimentare de orice fel;<\/li>\n<li>Evitarea b\u0103uturilor alcoolice precum \u0219i a celor care con\u021bin zah\u0103r;<\/li>\n<li>Respectarea cu stricte\u021be a sfaturilor medicale.<\/li>\n<\/ul>\n<h2>Concluzii<\/h2>\n<p>Obezitatea este cel mai mare flagel al timpurilor noastre. De\u0219i combaterea ei este dificil\u0103, uneori fiind nevoie \u0219i de interven\u021bii chirurgicale, obezitatea poate fi prevenit\u0103 sau tratat\u0103 cu ajutorul unui stil de via\u021b\u0103 s\u0103n\u0103tos, asociat mai multor consulta\u021bii \u0219i verific\u0103ri periodice. Este important ca planul de recuperare \u0219i tratament s\u0103 \u00eenceap\u0103 c\u00e2t mai cur\u00e2nd posibil, deoarece promptitudinea interven\u021biei multidisciplare, poate avea un impact semnificativ asupra rezultatelor pe termen lung pentru s\u0103n\u0103tatea dumneavoastr\u0103.<\/p>\n<h2>Referin\u021be<\/h2>\n<ol>\n<li>Wikipedia, the free encyclopedia, Obesity. Available at: https:\/\/en.wikipedia.org\/wiki\/Obesity<\/li>\n<li>NCBDDD Atlanta, <a href=\"https:\/\/www.cdc.gov\/ncbddd\/disabilityandhealth\/documents\/obesityfactsheet2010.pdf\" target=\"_blank\" rel=\"noopener\">ObesityFactSheet.<\/a><\/li>\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11234459\/\" target=\"_blank\" rel=\"noopener\">Obesity: preventing and managing the global epidemic<\/a>. Report of a WHO consultation. World Health Organ Tech Rep Ser. 2000;894:i\u2013xii, 1-253.<\/li>\n<li>World with Statistics. Available at: https:\/\/worldwithstatistics.blogspot.com\/2024\/06\/obesity-in-europe.html<\/li>\n<li>De Lorenzo A, Soldati L, Sarlo F, Calvani M, Di Lorenzo N, Di Renzo L. New obesity classification criteria as a tool for bariatric surgery indication. World J Gastroenterol. 2016 Jan 14;22(2):681-703. doi: 10.3748\/wjg.v22.i2.681. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/26811617\/<\/li>\n<li>National Library of Medicine, Medical Encyclopedia, Health risks of obesity. Available at: https:\/\/medlineplus.gov\/ency\/patientinstructions\/000348.htm<\/li>\n<li>Obesity: Pathophysiology and Management. J Am Coll Cardiol 2017;71:69-84. Available at: https:\/\/www.acc.org\/latest-in-cardiology\/ten-points-to-remember\/2018\/01\/04\/16\/16\/obesity-pathophysiology-and-management<\/li>\n<li>Dhawan D, Sharma S. Abdominal Obesity, Adipokines and Non-communicable Diseases. J Steroid Biochem Mol Biol. 2020 Oct;203:105737. doi: 10.1016\/j.jsbmb.2020.105737. Epub 2020 Aug 18. Available at: https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7431389\/<\/li>\n<li>Fadi El-Atat, Ashish Aneja, Samy Mcfarlane, James Sowers, Obesity and hypertension, Endocrinology and Metabolism Clinics of North America, Vol 32(4),2003, Pag. 823-854, ISSN 0889-8529, https:\/\/doi.org\/10.1016\/S0889-8529(03)00070-7. Available at: https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0889852903000707<\/li>\n<li>Ashraf MJ, Baweja P. Obesity: the &#8216;huge&#8217; problem in cardiovascular diseases. Mo Med. 2013 Nov-Dec;110(6):499-504. Available at: https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6179812\/<\/li>\n<li>Akil L, Ahmad HA. Relationships between obesity and cardiovascular diseases in four southern states and Colorado. J Health Care Poor Underserved. 2011;22(4 Suppl):61-72. doi: 10.1353\/hpu.2011.0166. Available at: https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3250069\/<\/li>\n<li>British Heart Foundation, How does obesity increase the risk of heart and circulatory diseases?. Available at: https:\/\/www.bhf.org.uk\/informationsupport\/risk-factors\/obesity<\/li>\n<li>Zhang K, Zhou S, Wang C, Xu H, Zhang L. Acupuncture on Obesity: Clinical Evidence and Possible Neuroendocrine Mechanisms. Evid Based Complement Alternat Med. 2018 Jun 14;2018:6409389. doi: 10.1155\/2018\/6409389. Available at: https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6022277\/<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Care este impactul obezit\u0103\u021bii asupra inimii? Obezitatea este un factor de risc major pentru bolile cardiovasculare [10] \u0219i afecteaz\u0103 supravie\u021buirea general\u0103. Obezitatea este \u00een mod esen\u021bial asociat\u0103 cu: insuficien\u021b\u0103 cardiac\u0103, boal\u0103 coronarian\u0103, moarte cardiac\u0103 subit\u0103, fibrila\u021bie atrial\u0103. Datorit\u0103 faptului c\u0103 obezitatea pe termen lung poate conduce la apari\u021bia sindromului metabolic, acesta la r\u00e2ndul s\u0103u poate [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":1366,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jnews-multi-image_gallery":[],"jnews_single_post":{"source_name":"","source_url":"","via_name":"","via_url":"","override_template":"0","override":[{"template":"6","single_blog_custom":"","parallax":"1","fullscreen":"1","layout":"no-sidebar","sidebar":"default-sidebar","second_sidebar":"default-sidebar","sticky_sidebar":"1","share_position":"floatbottom","share_float_style":"share-normal","show_share_counter":"1","show_view_counter":"1","show_featured":"1","show_post_meta":"1","show_post_author":"0","show_post_author_image":"1","show_post_date":"1","post_date_format":"default","post_date_format_custom":"Y\/m\/d","show_post_category":"1","show_post_reading_time":"1","post_reading_time_wpm":"300","show_zoom_button":"1","zoom_button_out_step":"2","zoom_button_in_step":"3","show_post_tag":"1","show_prev_next_post":"0","show_popup_post":"1","number_popup_post":"3","show_author_box":"0","show_post_related":"1","show_inline_post_related":"0","post_calculate_word_method":"str_word_count"}],"override_image_size":"0","image_override":[{"single_post_thumbnail_size":"crop-500","single_post_gallery_size":"crop-500"}],"trending_post":"0","trending_post_position":"meta","trending_post_label":"Trending","sponsored_post":"0","sponsored_post_label":"Sponsored by","sponsored_post_name":"","sponsored_post_url":"","sponsored_post_logo_enable":"0","sponsored_post_logo":"","sponsored_post_desc":"","disable_ad":"0","format":"standard","subtitle":""},"jnews_primary_category":{"id":"","hide":""},"jnews_override_counter":{"view_counter_number":"0","share_counter_number":"0","like_counter_number":"0","dislike_counter_number":"0"},"footnotes":""},"categories":[12,6],"tags":[],"class_list":["post-1359","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cardiologie","category-neurologie"],"_links":{"self":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1359","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/comments?post=1359"}],"version-history":[{"count":4,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1359\/revisions"}],"predecessor-version":[{"id":1677,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1359\/revisions\/1677"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media\/1366"}],"wp:attachment":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media?parent=1359"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/categories?post=1359"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/tags?post=1359"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}