{"id":162388,"date":"2024-05-09T22:38:50","date_gmt":"2024-05-10T04:38:50","guid":{"rendered":"https:\/\/tecscience.tec.mx\/en\/?p=162388"},"modified":"2024-12-10T17:12:11","modified_gmt":"2024-12-10T23:12:11","slug":"losing-weight","status":"publish","type":"post","link":"https:\/\/tecscience.tec.mx\/en\/health\/losing-weight\/","title":{"rendered":"Losing Weight Isn\u2019t About \u201cWillpower\u201d or Going for a Run: Carolina Solis-Herrera"},"content":{"rendered":"\n<p>Obesity can\u2019t be cured by just running or doing exercise, explains <a href=\"https:\/\/iorconference.tec.mx\/es\/semblanza\/dra-carolina-solis-herrera?_gl=1*ea409p*_ga*OTUzOTM4NzMxLjE3MTU3MDkwODA.*_ga_D9LSDN87GD*MTcxNTcxNjg3OS4zLjEuMTcxNTcxNjk4MC4yNS4wLjA.\" target=\"_blank\" rel=\"noreferrer noopener\">Carolina Solis-Herrera<\/a>. Nor can \u201cwillpower\u201d make it go away. <\/p>\n\n\n\n<p>An integrated approach based on four central pillars is needed for people to lose a sufficient percentage of weight: nutrition education, medication support, cognitive behavioral therapy, and, yes, physical activity. <\/p>\n\n\n\n<p>Solis-Herrera is the Endocrinology Division Chief at the <a href=\"https:\/\/www.utexas.edu\/\" target=\"_blank\" rel=\"noreferrer noopener\">University of Texas<\/a>, where her research focus is diabetes mellitus.<\/p>\n\n\n\n<p>\u201cThere are diseases that cause the body to intensively produce hormones such as ghrelin, which makes people always feel hungry. It\u2019s not that they don\u2019t have any willpower, but their brains and bodies aren\u2019t receiving the signal for satiety.\u201d <\/p>\n\n\n\n<p>The researcher, who took part in the International <a href=\"https:\/\/tecscience.tec.mx\/en\/tag\/international-conference-on-obesity-research\/\">Conference on Obesity Research<\/a> at <strong>Tec de Monterrey<\/strong>, spoke to <em><strong>TecScience<\/strong><\/em> a few days before on how the narrative around obesity should be changed and the medical community should treat patients through a transdisciplinary, longitudinal, and empathic perspective.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><picture>\r\n                <source srcset=\"https:\/\/tecscience.tec.mx\/en\/wp-content\/uploads\/sites\/9\/2024\/05\/losing-weight-1.webp\" type=\"image\/webp\">\r\n                <img fetchpriority=\"high\" decoding=\"async\" width=\"750\" height=\"500\" src=\"https:\/\/tecscience.tec.mx\/en\/wp-content\/uploads\/sites\/9\/2024\/05\/losing-weight-1.jpg\" alt=\"\" class=\"wp-image-162392\" srcset=\"https:\/\/tecscience.tec.mx\/en\/wp-content\/uploads\/sites\/9\/2024\/05\/losing-weight-1.jpg 750w, https:\/\/tecscience.tec.mx\/en\/wp-content\/uploads\/sites\/9\/2024\/05\/losing-weight-1-300x200.jpg 300w\" sizes=\"(max-width: 750px) 100vw, 750px\" \/>\r\n            <\/picture><figcaption class=\"wp-element-caption\">Carolina Solis-Herrera was a speaker at the International Conference on Obesity Research. (Photo: Abigail Guzm\u00e1n \/ Tec de Monterrey)<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-what-is-obesity\"><strong>What Is Obesity?<\/strong><\/h2>\n\n\n\n<p>Obesity is a <strong>chronic inflammatory disease that requires long-term treatment<\/strong>, an approach involving a shift in the medical paradigm.<\/p>\n\n\n\n<p>According to Solis-Herrera, conditions of obesity and diabetes have increased exponentially in recent years.<\/p>\n\n\n\n<p>Despite estimates that half the population has this condition, <strong>only 1% receives appropriate treatment designed specifically for each patient and not \u2212exclusively\u2212 to improve symptoms and comorbidities<\/strong>.<\/p>\n\n\n\n<p>As part of her line of research, she has detected the <strong>presence of around 200 metabolic and mechanical complications<\/strong>, such as myocardial infarctions, embolisms, <a href=\"\/en\/health\/stages-of-sleep\/\" target=\"_blank\" rel=\"noreferrer noopener\">sleep apnea<\/a>, cases of dementia, Alzheimer\u2019s, and psychological, respiratory, and even sexual problems.<\/p>\n\n\n\n<p>\u201cThe main finding is simple: obesity increases your risk of mortality by 30%, which practically means that someone with a high Body Mass Index lives 10 years less. Although that -rightfully- scares people, our job isn\u2019t to carry on scaring or blaming them without providing support,\u201d she says.<\/p>\n\n\n\n<figure class=\"wp-block-embed aligncenter is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"Rompiendo estereotipos sobre la obesidad\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/zxPRtNqYMy8?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><figcaption class=\"wp-element-caption\"><strong><em>Subtitles Available in English<\/em><\/strong><\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-the-solution-isn-t-eating-less-and-doing-more-exercise\"><strong>The Solution Isn\u2019t Eating Less and Doing More Exercise<\/strong><\/h2>\n\n\n\n<p>Solis\u2019s <strong>new narrative<\/strong> starts with the physiology of patients with obesity; this approach focuses on people\u2019s bodies beyond their eating and exercise habits, putting the diagnosis and treatment of factors from the obesogenic environment at the center.<\/p>\n\n\n\n<p>\u201cBefore, at medical school, we talked a lot about ingesting energy and expanding it. In simple terms, calories go in, more calories go out than those consumed, and that\u2019s all there is. <strong>Someone who\u2019s overweight has to maintain that deficit to lose weight. However, that\u2019s not what happens<\/strong>.\u201d<\/p>\n\n\n\n<p>The specialist explains that the <strong>genetic component is important, as there are genes that release a greater number of hormones that cause an increase in appetite<\/strong>, genes that don\u2019t allow the satiety center to work properly, and even a hyperactive mesolimbic system (a circuit that generates dopamine).<\/p>\n\n\n\n<p>Besides directly influencing weight increase, the role that genes play in people with obesity can be a determining factor in losing an adequate percentage of weight. According to Solis-Herrera, <strong>the problem is that patients are subjected to scrutiny if their genes work against them<\/strong>.<\/p>\n\n\n\n<p>This is how the narrative tends to make these people develop a sense of guilt, as difficulties with losing weight are framed -frequently by doctors themselves- as a lack of willpower, when the root cause is not connected to motivation or the amount of food ingested.<\/p>\n\n\n\n<p>\u201cThere are many components that lead to patients who eat around 1,500 to 1,800 calories being very thin, while other patients who eat 1,200 calories per day are struggling not to put on weight. <strong>It\u2019s not all about what goes in and what comes out; the first step in the new narrative is to destigmatize obesity and to destigmatize ourselves.\u201d<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-don-t-stigmatize-medication\"><strong>Don\u2019t Stigmatize Medication<\/strong><\/h2>\n\n\n\n<p>Solis-Herrera says that both obesity treatment and research need a multidisciplinary approach with the addition of complementary perspectives that not only focus on people losing weight but also on maintaining the new weight in the long term and being able to regain their physical and mental health.<\/p>\n\n\n\n<p>\u201cThere are now multiple studies showing that if you just give people medication but don\u2019t give them nutrition and lifestyle classes, make them do exercise, and you don\u2019t see how they are cognitively, they lose less weight, don\u2019t lose anything, or put it on again if they lose it.\u201d<\/p>\n\n\n\n<p>That\u2019s why this multidisciplinary vision involves four central pillars: nutrition education, medication support, cognitive behavioral therapy, and physical activity.<\/p>\n\n\n\n<p>With the combination of these four, the expert has seen results with patients who have lost around 20 kilograms without putting them back on in the long term. This comes in addition to reducing side effects such as back pain, high blood pressure, and preventing diabetes, as well as enabling them to regain confidence, enthusiasm, and motivation to carry on.<\/p>\n\n\n\n<p>It\u2019s essential for the new medical discourse to recognize the efficacy of medication that assists with weight loss without seeing this as an option that \u201cdoesn\u2019t need that much effort,\u201d as a considerable number of patients with obesity are genetically predisposed to accumulating more fat and retaining more weight than others.<\/p>\n\n\n\n<p>Although pharmaceuticals such as (injectable or oral) semaglutide can help achieve beneficial results in most patients, Herrera-Solis recommends accompanying these with a diet plan adapted to the body\u2019s needs under a regime of medication, exercise, and psychological monitoring to prevent a rebound curve.<\/p>\n\n\n\n<p>She acknowledges that the price and lack of access to this type of medication has limited its use for patients outside the United States and even Mexico. However, she says that investment in treating obesity as a priority is 50% less costly than first treating comorbidities such as diabetes.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-will-there-be-a-cure-for-obesity-in-the-next-five-years\"><strong>Will There Be a Cure for Obesity in the Next Five Years?<\/strong><\/h2>\n\n\n\n<p>Solis-Herrera\u2019s future research is focused on achieving a specific cure for obesity, extending primary prevention in schools and within families, and making generational changes and strategies to combat the condition that are consistent between countries.<\/p>\n\n\n\n<p>Some of these goals are linked to cultural and generational changes that can work more in the long term than in the short term to prevent the next generations of teenagers and young adults from having overweight and obesity problems.<\/p>\n\n\n\n<p>However, researchers in the area continue seeking a future molecular and pharmacological \u201ccure,\u201d attempting to find new areas and receptors that can be explored with the aim of creating medication that is more effective at treating obesity because it has been specifically created to do so.<\/p>\n\n\n\n<p>\u201cOn the one hand, we\u2019re focusing on primary prevention, while secondary prevention is on the other. Later on, with precision medicine at a genetic level, we expect to find which genes can be modified so that you don\u2019t turn into someone who absorbs more calories and puts on more weight if you have them.\u201d<\/p>\n\n\n\n<p>With increasing numbers of patients capable of losing at least 3% of their body mass, thus reducing the side effects of their conditions, Solis-Herrera can already see a more successful path towards a future with fewer cases of risk and premature deaths, hoping to achieve the famous \u201ccure\u201d for obesity eventually.<\/p>\n\n\n\n<p><em>Did you find this story interesting? Would you like to publish it? Get in touch with our content editor to find out more at <a href=\"mailto:marianaleonm@tec.mx\">marianaleonm@tec.mx<\/a><\/em><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The Endocrinology Division Chief at the University of Texas proposes four pillars of treatment through a transdisciplinary and empathic perspective.<\/p>\n","protected":false},"author":43,"featured_media":162390,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_eb_attr":"","footnotes":""},"categories":[86],"tags":[224,166,385,511],"class_list":["post-162388","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","tag-health","tag-institute-for-obesity-research","tag-international-conference-on-obesity-research","tag-international-conference-on-obesity-research-2024"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v21.0 (Yoast SEO 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