Le groupe de travail sur l'activit\u00e9 physique, la forme physique et la fonction physique de l'Association europ\u00e9enne pour l'\u00e9tude de l'ob\u00e9sit\u00e9 (EASO-PAFF) a organis\u00e9 une session tr\u00e8s populaire lors du 31e Congr\u00e8s europ\u00e9en sur l'ob\u00e9sit\u00e9 \u00e0 Venise, en Italie. Cette session scientifique, fruit d'une collaboration entre l'Association europ\u00e9enne pour l'\u00e9tude de l'ob\u00e9sit\u00e9 et la Coalition europ\u00e9enne pour les personnes vivant avec l'ob\u00e9sit\u00e9, a mis l'accent sur le r\u00f4le cl\u00e9 que jouent le mouvement, l'activit\u00e9 physique et l'exercice dans la gestion de la maladie chronique qu'est l'ob\u00e9sit\u00e9. La copr\u00e9sidente de l'EASO PAFF, le Dr Grace O'Malley, a d\u00e9clar\u00e9 : \u201c Il est essentiel que nous veillions \u00e0 ce que les professionnels de la sant\u00e9, les d\u00e9cideurs politiques et le grand public comprennent le r\u00f4le essentiel du mouvement physique dans la pr\u00e9vention et la gestion de l'ob\u00e9sit\u00e9. L'objectif de l'activit\u00e9 physique dans la prise en charge de l'ob\u00e9sit\u00e9 est d'obtenir les nombreux bienfaits pour la sant\u00e9 que l'on tire d'une activit\u00e9 physique plus intense et d'une r\u00e9duction du temps pass\u00e9 en position assise. Il ne s'agit pas de perdre du poids. L'EASO s'engage \u00e0 recadrer le d\u00e9bat sur l'activit\u00e9 physique pour la sant\u00e9 afin que les personnes ob\u00e8ses aient acc\u00e8s \u00e0 des soins de la plus haute qualit\u00e9 fond\u00e9s sur des preuves et que la formation des professionnels de sant\u00e9 soit am\u00e9lior\u00e9e \u201d.<\/p>\n
La session a \u00e9t\u00e9 ouverte par le professeur John Blundell (Universit\u00e9 de Leeds), expert mondial de l'influence de l'activit\u00e9 physique sur le contr\u00f4le de l'app\u00e9tit. Il a soulign\u00e9 que l'activit\u00e9 physique et la s\u00e9dentarit\u00e9 sont extr\u00eamement importantes pour le contr\u00f4le du poids et de la graisse corporelle. Il a parl\u00e9 des m\u00e9canismes qui contr\u00f4lent l'envie de manger et la sati\u00e9t\u00e9. Ces m\u00e9canismes sont importants pour comprendre l'influence de l'activit\u00e9 physique et de la s\u00e9dentarit\u00e9 sur la graisse corporelle et le poids. Lorsque l'activit\u00e9 physique est \u00e9lev\u00e9e, l'app\u00e9tit est bien contr\u00f4l\u00e9, mais lorsqu'une personne est s\u00e9dentaire, l'app\u00e9tit est mal contr\u00f4l\u00e9 et une surconsommation peut facilement se produire. Cela signifie qu'un comportement s\u00e9dentaire entra\u00eene une augmentation de la masse graisseuse, et l'inverse est vrai pour les personnes tr\u00e8s actives. Les effets ne sont pas uniquement dus \u00e0 la d\u00e9pense \u00e9nerg\u00e9tique. Cependant, il est important de reconna\u00eetre qu'il existe une grande variabilit\u00e9 entre les personnes et que les effets ne peuvent \u00eatre garantis. Le niveau \u00e9lev\u00e9 de s\u00e9dentarit\u00e9 dans la soci\u00e9t\u00e9 contribue \u00e0 la pr\u00e9valence de la prise de poids et de l'ob\u00e9sit\u00e9.<\/p>\n
Le professeur Michel Oppert, de l'universit\u00e9 de la Sorbonne, a abord\u00e9 la question de l'importance de l'activit\u00e9 physique et de l'entra\u00eenement sportif chez les personnes ob\u00e8ses dans le contexte de la chirurgie bariatrique. Il a soulign\u00e9 le fait que la perte de poids associ\u00e9e \u00e0 l'entra\u00eenement physique dans ce contexte \u00e9tait significative par rapport \u00e0 l'absence d'exercice, m\u00eame si l'ampleur de la perte de poids n'\u00e9tait que de 2 \u00e0 3 kg en moyenne, un effet modeste surtout si on le compare \u00e0 l'effet de la chirurgie elle-m\u00eame sur le poids (perte de poids de 20 \u00e0 30 kg au cours de la premi\u00e8re ann\u00e9e suivant l'op\u00e9ration). Compar\u00e9 \u00e0 l'ampleur relativement modeste de l'effet sur la perte de poids, les autres bienfaits de l'exercice physique sur la sant\u00e9 dans ce contexte ne doivent pas \u00eatre n\u00e9glig\u00e9s. L'entra\u00eenement physique a un effet important sur la condition physique (capacit\u00e9 cardiorespiratoire et force musculaire), sur certains r\u00e9sultats cardiom\u00e9taboliques et sur la sant\u00e9 osseuse. Par cons\u00e9quent, dans ce contexte particulier, le message ne doit pas \u00eatre ax\u00e9 uniquement sur la perte de poids, mais aussi sur l'am\u00e9lioration de la sant\u00e9 globale et de la qualit\u00e9 de vie des patients. Une question importante est le co\u00fbt pour l'individu d'adopter un mode de vie plus actif physiquement et la mani\u00e8re d'augmenter l'adh\u00e9sion \u00e0 long terme.<\/p>\n
Le Dr Battista, de l'universit\u00e9 de Padoue, a soulign\u00e9 l'importance des tests d'effort cardiopulmonaire dans le cadre de l'\u00e9valuation multidisciplinaire des personnes ob\u00e8ses et a insist\u00e9 sur le r\u00f4le essentiel des tests de capacit\u00e9 cardiorespiratoire en tant que marqueurs pronostiques et diagnostiques. En outre, elle a donn\u00e9 un aper\u00e7u des limitations ventilatoires, cardiovasculaires et p\u00e9riph\u00e9riques sp\u00e9cifiques d\u00e9tectables gr\u00e2ce aux tests d'effort cardiopulmonaire chez les personnes ob\u00e8ses et a soulign\u00e9 qu'une prescription d'exercice personnalis\u00e9e, seule ou associ\u00e9e \u00e0 un traitement di\u00e9t\u00e9tique, pharmacologique et chirurgical, peut am\u00e9liorer la capacit\u00e9 cardiorespiratoire et les limitations fonctionnelles chez les personnes ob\u00e8ses, en abordant le traitement au-del\u00e0 de la perte de poids.<\/p>\n
Mari-Mette Graf, de la Coalition europ\u00e9enne pour les personnes vivant avec l'ob\u00e9sit\u00e9, a encourag\u00e9 les participants \u00e0 discuter et \u00e0 soutenir l'activit\u00e9 physique avec leurs patients, concluant qu'une approche holistique est primordiale pour traiter et g\u00e9rer l'ob\u00e9sit\u00e9.<\/p>\n
\u201c Les personnes ob\u00e8ses ne se r\u00e9sument pas \u00e0 un chiffre sur la balance ou \u00e0 leur tension art\u00e9rielle. Nous avons tous notre histoire, chacun est unique, mais tr\u00e8s souvent, le poids de la stigmatisation d\u00e9passe celui indiqu\u00e9 sur la balance. L'activit\u00e9 physique peut \u00eatre consid\u00e9r\u00e9e comme un outil permettant aux personnes ob\u00e8ses de passer de la honte et de la souffrance \u00e0 une version plus forte d'elles-m\u00eames. Lorsque nous nous engageons et que nous nous \u00e9mancipons \u00e0 travers ce processus, nous en tirons des b\u00e9n\u00e9fices physiques et psychologiques. \u201d.<\/p><\/blockquote>","protected":false},"excerpt":{"rendered":"
The Physical Activity, Fitness and Function Working Group of the European Association for the Study of Obesity (EASO-PAFF) hosted an incredibly popular session at the 31st European Congress on Obesity in Venice, Italy. The scientific session was a collaboration between the European Association for the Study of Obesity and the European Coalition for People Living […]<\/p>\n","protected":false},"author":9,"featured_media":125811,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[68,152],"tags":[],"class_list":["post-125803","post","type-post","status-publish","has-post-thumbnail","hentry","category-eco","category-education"],"yoast_head":"\n
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