Gordura abdominal e vitamina D baixa dobram o risco de morte após os 50 anos – R7 Entretenimento

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• Estudo da Fapesp revela que gordura abdominal e deficiência de vitamina D dobram o risco de morte após os 50 anos.

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• Combinação desses fatores está associada a doenças cardiovasculares e metabólicas, aumentando a mortalidade.

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• Endocrinologista Luciana Naves destaca que esses fatores devem ser avaliados juntos, mas a pesquisa não comprova causa e efeito.

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• Redução da gordura visceral é a principal estratégia para diminuir o risco cardiometabólico e a mortalidade.

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Produzido pela Ri7a – a Inteligência Artificial do R7

\n\n\n”},{“subtype”:”formatted_image”,”_id”:”VSBBJWRTXJCWDMQC5DFRW73V7U”,”embed”:{“id”:”custom_powerup_1785522912041″,”config”:{“imageFormat”:”small”,”imageId”:”OF2I3UAINNDJDEXIUG6NGZHSRM”},”url”:”/”},”type”:”custom_embed”},{“_id”:”DXTROTPHL5DH3PV2LZKVYP35WI”,”additional_properties”:{},”type”:”text”,”content”:”A gordura acumulada na região abdominal já é conhecida por aumentar o risco de diabetes, hipertensão, doenças cardiovasculares e diversos outros problemas de saúde.”},{“_id”:”SOY7XMTB6VAITPMOEJLLFAY2HM”,”additional_properties”:{},”type”:”text”,”content”:”Agora, um estudo divulgado pela Fundação de Amparo à Pesquisa do Estado de São Paulo (Fapesp) mostra que, quando esse excesso de gordura está associado à deficiência de vitamina D, o risco de morte após os 50 anos mais do que dobra.”},{“_id”:”BN4MJORJ7RE55BGXHA4JPM32IQ”,”additional_properties”:{},”type”:”text”,”content”:”A pesquisa identificou que a combinação desses dois fatores está relacionada a um aumento significativo da mortalidade, principalmente por doenças cardiovasculares e metabólicas. Mas isso não significa que tomar suplementos de vitamina D, isoladamente, seja suficiente para reduzir esse risco.”},{“subtype”:”article_list”,”_id”:”JVC5WZIBPFCYXL7IVL2GA3FOTQ”,”embed”:{“id”:”custom_powerup_1785522966962″,”config”:{“listSubtype”:”see”,”articles”:[{“subtype”:””,”headlines”:{“basic”:”Canetas contra obesidade aumentam procura por exames e reduzem o estigma da doença”},”_id”:”2KWOPR7R3FFO5PWJBS32BGUGO4″,”additional_properties”:{},”taxonomy”:{“primary_section”:{“name”:”Obesidade sem Tabu”}},”canonical_url”:”/vivaavida/prisma/obesidade-sem-tabu/canetas-contra-obesidade-aumentam-procura-por-exames-e-reduzem-o-estigma-da-doenca-23072026/”,”promo_items”:{“basic”:{“auth”:{“1″:”870105c797617555730e097a3f5257f7d5f563aa31b3d8095c611155e7d2dc65″},”width”:1280,”_id”:”CKCRI2TFPVH5ZCJ7NC2AKRQKYM”,”type”:”image”,”url”:”https://cloudfront-us-east-1.images.arcpublishing.com/newr7/CKCRI2TFPVH5ZCJ7NC2AKRQKYM.jpeg”,”height”:853}},”type”:”story”,”canonical_website”:”entretenimento”},{“subtype”:””,”headlines”:{“basic”:”Seis em cada dez pessoas com hipertensão estão acima do peso; entenda por quê”},”_id”:”OCL7FOMS4VDIBDWQLKBOABDM44″,”additional_properties”:{},”taxonomy”:{“primary_section”:{“name”:”Obesidade sem Tabu”}},”canonical_url”:”/vivaavida/prisma/obesidade-sem-tabu/seis-em-cada-dez-pessoas-com-hipertensao-estao-acima-do-peso-entenda-por-que-08072026/”,”promo_items”:{“basic”:{“auth”:{“1″:”83376c2ace8fa9e94191af685b510a401a05d49ffc98590cf4d9166b57d9f5a9″},”width”:1536,”_id”:”LXJFJS52FRFTDOV4O2VGTT2XJQ”,”type”:”image”,”url”:”https://cloudfront-us-east-1.images.arcpublishing.com/newr7/LXJFJS52FRFTDOV4O2VGTT2XJQ.jpeg”,”height”:1024}},”type”:”story”,”canonical_website”:”entretenimento”},{“subtype”:””,”headlines”:{“basic”:”Quanto custa a obesidade ao Brasil? Estudo revela impacto de R$ 44,6 bilhões em um único ano”},”_id”:”RW7MHTBYIZBI5LFCPPVGIMIRFE”,”additional_properties”:{},”taxonomy”:{“primary_section”:{“name”:”Obesidade sem Tabu”}},”canonical_url”:”/vivaavida/prisma/obesidade-sem-tabu/quanto-custa-a-obesidade-ao-brasil-estudo-revela-impacto-de-r-446-bilhoes-em-um-unico-ano-25062026/”,”promo_items”:{“basic”:{“auth”:{“1″:”0e1b8c25599a27e962d5f0161f760a3165f0ef0d95b98bf3ff780af379b9393c”},”width”:1600,”_id”:”U6K3WTXXPFGEPPVRW2HXZ22GSQ”,”type”:”image”,”url”:”https://cloudfront-us-east-1.images.arcpublishing.com/newr7/U6K3WTXXPFGEPPVRW2HXZ22GSQ.jpeg”,”height”:863}},”type”:”story”,”canonical_website”:”entretenimento”}]},”url”:”/”},”type”:”custom_embed”},{“_id”:”5UHAWOJCCZGM5FVUB3TPLJZAXY”,”additional_properties”:{},”type”:”text”,”content”:”Segundo a endocrinologista Luciana Naves, coordenadora do Comitê de Endocrinologia da Sociedade Brasileira de Patologia Clínica e Medicina Laboratorial (SBPC/ML), o principal recado do estudo é que obesidade abdominal e deficiência de vitamina D não devem ser avaliadas separadamente.”},{“_id”:”JQ576BN5VZCD7NWN334D6CU6QI”,”additional_properties”:{},”type”:”text”,”content”:”“A associação entre obesidade abdominal e deficiência de vitamina D identifica um grupo de indivíduos com risco significativamente mais elevado de mortalidade, especialmente por doenças cardiovasculares e metabólicas. Esses dois fatores parecem exercer efeitos biológicos complementares sobre a inflamação crônica, a resistência à insulina, a disfunção endotelial e o envelhecimento vascular”, explica.”},{“_id”:”B2M7GILPJRFONKBLI7IAQV5ZHI”,”additional_properties”:{},”type”:”text”,”content”:”A médica faz, no entanto, uma ressalva importante. Como a pesquisa é observacional, ela demonstra uma associação entre os fatores, mas não comprova uma relação direta de causa e efeito.”},{“_id”:”M37VFUPRCRF7TFNHNVDTFWVSIY”,”additional_properties”:{},”type”:”text”,”content”:”“Ainda não existem evidências de que apenas corrigir a deficiência de vitamina D seja capaz de reduzir a mortalidade”, afirma.”},{“level”:2,”_id”:”I74LS4F7GBFMHBTAGQIFPWUTZU”,”additional_properties”:{},”type”:”header”,”content”:”Por que a gordura da barriga é mais perigosa?”},{“_id”:”LBPJYGU7JZA7ZNMV3WFPFIXQRY”,”additional_properties”:{},”type”:”text”,”content”:”Nem toda gordura corporal representa o mesmo risco para a saúde.”},{“subtype”:”formatted_image”,”_id”:”H3VZOL7SPNHKZM5P626ZDXIRAY”,”embed”:{“id”:”custom_powerup_1785523458485″,”config”:{“imageFormat”:”extra-small”,”imageId”:”WKE6ZTXI5FDIFJCXQI723C6IUI”},”url”:”/”},”type”:”custom_embed”},{“_id”:”UXMBX5J5IRBXNEROMZWP4SG7VM”,”additional_properties”:{},”type”:”text”,”content”:”A gordura visceral, que se acumula ao redor dos órgãos na região abdominal, apresenta elevada atividade metabólica e endócrina. Diferentemente da gordura localizada logo abaixo da pele, ela libera grandes quantidades de substâncias inflamatórias e hormônios que alteram o funcionamento do organismo.”},{“_id”:”4QDGUJJG2BEOLLIX3QMFG7GFE4″,”additional_properties”:{},”type”:”text”,”content”:”Segundo Luciana Naves, esse tecido produz ácidos graxos livres, citocinas inflamatórias, como TNF-alfa e interleucina-6, além de adipocinas relacionadas à resistência à insulina.”},{“_id”:”XZAVJ7L2LNFDZHUNHRWAKUB7ZA”,”additional_properties”:{},”type”:”text”,”content”:”Esses mediadores mantêm o organismo em um estado de inflamação crônica de baixo grau, favorecendo o desenvolvimento de doenças como diabetes tipo 2, hipertensão arterial, dislipidemia, doença hepática gordurosa associada à disfunção metabólica (MASLD), doença arterial coronariana, acidente vascular cerebral (AVC) e alguns tipos de câncer.”},{“level”:2,”_id”:”4XAOSPRNLVGUVGNC6QVENNC4MM”,”additional_properties”:{},”type”:”header”,”content”:”Existe relação entre obesidade e vitamina D baixa?”},{“_id”:”EWJD3TC2QBBJHPULTBVPN6D2UQ”,”additional_properties”:{},”type”:”text”,”content”:”Sim.”},{“_id”:”YWNBXEKNERFL7JI2AIXT3BZ3XQ”,”additional_properties”:{},”type”:”text”,”content”:”Diversos estudos mostram que pessoas com obesidade apresentam maior prevalência de deficiência de vitamina D, principalmente quando existe acúmulo importante de gordura visceral.”},{“_id”:”3TQLKIE77FEBFGVI5DZXTKXD7A”,”additional_properties”:{},”type”:”text”,”content”:”Segundo a endocrinologista, essa associação pode ser explicada por diferentes mecanismos.”},{“_id”:”3CSNEVROK5D6HA3HQS3G3E42WQ”,”additional_properties”:{},”type”:”text”,”content”:”Como a vitamina D é lipossolúvel, parte dela fica armazenada no tecido adiposo, reduzindo sua disponibilidade na circulação. Além disso, pessoas com obesidade costumam apresentar menor exposição ao sol, praticar menos atividade física ao ar livre e ter maior frequência de esteatose hepática, condição que também pode interferir no metabolismo da vitamina.”},{“level”:2,”_id”:”PTLBRHJIORETZAI7TUSGKQM2VA”,”additional_properties”:{},”type”:”header”,”content”:”A falta de vitamina D costuma dar sintomas?”},{“_id”:”B4XQEF4NGJBAZHZLMS5XFYJWXU”,”additional_properties”:{},”type”:”text”,”content”:”Na maioria das vezes, não.”},{“_id”:”NIH2KC3UH5FYJJWY2E3W5TBEPQ”,”additional_properties”:{},”type”:”text”,”content”:”“A deficiência de vitamina D costuma ser assintomática. Portanto, não é possível identificá-la apenas pelos sintomas”, explica Luciana Naves.”},{“_id”:”PMEEWFQLCZE57LTKP2XJSI5U2M”,”additional_properties”:{},”type”:”text”,”content”:”Quando eles aparecem, costumam ser inespecíficos, como fadiga, fraqueza muscular, dores musculares, dores ósseas e maior risco de quedas entre idosos.”},{“_id”:”LJEG6UHAJ5AFVAE6DLT5TPLFQI”,”additional_properties”:{},”type”:”text”,”content”:”Nos casos mais graves e prolongados, podem surgir osteomalácia e alterações importantes do metabolismo ósseo.”},{“_id”:”JH6OFU33B5D6REGR5MMUJ6YZ4A”,”additional_properties”:{},”type”:”text”,”content”:”Por isso, as principais diretrizes internacionais não recomendam a dosagem da vitamina D para toda a população.”},{“_id”:”3ULTGAJW4FGYHCCP53J7HNKB7A”,”additional_properties”:{},”type”:”text”,”content”:”O exame costuma ser indicado apenas para pessoas que apresentam maior risco de deficiência, como pacientes com osteoporose, doenças que provocam má absorção intestinal, doença renal crônica, hiperparatireoidismo, idosos institucionalizados e pessoas submetidas à cirurgia bariátrica.”},{“level”:2,”_id”:”DOEQNCM4MFH6PF7AUBROVHJMLE”,”additional_properties”:{},”type”:”header”,”content”:”Quem tem obesidade deve fazer exame de vitamina D?”},{“_id”:”HJ2FODRZCBC4HGOVDDTBQB3RGY”,”additional_properties”:{},”type”:”text”,”content”:”Não necessariamente.”},{“_id”:”JRFGIKEJSRAIHEIN2TF55PAZEE”,”additional_properties”:{},”type”:”text”,”content”:”Apesar de pessoas com obesidade apresentarem maior risco de deficiência da vitamina, a obesidade, isoladamente, não é considerada indicação obrigatória para a dosagem rotineira.”},{“_id”:”CBY4VIZBGVFQVM64LZX54QKR3Y”,”additional_properties”:{},”type”:”text”,”content”:”Segundo Luciana Naves, alguns especialistas defendem a avaliação em pacientes com obesidade grave ou quando existem outros fatores de risco associados, mas essa decisão deve ser individualizada.”},{“_id”:”XKJ5BIHICVAQRPC7QEKHGKTG4I”,”additional_properties”:{},”type”:”text”,”content”:”O mesmo vale para a suplementação.”},{“_id”:”NL2RK3H4XNAH5ESMBQBVJK7OFA”,”additional_properties”:{},”type”:”text”,”content”:”“A reposição deve ser baseada em evidências clínicas e laboratoriais”, explica.”},{“_id”:”YWLVGKL52NC4XPPMLWRM6TKJDM”,”additional_properties”:{},”type”:”text”,”content”:”Ela é indicada principalmente quando existe deficiência laboratorial confirmada, osteoporose ou alto risco de fraturas, osteomalácia, doenças que causam má absorção intestinal, pacientes submetidos à cirurgia bariátrica ou pessoas que utilizam medicamentos capazes de alterar o metabolismo da vitamina D.”},{“_id”:”R6ELLRO2F5DZBM6NCHZ6XJDN2E”,”additional_properties”:{},”type”:”text”,”content”:”A endocrinologista lembra que grandes estudos clínicos não demonstraram benefícios consistentes da suplementação indiscriminada de vitamina D na prevenção de doenças cardiovasculares, câncer ou redução da mortalidade em pessoas sem deficiência comprovada.”},{“level”:3,”_id”:”L32DYCB2TRHJFK6ZVKVUF4XHS4″,”additional_properties”:{},”type”:”header”,”content”:”O que realmente reduz esse risco?”},{“_id”:”JBAOOLRXZFAU3BCSFWXW35WSXY”,”additional_properties”:{},”type”:”text”,”content”:”Se a combinação entre gordura abdominal e deficiência de vitamina D aumenta o risco de mortalidade, qual deve ser a prioridade no tratamento?”},{“_id”:”NERFFDNC6ZBLNLRFZMHPQEGONY”,”additional_properties”:{},”type”:”text”,”content”:”Segundo a endocrinologista, as evidências científicas atuais mostram que a redução da gordura visceral continua sendo a estratégia com maior impacto comprovado na diminuição do risco cardiometabólico e da mortalidade.”},{“_id”:”ENDHQUWJCRD6HFBUUETIM4QBHI”,”additional_properties”:{},”type”:”text”,”content”:”“A perda de peso promove melhora da resistência à insulina, reduz a inflamação sistêmica, melhora a pressão arterial, o perfil lipídico e a esteatose hepática, diminuindo o risco cardiovascular”, afirma.”},{“_id”:”7WRRXVSNH5FLRAAIR4SWGGRBIE”,”additional_properties”:{},”type”:”text”,”content”:”Isso não significa que a deficiência de vitamina D deva ser ignorada. Quando confirmada, ela também deve ser tratada. No entanto, quando os dois problemas coexistem, a prioridade deve ser reduzir a gordura abdominal.”},{“_id”:”5ISZZ47M5RFGHBUOHAETWTBSO4″,”additional_properties”:{},”type”:”text”,”content”:”As estratégias com maior respaldo científico incluem alimentação baseada no padrão mediterrâneo ou em dietas hipocalóricas individualizadas, prática regular de atividade física aeróbica e treinamento de força, sono adequado, tratamento medicamentoso da obesidade quando indicado — como os agonistas do receptor de GLP-1 e os agonistas duplos GIP/GLP-1 — e cirurgia metabólica para pacientes elegíveis.”},{“_id”:”DXCQP7MDGNHCTDUEADFBCBAOE4″,”additional_properties”:{},”type”:”text”,”content”:”Já a reposição de vitamina D deve ser realizada apenas quando houver deficiência comprovada ou outra indicação clínica estabelecida.”},{“_id”:”HYNYALD6NNEMNODE25J62TKQYQ”,”additional_properties”:{},”type”:”text”,”content”:”Segundo Luciana Naves, essa abordagem integrada é a que reúne as melhores evidências para reduzir o risco cardiometabólico e aumentar a sobrevida.”},{“_id”:”QURM5ZI7EJDPHPRPI5AJR5CUPY”,”additional_properties”:{},”type”:”text”,”content”:”O estudo reforça que gordura abdominal e deficiência de vitamina D representam uma combinação de maior risco para a saúde. Mas também deixa uma mensagem importante: não existe um nutriente ou suplemento capaz de compensar os efeitos da obesidade visceral.”},{“_id”:”45UCVEPAX5EH7MP75TO7LPA33Y”,”additional_properties”:{},”type”:”text”,”content”:”Até o momento, a estratégia mais eficaz para reduzir o risco de doenças e aumentar a expectativa de vida continua sendo o tratamento da obesidade, associado à correção da deficiência de vitamina D quando ela realmente estiver presente.”},{“_id”:”BWFMSKGEIBFNFCTSKWHYDRZOB4″,”type”:”raw_html”,”content”:”\n\n

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Impactos na vida real e muito mais! Acesse e confira!”,”seo_tags”:[“obesidade”,”obesidade sem tabu”,”Mariana Verdelho”,”R7″,”saúde”,”impacto obesidade”],”seo_title”:”Obesidade Sem Tabu: Mariana Verdelho no R7″,”title_hotsite”:null}}},”_website_section_id”:”entretenimento./vivaavida/prisma/obesidade-sem-tabu”,”type”:”section”,”version”:”0.6.0″}}},”created_date”:”2026-04-08T19:15:27.982Z”,”publish_date”:”2026-04-10T05:00:00Z”,”_id”:”3VKW4VRYYRFZLMZR35RZZO32MU”,”website”:”entretenimento”,”website_url”:”/vivaavida/prisma/obesidade-sem-tabu/obesidade-na-gestacao-quando-a-gordofobia-se-torna-mais-um-risco-a-saude-09042026/”},{“content_elements”:[{“subtype”:”formatted_image”,”_id”:”4IRAUAAAVBFXPKSZGIG4NKYPOE”,”embed”:{“id”:”custom_powerup_1775066389413″,”config”:{“imageFormat”:”small”,”imageId”:”5KYTZVZTFNGKXOKXZLE5LRGKFE”},”url”:”/”},”type”:”custom_embed”},{“_id”:”W7BSZCFBIJCMTFN6BOR22POYWA”,”additional_properties”:{},”type”:”text”,”content”:”Com a chegada da Páscoa, vem também uma dúvida muito comum — especialmente para quem vive com obesidade ou está tentando melhorar a saúde metabólica: vale mais a pena escolher chocolate zero açúcar ou o tradicional?”},{“_id”:”ZX6OVSX7VBFUZOM7FGB65O6N2I”,”additional_properties”:{},”type”:”text”,”content”:”A resposta, como quase tudo quando falamos de nutrição, não é tão simples — e pode surpreender.”},{“_id”:”UOCN3I2GPZHJFJLZOPXAN6TFAE”,”additional_properties”:{},”type”:”text”,”content”:”Para esclarecer esse dilema, conversei com a nutricionista Cinthia Taglieri, que explica por que focar apenas no “sem açúcar” pode ser um erro.”},{“subtype”:”formatted_image”,”_id”:”PTAM2FUQM5CTJAKDMROPRPBNSM”,”embed”:{“id”:”custom_powerup_1775066600474″,”config”:{“imageFormat”:”small”,”imageId”:”Q7WWI2VG3BGP7IMEWAZORFGV7I”,”creditIPTC”:”ARQUIVO PESSOAL”,”caption”:”A nutricionista Cinthia Taglieri revela que retirar o açúcar não torna automaticamente o alimento mais saudável.”},”url”:”/”},”type”:”custom_embed”},{“level”:3,”_id”:”B7GMIQ6YBNDRRGYQ5SLO3O3ELY”,”additional_properties”:{},”type”:”header”,”content”:”Açúcar ou gordura: quem é o verdadeiro vilão?”},{“_id”:”F3N6OVX2AFELPHU2ZAPJCREASQ”,”additional_properties”:{},”type”:”text”,”content”:”Existe uma tendência de colocar o áçucar como vilão — e, de fato, ele merece atenção. Mas ele não está sozinho.”},{“_id”:”7J7DJOYCLJGLDIA3KHLORLUPU4″,”additional_properties”:{},”type”:”text”,”content”:”Segundo a nutricionista, quando falamos em saúde metabólica, tanto o excesso de açúcar quanto o de gordura saturada podem ser prejudiciais. O impacto depende da quantidade consumida e do padrão alimentar como um todo.”},{“_id”:”5U6RPICKDRCGLJ2EQWHWSSSXQ4″,”additional_properties”:{},”type”:”text”,”content”:”O excesso de açúcar, principalmente vindo de ultraprocessados e bebidas açucaradas, está diretamente ligado ao ganho de peso, ao acúmulo de gordura abdominal e à resistência à insulina.”},{“_id”:”55A25ZOS2FEGTHFNTLSJPCCILA”,”additional_properties”:{},”type”:”text”,”content”:”Já a gordura saturada, quando consumida em excesso, especialmente em produtos industrializados, pode aumentar o colesterol LDL e o risco cardiovascular.”},{“_id”:”2ZPRZYNNF5GXLBFGEORFESKWMM”,”additional_properties”:{},”type”:”text”,”content”:”Ou seja, não existe um único vilão. Existe um contexto alimentar desequilibrado.”},{“level”:3,”_id”:”SYUBQ7WXHBC7NH3HKSXMMUPTBY”,”additional_properties”:{},”type”:”header”,”content”:”“Zero açúcar” é mais saudável mesmo?”},{“_id”:”ZMD6HG7LEFEOFHBLBAFZVS4LCE”,”additional_properties”:{},”type”:”text”,”content”:”Aqui entra um ponto importante — e pouco falado.”},{“_id”:”LRDKDLPZRJF63JFFQBPP2U27EY”,”additional_properties”:{},”type”:”text”,”content”:”Produtos “zero açúcar” muitas vezes parecem automaticamente melhores. Mas nem sempre são.”},{“_id”:”PGXMY3WKVNFZHIE5PBRLBW6SK4″,”additional_properties”:{},”type”:”text”,”content”:”De acordo com a nutricionista, muitas vezes isso pode ser mais marketing do que benefício real. O açúcar é retirado, mas entram outros ingredientes, como gorduras e aditivos, para manter sabor e textura.”},{“_id”:”YHLV74GBYRB7HM75CKURDAMQDA”,”additional_properties”:{},”type”:”text”,”content”:”Na prática, isso significa que o produto pode ter calorias semelhantes ou até maiores, além de conter mais gordura saturada, mesmo sendo percebido como uma escolha mais saudável.”},{“level”:3,”_id”:”RCLYM4YF3VETZH7XDP2Z7QECPQ”,”additional_properties”:{},”type”:”header”,”content”:”Tirar o açúcar e aumentar a gordura anula o benefício?”},{“_id”:”BVDQ7I2LN5BVJBBUSQC4OSEVGM”,”additional_properties”:{},”type”:”text”,”content”:”Em muitos casos, sim — ou pelo menos reduz bastante.”},{“_id”:”QQJMH3SXNVDETOJW6N7DX3R5UY”,”additional_properties”:{},”type”:”text”,”content”:”Retirar o açúcar não torna automaticamente o alimento mais saudável. É preciso avaliar o rótulo, a composição e também a frequência de consumo.”},{“_id”:”X5XOU2XGXJAZTNL77RIXZDSC6I”,”additional_properties”:{},”type”:”text”,”content”:”Existem exceções, como algumas geleias zero açúcar que não têm adição de gordura e utilizam o dulçor da própria fruta. Mas o problema aparece quando essa troca cria uma falsa sensação de segurança alimentar.”},{“level”:3,”_id”:”JZ3GGYRHPZBARLHOJAFMOFCIT4″,”additional_properties”:{},”type”:”header”,”content”:”Para quem tem obesidade: o que priorizar?”},{“_id”:”FJ6LS5UGFNGR7E6NNGCVWMNLYM”,”additional_properties”:{},”type”:”text”,”content”:”Se a dúvida é por onde começar, a resposta é mais direta.”},{“_id”:”DMDGVLBL5JDXBPQTR7ZWVPG6ZM”,”additional_properties”:{},”type”:”text”,”content”:”Reduzir o consumo de açúcar é um passo importante, principalmente quando ele vem de doces, refrigerantes e ultraprocessados.”},{“_id”:”L2WT3ODHX5C3ZMV62HG576RY2Y”,”additional_properties”:{},”type”:”text”,”content”:”Esses alimentos facilitam o consumo excessivo de calorias, aumentam a fome e favorecem o acúmulo de gordura corporal.”},{“_id”:”DY7YZYVVWBFGXLPTGI5BZCMQPY”,”additional_properties”:{},”type”:”text”,”content”:”Na prática, ao reduzir esses produtos, muitas vezes também ocorre uma redução na ingestão de gordura saturada, já que os ultraprocessados costumam concentrar ambos.”},{“level”:3,”_id”:”B3WTSZCARZES7LRBTCG2MSULD4″,”additional_properties”:{},”type”:”header”,”content”:”Adoçantes: ajudam ou atrapalham?”},{“_id”:”WHB5IPPWABDCDOUTZXKGAK3YWM”,”additional_properties”:{},”type”:”text”,”content”:”Os adoçantes, comuns em produtos zero açúcar, podem ser aliados quando usados com moderação.”},{“_id”:”5QBMZVQVUVCDJBLNUAAHDCMZZA”,”additional_properties”:{},”type”:”text”,”content”:”Eles ajudam a reduzir a ingestão de açúcar e calorias, sendo úteis para quem busca emagrecimento ou controle glicêmico. No entanto, o consumo excessivo pode causar desconfortos intestinais, como gases, e possíveis alterações na microbiota.”},{“_id”:”NJXWIIG3GBEMZHFL3Z23VNCE6E”,”additional_properties”:{},”type”:”text”,”content”:”Ou seja, não são vilões, mas também não devem ser consumidos sem limite.”},{“level”:3,”_id”:”D7LSW2AQDFGXPDICAJKDR2ODBI”,”additional_properties”:{},”type”:”header”,”content”:”E no longo prazo: quem pesa mais no risco cardiovascular?”},{“_id”:”XZWGKF4YOZDW7DQ4NKX3HEC74I”,”additional_properties”:{},”type”:”text”,”content”:”Ambos têm impacto, mas por mecanismos diferentes.”},{“_id”:”NND63RQ34VFFBB3EBFDKWXOCCU”,”additional_properties”:{},”type”:”text”,”content”:”A gordura saturada está mais diretamente associada ao aumento do colesterol LDL, um fator importante para doenças cardiovasculares.”},{“_id”:”VDJVS6VRHREWPNTCXJIBS3QDJM”,”additional_properties”:{},”type”:”text”,”content”:”Já o excesso de açúcar contribui de forma indireta, favorecendo o ganho de peso, a resistência à insulina, o diabetes e o aumento dos triglicérides.”},{“_id”:”Z2VNC7ATTBGP5OTCQ2Q5APHFAE”,”additional_properties”:{},”type”:”text”,”content”:”No final, os dois influenciam negativamente o risco cardiovascular.”},{“level”:3,”_id”:”YU76SD7OIFAPXH5H3YHQD2LU7I”,”additional_properties”:{},”type”:”header”,”content”:”Então… chocolate diet ou normal?”},{“_id”:”G63UIQRQMRDB7DOZQTXRL4PJU4″,”additional_properties”:{},”type”:”text”,”content”:”Agora sim, a pergunta principal.”},{“_id”:”V3KCD77LIZDFPFPNELNOLVFELM”,”additional_properties”:{},”type”:”text”,”content”:”Se você já reduziu o consumo de açúcar, a melhor escolha não é necessariamente o chocolate diet.”},{“_id”:”YSM6P6ETYVD6VPFIBBW3UOIBFQ”,”additional_properties”:{},”type”:”text”,”content”:”A recomendação é priorizar chocolates com maior concentração de cacau, como 60% ou 70% ou mais. Esses chocolates são mais puros, possuem maior teor de antioxidantes e costumam promover mais saciedade, o que ajuda no controle das porções.”},{“_id”:”3GZW6YNZHZE7DIWXSO63MYTLNI”,”additional_properties”:{},”type”:”text”,”content”:”Na prática, isso significa que nem o chocolate ao leite tradicional nem o zero açúcar ultraprocessado são, isoladamente, a melhor escolha.”},{“_id”:”ZXHMCKBN5BBAJPBBODGUEOBJSM”,”additional_properties”:{},”type”:”text”,”content”:”Existe um ponto que vale mais do que qualquer rótulo: a quantidade e a frequência dentro de uma alimentação equilibrada.”},{“_id”:”KXXWE5IAIVFGNGI6T62O32AYDQ”,”additional_properties”:{},”type”:”text”,”content”:”Saúde metabólica não depende de um único alimento, mas do padrão alimentar ao longo do tempo.”},{“_id”:”AXWLDG7SF5DDXGQ6W2VLPLDSRM”,”additional_properties”:{},”type”:”text”,”content”:”Antes de escolher entre diet ou normal, vale refletir:”},{“_id”:”SBCBD6DSENB5FI2U3BF2J2FEZY”,”additional_properties”:{},”type”:”text”,”content”:”Esse alimento é mais natural ou ultraprocessado? Qual quantidade eu realmente vou consumir? Essa escolha me traz saciedade ou me faz querer mais?”},{“_id”:”RURJVRCMPVG3PJ3PZW4HRLVKTU”,”additional_properties”:{},”type”:”text”,”content”:”Mas, acima de tudo, vale lembrar: comida não precisa ser um lugar de culpa.”},{“_id”:”556C2W5BVZAPDIMIDKNCLPS7IA”,”additional_properties”:{},”type”:”text”,”content”:”Se você vive com obesidade, já existe cobrança demais em cima das suas escolhas. 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Se identificou com o efeito sanfona, talvez o problema não seja falta de disciplina — mas sim estratégia.”},{“_id”:”L7LNAV4UR5E7JK7D6HZ5UZUSMM”,”additional_properties”:{},”type”:”text”,”content”:”E é aqui que entra a nutrição de precisão. Você já ouviu falar?”},{“_id”:”FCOBGQLHPNGU7OJKQ6CBTXQBYQ”,”additional_properties”:{},”type”:”text”,”content”:”Essa abordagem vem ganhando espaço como uma alternativa no tratamento da obesidade — principalmente para quem sente que já tentou de tudo, mas nada funciona de forma duradoura.”},{“_id”:”VJ4Z4CYLFZGU5IJCMGRDR3R4SA”,”additional_properties”:{},”type”:”text”,”content”:”Para entender melhor, conversei com a nutricionista Nicolle Albanezi, que trabalha com esse olhar mais individualizado sobre o emagrecimento.”},{“subtype”:”formatted_image”,”_id”:”VUJSOZANZRCMLOJTY24P6PDUHQ”,”embed”:{“id”:”custom_powerup_1774538353376″,”config”:{“imageFormat”:”small”,”imageId”:”IFW4IML4TNE23DRAXWEWU5DLVI”},”url”:”/”},”type”:”custom_embed”},{“_id”:”TE6RKGTGQ5CDDMXEQ7SFD5VFXI”,”additional_properties”:{},”type”:”text”,”content”:”A nutrição de precisão parte de um princípio simples, mas poderoso: cada corpo responde de um jeito. Em vez de seguir dietas padronizadas, ela busca adaptar a estratégia ao perfil biológico e clínico de cada pessoa. Isso inclui fatores como genética, microbiota intestinal, metabolismo, rotina, comportamento alimentar, sono, atividade física e histórico de saúde.”},{“_id”:”5FX2CGHS6FF7PMHLNKROZ6VOFA”,”additional_properties”:{},”type”:”text”,”content”:”E isso ajuda a responder uma dúvida muito comum: por que duas pessoas podem seguir exatamente a mesma dieta e ter resultados completamente diferentes?”},{“_id”:”AOH3KSXO6FFQ3CDCT7ZR4ZQUFE”,”additional_properties”:{},”type”:”text”,”content”:”Segundo Nicolle Albanezi, o emagrecimento não depende só de “comer menos”. Ele é influenciado por uma combinação de fatores — gasto energético, saciedade, sensibilidade à insulina, composição corporal, qualidade do sono, níveis de estresse, uso de medicamentos, histórico de dietas e até a microbiota intestinal. Ou seja, não é sobre falta de força de vontade. É sobre como o seu corpo responde.”},{“_id”:”E4RDDTFIKVADDL52X7FRCJDCKE”,”additional_properties”:{},”type”:”text”,”content”:”Quando falamos dos fatores biológicos, três pilares se destacam: metabolismo, genética e microbiota. O metabolismo costuma impactar mais no curto prazo, regulando fome, saciedade e o gasto de energia. A genética entra como uma base de predisposição — por exemplo, maior tendência a ganhar peso ou alterações na saciedade. Já a microbiota intestinal pode influenciar inflamação, digestão, apetite e resposta metabólica. No fim, não é um fator isolado, mas a interação entre todos eles que define os resultados.”},{“_id”:”ETDTTW3G2ZBXJKJ4FDDYBM573U”,”additional_properties”:{},”type”:”text”,”content”:”Mas como isso tudo é avaliado?”},{“_id”:”UQF6I4XPSNB2FAO5KYQE5VJXNE”,”additional_properties”:{},”type”:”text”,”content”:”Hoje, a nutrição de precisão pode incluir diferentes tipos de exames. Entre eles estão os testes genéticos (ou nutrigenéticos), que analisam variantes associadas a predisposições do organismo. E aqui entra um ponto importante: esses exames são bastante completos. Eles podem trazer dados sobre risco de doenças crônicas não transmissíveis, metabolismo de vitaminas e minerais, intolerâncias e sensibilidades alimentares, longevidade, capacidade de eliminação de toxinas, resposta inflamatória, doença inflamatória intestinal, saúde hormonal e até desempenho esportivo.”},{“_id”:”OTEHTWHXF5EAPIT32OJC3RSROU”,”additional_properties”:{},”type”:”text”,”content”:”Na prática, são analisadas diferentes variantes genéticas que se expressam em relação a cada um desses temas. A partir dos resultados, o profissional consegue entender predisposições e trabalhar a conduta, pensando em modular positivamente essa expressão gênica.”},{“_id”:”6CNSHGLGSBC5BPWMGVXDOLPXFY”,”additional_properties”:{},”type”:”text”,”content”:”Mas é essencial deixar claro: genética não é destino.”},{“_id”:”P425ZJEGQRFBLBQFT6UJUU2FNM”,”additional_properties”:{},”type”:”text”,”content”:”Ela tem impacto, sim — mas comportamento também tem. Alimentação, sono, atividade física, estresse e rotina continuam sendo determinantes. Por isso, esses exames não podem ser interpretados de forma isolada. Eles precisam ser integrados com exames de sangue, exames de imagem e, principalmente, com a história clínica do paciente.”},{“_id”:”WMIACMF76BCK3ENQAMP3JN5EJY”,”additional_properties”:{},”type”:”text”,”content”:”Aliás, esse é um dos pontos mais importantes da nutrição de precisão: o entendimento do todo. E isso traz complexidade. Por isso, o acompanhamento profissional é fundamental — para organizar prioridades, definir estratégias e tratar cada aspecto por etapas. Porque, acima do resultado de qualquer exame, existe a queixa do paciente e o momento atual que ele está vivendo.”},{“_id”:”3LVZYNMJUFBAFI2LGNLE3KLBHA”,”additional_properties”:{},”type”:”text”,”content”:”Além dos testes genéticos, também podem ser utilizados exames de microbioma intestinal. Eles avaliam a composição e o funcionamento das bactérias do intestino. Além disso, a metabolômica busca entender como o organismo está funcionando naquele momento, a partir de metabólitos ligados à energia, inflamação e estresse metabólico.”},{“_id”:”6UQZIBRPHJEBLEOLDPMKFZYEUA”,”additional_properties”:{},”type”:”text”,”content”:”E, claro, os exames laboratoriais tradicionais continuam sendo a base de tudo — como glicemia, insulina, hemoglobina glicada, colesterol, função hepática, vitaminas, ferritina e tireoide. São eles que mostram o quadro real do paciente.”},{“_id”:”NXIBERUID5HLFBKOOGXNYNTWRQ”,”additional_properties”:{},”type”:”text”,”content”:”E quanto custa tudo isso?”},{“_id”:”XO2VAFCIEFG3RG6X2HND3X473M”,”additional_properties”:{},”type”:”text”,”content”:”Os valores ainda são elevados. Exames de nutrigenética e microbioma começam em torno de R$ 2.000, enquanto a metabolômica pode chegar a cerca de R$ 3.000. Muitos podem ser feitos com coleta em casa, mas a maior parte dos laboratórios ainda está concentrada em São Paulo.”},{“_id”:”CRSANKFPR5EPDAO3TONXRWMIAM”,”additional_properties”:{},”type”:”text”,”content”:”Isso levanta uma questão importante: esses exames são necessários para todo mundo?”},{“_id”:”KOYJQUKX7VDMJGRCOFLMBAQK7M”,”additional_properties”:{},”type”:”text”,”content”:”A resposta é não. Para a maioria das pessoas, o básico bem feito ainda é o que sustenta os resultados: uma boa avaliação clínica, um plano alimentar viável, acompanhamento profissional e exames laboratoriais tradicionais. Os exames mais avançados costumam ser mais úteis em casos específicos — como dificuldade persistente de emagrecimento, sintomas gastrointestinais importantes ou respostas muito fora do padrão.”},{“_id”:”6AZCPQCYFNFWZFUNHQK4CKCYNY”,”additional_properties”:{},”type”:”text”,”content”:”E onde entra o efeito sanfona nisso tudo?”},{“_id”:”ZDJWWV6OCZHSPMTEIDFPZFS524″,”additional_properties”:{},”type”:”text”,”content”:”A nutrição de precisão pode ajudar a reduzir esse ciclo justamente porque diminui o erro e aumenta a adesão. Quando o plano leva em conta fome, saciedade, rotina, preferências alimentares e resposta metabólica, ele se torna mais sustentável — e isso faz toda a diferença no longo prazo.”},{“_id”:”TFUA2BRR7FB5JEPUJQNXVCH74M”,”additional_properties”:{},”type”:”text”,”content”:”Ela não é uma “cura” para o efeito sanfona, mas pode ser o que faltava: uma estratégia possível de manter.”},{“_id”:”433QIBXSU5C2HAEACVDVU7UJCY”,”additional_properties”:{},”type”:”text”,”content”:”E como isso se conecta com o uso das chamadas “canetas emagrecedoras”, como os análogos de GLP-1?”},{“_id”:”B5DJTHGDUFAYNAYE7UQ24H6RZU”,”additional_properties”:{},”type”:”text”,”content”:”Segundo Nicolle Albanezi, a integração é direta. Essas medicações reduzem o apetite e a ingestão alimentar, o que exige ainda mais atenção à qualidade da dieta. É fundamental garantir proteína suficiente, hidratação, fibras na medida certa, ingestão adequada de micronutrientes e treino de força para preservar massa muscular. Além disso, muitas vezes é preciso ajustar volume, textura e distribuição das refeições por causa de sintomas como náusea e sensação de estômago cheio.”},{“_id”:”E5EDWQU7UVE5VKJKZLLJGOLRB4″,”additional_properties”:{},”type”:”text”,”content”:”Ou seja: a medicação ajuda no controle da fome, mas a nutrição continua sendo decisiva para a qualidade do emagrecimento.”},{“_id”:”QCVZDUCUYVGTHJXNDCCCXWQAWA”,”additional_properties”:{},”type”:”text”,”content”:”Por fim, fica um alerta importante. Existe hoje uma expectativa muito alta em torno tanto dos exames quanto das medicações. Mas nenhum deles substitui o básico. Sem um plano alimentar viável, sono adequado, manejo do estresse, atividade física e acompanhamento consistente, os resultados dificilmente se sustentam.”},{“_id”:”2W2UE5GDF5E7PE3OHSXW7SNG4Q”,”additional_properties”:{},”type”:”text”,”content”:”A nutrição de precisão não é um atalho mágico — mas pode ser uma ferramenta poderosa quando usada da forma certa: como uma camada extra de personalização em um tratamento que já tem base sólida.”},{“_id”:”2LKNA23CYNGNHPGRSSJSYPYRLI”,”additional_properties”:{},”type”:”text”,”content”:”E talvez essa seja a principal virada de chave: parar de buscar a dieta perfeita e começar a construir a estratégia que faz sentido para o seu corpo.”},{“_id”:”3UVEKNSE4VEDTEKURAWG3ZBGD4″,”additional_properties”:{},”type”:”text”,”content”:”✅Para saber tudo do mundo dos famosos, siga o canal de entretenimento do R7, o portal de notícias da Record, no WhatsApp“}],”subheadlines”:{“basic”:”Especialista explica por que o corpo de cada pessoa responde de forma diferente e como ajustar a estratégia pode trazer resultados duradouros”},”description”:{“basic”:””},”language”:””,”source”:{“system”:”composer”,”name”:”newr7″,”source_type”:”staff”},”taxonomy”:{“primary_site”:{“path”:”/tudo-do-r7″,”parent_id”:”/”,”name”:”Tudo do R7″,”description”:null,”_id”:”/tudo-do-r7″,”additional_properties”:{“original”:{“parent”:{“default”:”/”,”header”:”/”},”website”:”r7″,”navigation”:{“nav_title”:”Tudo do R7″},”_admin”:{“alias_ids”:[“/tudo-do-r7″]},”site”:{“site_description”:null,”site_title”:”Tudo do R7″},”inactive”:false,”is_grouping”:”false”,”site_topper”:{},”name”:”Tudo do R7″,”_id”:”/tudo-do-r7″,”SEO”:{“seo_tags”:[]}}},”type”:”site”,”version”:”0.5.8″},”sites”:[{“path”:”/tudo-do-r7″,”parent_id”:”/”,”name”:”Tudo do R7″,”description”:null,”_id”:”/tudo-do-r7″,”additional_properties”:{“original”:{“parent”:{“default”:”/”,”header”:”/”},”website”:”r7″,”navigation”:{“nav_title”:”Tudo do R7″},”_admin”:{“alias_ids”:[“/tudo-do-r7″]},”site”:{“site_description”:null,”site_title”:”Tudo do R7″},”inactive”:false,”is_grouping”:”false”,”site_topper”:{},”name”:”Tudo do R7″,”_id”:”/tudo-do-r7″,”SEO”:{“seo_tags”:[]}}},”type”:”site”,”version”:”0.5.8″}],”sections”:[{“path”:”https://entretenimento.r7.com/vivaavida/prisma/obesidade-sem-tabu”,”parent”:{“default”:”/vivaavida/prisma”},”_website”:”entretenimento”,”parent_id”:”/vivaavida/prisma”,”name”:”Obesidade sem Tabu”,”description”:null,”_id”:”https://entretenimento.r7.com/vivaavida/prisma/obesidade-sem-tabu”,”additional_properties”:{“original”:{“parent”:{“default”:”/vivaavida/prisma”},”age_rating_description”:{“conteudo_sexual”:”false”,”drogas_licitas”:”false”,”drogas”:”false”,”violencia”:”false”,”sexo_explicito”:”false”,”medo”:”false”,”procedimentos_medicos”:”false”,”nudez”:”false”,”violencia_extrema”:”false”,”atos_criminosos”:”false”,”linguagem_impropria”:”false”,”drogas_ilicitas”:”false”,”temas_sensiveis”:”false”,”violencia_fantasiosa”:”false”},”age_rating”:{“classificacao_etaria”:null},”campanha_branded”:{“ativar_logo_campanha”:”false”},”social”:{“whatsapp”:null,”youtube”:null,”twitter”:null,”rss”:null,”kwai”:null,”tiktok”:null,”facebook”:null,”bluesky”:null,”threads”:null,”instagram”:null},”is_grouping”:”false”,”site_topper”:{“section_header_image_mobile_id”:null,”section_primary_color”:”#FFFFFF”,”section_header_image”:”https://img.r7.com/images/obesidade-sem-tabu-03042025115030964″,”site_logo_image”:null,”section_header_image_id”:null,”section_left_color_top”:”#EDF854″,”section_header_image_mobile”:”https://img.r7.com/images/obesidade-sem-tabu-03042025115030483″,”section_right_color_top”:”#F5B5AB”},”ultimas”:{“tab_ultimas”:[]},”_admin”:{“alias_ids”:[“vivaavida/prisma/obesidade-sem-tabu”]},”navigation”:{“nav_title”:”Obesidade sem Tabu”,”menu_url”:”https://entretenimento.r7.com/vivaavida/prisma/obesidade-sem-tabu”},”site”:{“pagebuilder_path_for_native_apps”:null,”site_url”:null,”site_keywords”:null,”disable_refresh”:”4″,”enable_disclaimer”:”true”,”site_about”:null,”site_description”:null,”site_title”:null,”site_tagline”:null,”coupon_categories”:”departamentos”},”inactive”:false,”node_type”:”section”,”_website”:”entretenimento”,”name”:”Obesidade sem Tabu”,”area_logada”:{“exclusive_content”:”false”},”publicidade”:{“disable_taboola”:”false”,”disable_adv”:”false”,”hash”:”blog/obesidadesemtabu”,”disable_audima_adv”:”false”},”_id”:”https://entretenimento.r7.com/vivaavida/prisma/obesidade-sem-tabu”,”ancestors”:{“default”:[“/vivaavida”,”/vivaavida/prisma”]},”SEO”:{“url_og_image”:”https://img.r7.com/images/obesidade-sem-tabu-03042025115030281″,”top_url”:”https://entretenimento.r7.com/vivaavida/prisma/obesidade-sem-tabu/”,”og_image_id”:null,”seo_description”:”Obesidade Sem Tabu por Mariana Verdelho: Informação, empatia e pesquisas sobre obesidade no R7. 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Impactos na vida real e muito mais! Acesse e confira!”,”seo_tags”:[“obesidade”,”obesidade sem tabu”,”Mariana Verdelho”,”R7″,”saúde”,”impacto obesidade”],”seo_title”:”Obesidade Sem Tabu: Mariana Verdelho no R7″,”title_hotsite”:null}}},”_website_section_id”:”entretenimento./vivaavida/prisma/obesidade-sem-tabu”,”type”:”section”,”version”:”0.6.0″}}},”created_date”:”2026-03-26T15:15:55.966Z”,”publish_date”:”2026-03-30T05:00:00Z”,”_id”:”VFFV3RBUE5ADJFILBQ2YOHLKLQ”,”website”:”entretenimento”,”website_url”:”/vivaavida/prisma/obesidade-sem-tabu/cansado-do-efeito-sanfona-a-nutricao-de-precisao-pode-mudar-sua-forma-de-emagrecer-27032026/”},{“content_elements”:[{“_id”:”EOSTBCX4ZZDLLFZIXCA66D35YE”,”type”:”raw_html”,”content”:”\n\n\n\nLEIA AQUI O RESUMO DA NOTÍCIA\n\n\n

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• O estigma em relação ao peso gera estresse crônico, afetando o metabolismo e dificultando o tratamento da obesidade.

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• A nutricionista Glenda Cardoso destaca que o preconceito pode intensificar a obesidade e criar um ciclo vicioso de vergonha e discriminação.

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• A recorrente culpa absorvida por pessoas com obesidade leva a tentativas solitárias de emagrecimento, muitas vezes sem acompanhamento adequado.

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• Reconhecer a obesidade como uma doença crônica e combater o estigma são passos fundamentais para melhorar o acesso a tratamentos e suporte adequado.

\n

\n

Produzido pela Ri7a – a Inteligência Artificial do R7

\n\n\n”},{“subtype”:”formatted_image”,”_id”:”REPRBXLGQ5DR5BQPYOUJPPPBFE”,”embed”:{“id”:”custom_powerup_1773930534755″,”config”:{“imageFormat”:”small”,”imageId”:”SLP2GDWILJDEVNX4PY2W2YM4T4″},”url”:”/”},”type”:”custom_embed”},{“_id”:”R75CQ72VWJBTNG6UC7YQMQHAMQ”,”additional_properties”:{},”type”:”text”,”content”:”O estigma em relação ao peso não é apenas um problema social ou psicológico. Ele também pode afetar diretamente o funcionamento do corpo. “},{“_id”:”AHZLMNBLSFGGHDHSGESLUCCYLA”,”additional_properties”:{},”type”:”text”,”content”:”Segundo a nutricionista, ativista e paciente bariátrica Glenda Cardoso, viver sob julgamento constante por causa do corpo pode gerar um estado de estresse crônico que altera o metabolismo e dificulta o tratamento da obesidade. “},{“_id”:”YAO4CLNC55G3HPH63HEGO62AJA”,”additional_properties”:{},”type”:”text”,”content”:”“Quando uma pessoa vive constantemente sob vergonha ou discriminação por causa do corpo, o organismo entra em um estado de alerta permanente”, explica. “},{“_id”:”D7DQZPONSFDFVHZMWILCK3LULQ”,”additional_properties”:{},”type”:”text”,”content”:”Esse estresse aumenta a liberação de hormônios como o cortisol, que podem alterar o metabolismo, aumentar o apetite e favorecer o acúmulo de gordura — especialmente na região abdominal. “},{“_id”:”HUGSZA5KVJHTXCEPQYCXB7DWWM”,”additional_properties”:{},”type”:”text”,”content”:”Assim se cria um ciclo difícil de quebrar: o estigma gera estresse, o estresse altera o metabolismo, a obesidade tende a piorar e isso gera ainda mais estigma. “},{“subtype”:”formatted_image”,”_id”:”MXDBBTLLBRA3JPAG5LURP3TSBU”,”embed”:{“id”:”custom_powerup_1773929908634″,”config”:{“imageFormat”:”medium”,”imageId”:”KICGX5NLMRGM5E6Y2TMVELSH64″},”url”:”/”},”type”:”custom_embed”},{“_id”:”PFGAPQJKZFHSNDA6FZ6QC5K6H4″,”additional_properties”:{},”type”:”text”,”content”:”Conheci Glenda durante o evento Obesidade em Pauta, promovido pelo Instituto Obesidade Brasil, e foi ouvindo-a explicar esse ciclo que muitas coisas passaram a fazer sentido. A ideia de que o preconceito pode impactar diretamente o metabolismo ajuda a entender por que o caminho do tratamento é muito mais complexo do que simplesmente “ter força de vontade”. “},{“_id”:”WMOEYIUXPBG7TD3CNPIXPOG4DA”,”additional_properties”:{},”type”:”text”,”content”:”A própria trajetória de Glenda ilustra como o preconceito pode atravessar todas as áreas da vida. Antes da cirurgia bariátrica, ela viveu por anos com obesidade grave e enfrentou diversas situações de discriminação. “},{“_id”:”5ASZIUVHRRHYHO5JNO6E5KKMAE”,”additional_properties”:{},”type”:”text”,”content”:”“Eu tinha dificuldade de acesso a coisas básicas da vida. Muitas vezes o julgamento vinha antes da escuta.” “},{“_id”:”NAW4LAIZTNHSHI4AIZKXYQG2WQ”,”additional_properties”:{},”type”:”text”,”content”:”Ela conta que já teve o conhecimento profissional questionado por causa do peso e viveu episódios humilhantes, como pessoas retirando comida de seu prato ou oportunidades de trabalho negadas por causa do IMC. “},{“_id”:”OAY5UGE6GBCWLFVTABY54CRAWA”,”additional_properties”:{},”type”:”text”,”content”:”“Nos tornamos PhD em identificar olhares, porque recebemos muitos.” “},{“_id”:”7XNGGD3JK5CHBDUVWE4GLRI5KU”,”additional_properties”:{},”type”:”text”,”content”:”Depois da cirurgia bariátrica e da perda de mais de 100 quilos, Glenda percebeu algo que muitos pacientes relatam: o tratamento das pessoas mudou. “},{“subtype”:”formatted_image”,”_id”:”5CLWNDSXDBEYFL7XTX7IJGKECY”,”embed”:{“id”:”custom_powerup_1773844555371″,”config”:{“imageFormat”:”small”,”imageId”:”NTO66CXLQVEN5FEJWBFGG6ESSQ”},”url”:”/”},”type”:”custom_embed”},{“_id”:”JHL6KKQ3DZBPRG6RYQSQO3XTUI”,”additional_properties”:{},”type”:”text”,”content”:”Segundo ela, essa mudança revela o quanto o preconceito contra o peso ainda está naturalizado. “},{“_id”:”MYGAILY2HJB7LME7BUMHU7GDRE”,”additional_properties”:{},”type”:”text”,”content”:”“Antes eu era vista como alguém que precisava ter mais disciplina. Hoje percebo claramente como o tratamento mudou.” “},{“_id”:”Z5C3IT3BHRDDZCT6RJD7ZOYCSU”,”additional_properties”:{},”type”:”text”,”content”:”Na prática clínica, Glenda observa que o julgamento moral associado à obesidade é um dos maiores obstáculos para o tratamento. Quando a pessoa acredita que sua condição é apenas falta de força de vontade, ela tende a internalizar a culpa. “},{“_id”:”RMWSIHSLKNBIPN375B2OV5ADVY”,”additional_properties”:{},”type”:”text”,”content”:”Isso gera vergonha, medo de julgamento e muitas vezes leva a tentativas solitárias de emagrecimento, com dietas restritivas e sem acompanhamento adequado. “},{“_id”:”A6OT7HXQTFFNRLAGV7PXVZ7CIM”,”additional_properties”:{},”type”:”text”,”content”:”O resultado costuma ser o conhecido ciclo de perda e reganho de peso, que reforça a sensação de fracasso. “},{“_id”:”UGOG46XBOJDCVGJ2LKF3LY6UX4″,”additional_properties”:{},”type”:”text”,”content”:”“Quando entendemos a obesidade como uma doença crônica, influenciada por fatores genéticos, hormonais, ambientais e comportamentais, o tratamento se torna mais humano e mais efetivo”, afirma. “},{“_id”:”RYMWFTPITVCSRH66QQMUB7KIVU”,”additional_properties”:{},”type”:”text”,”content”:”O preconceito também pode afastar pessoas dos serviços de saúde. Glenda relata que muitos pacientes evitam consultas médicas por medo de julgamento ou por experiências negativas anteriores — algo que ela própria viveu. “},{“subtype”:”formatted_image”,”_id”:”5IZ72ZSAAFEFPGVPO6OTAN4IMU”,”embed”:{“id”:”custom_powerup_1773844124599″,”config”:{“imageFormat”:”small”,”imageId”:”AY2ZO6GFFRDADJ3EDBLFDCNQLM”},”url”:”/”},”type”:”custom_embed”},{“_id”:”533ILGOB6REB5O4XJ3VCHCWVAI”,”additional_properties”:{},”type”:”text”,”content”:”“Em uma consulta, uma endocrinologista me perguntou se eu não tinha vergonha na cara e disse que eu tinha dez anos de vida. Na época eu tinha 28 anos.” “},{“_id”:”KMCGEQFXVBD4HABHIBMQRK35OI”,”additional_properties”:{},”type”:”text”,”content”:”Quando o atendimento é evitado, diagnósticos e tratamentos importantes acabam sendo adiados, o que pode agravar doenças associadas à obesidade, como diabetes, hipertensão e problemas articulares. “},{“_id”:”CITGUTCWKVCCXJEUJO3KT4EUR4″,”additional_properties”:{},”type”:”text”,”content”:”Para Glenda, existe hoje um receio crescente de falar sobre obesidade por medo de parecer preconceituoso. Mas ela defende que o caminho é justamente o oposto. “},{“_id”:”EV2JACKOZRCV7NLLUSPO6N5JAI”,”additional_properties”:{},”type”:”text”,”content”:”“O problema não é falar sobre obesidade. O problema é culpabilizar as pessoas por uma condição que envolve múltiplos fatores biológicos e ambientais.” “},{“_id”:”VMSKASRZGZFPNOUY5ZBEBFXDFM”,”additional_properties”:{},”type”:”text”,”content”:”Reconhecer a obesidade como uma doença crônica, segundo ela, é uma forma de combater o estigma e ampliar o acesso a tratamentos baseados em evidência. “},{“_id”:”Q62VG45OTNAG5BNT6G2AYO2HEQ”,”additional_properties”:{},”type”:”text”,”content”:”Glenda também é presidente da Associação Brasileira de Pessoas com Obesidade, entidade que atua na defesa de políticas públicas, no combate ao estigma e na disseminação de informação baseada em ciência. A organização também busca criar espaços de acolhimento e troca de experiências entre pacientes. “},{“_id”:”HC3IN26NA5BIVL5JTVXNZ2YWWM”,”additional_properties”:{},”type”:”text”,”content”:”“O tratamento da obesidade muitas vezes parece solitário. Mas, quando compartilhamos experiências, transformamos essa jornada em uma rede de apoio.” “},{“_id”:”JQZOFT22SZHDLD2FGM6LO4XSIA”,”additional_properties”:{},”type”:”text”,”content”:”No fim das contas, histórias como a de Glenda ajudam a lembrar algo essencial: por trás dos números da balança existem pessoas, histórias e batalhas invisíveis. Falar sobre obesidade com ciência, empatia e respeito não é apenas uma forma de informar — é também uma maneira de abrir caminhos para que mais pessoas se sintam acolhidas e busquem cuidado. “},{“_id”:”BKD2MS7YSRCCZKFMSDLCPZFL3E”,”type”:”raw_html”,”content”:”\n\n

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