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Obesitas bij volwassenen

April 2016

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Informatorium voor Voeding en Diëtetiek

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Samenvatting

Obesitas is een veelvoorkomende risicofactor voor een aantal ziekten. Een Body Mass Index van 30 kg/m2 of meer wordt geassocieerd met het optreden van hart- en vaatziekten, diabetes mellitus, verschillende vormen van maligniteit en een aantal andere aandoeningen. Gewichtsverlies verbetert het risicoprofiel. Behalve de totale hoeveelheid vet die in het lichaam aanwezig is, is ook de vetverdeling van belang voor de geassocieerde risico’s. Vooral overmatige vetopslag in de abdominale compartimenten is slecht voor de gezondheid. Een middelomtrek van meer dan 88 cm bij vrouwen en meer dan 102 cm bij mannen is sterk geassocieerd met ziekte. Obesitas is een multifactorieel bepaalde aandoening. Genetische aanleg, voedingscondities in de baarmoeder en direct na de geboorte, en omgevingsfactoren spelen een pathogenetische rol. Verandering van eetgedrag en lichamelijke activiteit vormen de hoekstenen van de behandeling. De verandering van eetgedrag kan gedragstherapeutisch, medicamenteus of chirurgisch worden ondersteund.

Dit hoofdstuk is gebaseerd op het hoofdstuk ‘Obesitas bij volwassenen’ (mei 2009), door prof. dr. H. Pijl

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  1. diëtist, Groningen, The Netherlands

    R. van Berkel

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    Majorie Former

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    Gerdie van Asseldonk

  3. Garrelsweer, The Netherlands

    Jacqueline Drenth

  4. Drachten, The Netherlands

    Jolanda van Duinen

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van Berkel, R. (2016). Obesitas bij volwassenen. In: Former, M., van Asseldonk, G., Drenth, J., van Duinen, J. (eds) Informatorium voor Voeding en Diëtetiek. Bohn Stafleu van Loghum, Houten. https://doi.org/10.1007/978-90-368-1238-2_4

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