{"id":179811,"date":"2023-04-19T13:44:14","date_gmt":"2023-04-19T12:44:14","guid":{"rendered":"https:\/\/www.directhealthcaregroup.com\/?page_id=179811"},"modified":"2023-05-16T20:02:24","modified_gmt":"2023-05-16T19:02:24","slug":"179811-2","status":"publish","type":"page","link":"https:\/\/www.directhealthcaregroup.com\/da\/viden-og-evidens\/179811-2\/","title":{"rendered":"Hvad er fedme og bariatri?"},"content":{"rendered":"\n

<\/h1>\n\n\n\n

Antallet af sv\u00e6rt overv\u00e6gtige vokser, og der kommer flere bariatriske patienter og borgere p\u00e5 vores plejehjem og sygehuse. N\u00e5r vi snakker om disse borgere, bliver mange begreber brugt. Men hvad betyder de egentligt?<\/p>\n\n\n\n

5. februar 2019<\/p>\n\n\n\n

Af: Ergoterapeut, Pia Beck<\/p>\n\n\n\n

I forbindelse med min undervisning i bariatri, oplever jeg j\u00e6vnligt, at deltagerne omtaler denne gruppe borgere p\u00e5 mange forskellige m\u00e5der. Nogle anvender de faglige begreber som f.eks. \u201dPatienten p\u00e5 aflastningsstuen er overv\u00e6gtig, ja faktisk sv\u00e6rt overv\u00e6gtig\u201d, eller \u201dDer er to bariatriske borgere p\u00e5 min rute.\u201d<\/p>\n\n\n\n

Andre har ikke taget de faglige begreber til sig endnu, og kan komme til at bruge neds\u00e6ttende begreber. Det skyldes, set med mine \u00f8jne, en usikkerhed om, hvad begreberne betyder.<\/p>\n\n\n\n

Usikkerhed om begreberne, og manglende forst\u00e5elsen for, hvordan det kan komme s\u00e5 vidt, kan ogs\u00e5 f\u00f8re til en vis ber\u00f8ringsangst og etiske dilemmaer blandt personalet. Derfor er det vigtigt at f\u00e5 begreberne p\u00e5 plads!
<\/p>\n\n\n\n

Body mass index, er det nok?<\/strong><\/h2>\n\n\n\n

Til at klassificere, i hvilken grad et menneske er overv\u00e6gtigt eller fed, anvendes som udgangspunkt kropsmasseindeks forkortet BMI (body mass index).<\/p>\n\n\n\n

BMI udregnes p\u00e5 baggrund af det enkelte individs h\u00f8jde og v\u00e6gt, hvor f\u00f8lgende formel anvendes: BMI = kropsv\u00e6gten i kg\/ (h\u00f8jden i meter)2<\/sup>.<\/p>\n\n\n\n

Det er dog vigtigt at v\u00e6re opm\u00e6rksom p\u00e5, at BMI ikke giver et nuanceret billede af virkeligheden. Afvigelser fra en normal v\u00e6gt skyldes ikke n\u00f8dvendigvis en \u00e6ndring af legemets indhold af fedt, men kan ogs\u00e5 skyldes \u00e6ndringer af muskelmassen og v\u00e6skeindholdet.<\/p>\n\n\n\n

S\u00e5ledes kan en gravid kvinde, en muskul\u00f8s bodybuilder eller en person med v\u00e6skeansamling i kroppen fejlagtigt blive klassificeret som fed ved brug af BMI.<\/p>\n\n\n\n

Denne usikkerhed g\u00f8r, at man i stigende grad foretr\u00e6kker at anvende forholdet mellem taljem\u00e5l og hoftem\u00e5l som indikator for, om overv\u00e6gten er helbredstruende hos det enkelte menneske.<\/p>\n\n\n\n

Ved at anvende disse m\u00e5l, er det ogs\u00e5 muligt at afsl\u00f8re, om mennesker med et BMI-tal som normalv\u00e6gtige i virkeligheden er overv\u00e6gtige. F.eks. kan et menneske med \u00e6bleform, hvor al fedtet sidder lige p\u00e5 maven, kan godt have en normal BMI, selvom de har meget af det farlige fedt omkring maven.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Hvad er fedme?<\/strong><\/h2>\n\n\n\n

Sundhedsstyrelsen definerer fedme som en tilstand, hvor m\u00e6ngden af fedt i kroppen er for\u00f8get i en s\u00e5dan grad, at det f\u00e5r helbredsm\u00e6ssige konsekvenser. D\u00e5rlig kondition, \u00e5nden\u00f8d, forh\u00f8jet blodtryk, slidgigt, hjertekar sygdomme og flere andre komplikationer er ofte forbundet med fedme.<\/p>\n\n\n\n

Fedme er vel nok det mest kendte ord, for mennesker med store m\u00e6ngder fedt i deres krop. Men begrebet fedme, eller det at v\u00e6re fed, har gennem \u00e5rene f\u00e5et en negativ konnotation, hvorfor ord som plus size, stor, adip\u00f8s, eller overv\u00e6gtig bliver brugt i et stadigt st\u00f8rre omfang i daglig tale.<\/p>\n\n\n\n

Dette store register af ord for den samme betegnelse, mener jeg kan medvirke til uhensigtsm\u00e6ssige forl\u00f8b i pleje og omsorgen af denne gruppe mennesker, fordi det er uklart pr\u00e6cist hvad betegnelser som \u2019plus size\u2019 d\u00e6kker over, og hvilken opgave det egentlig er man skal ind til.<\/p>\n\n\n\n

Jeg mener derfor, det m\u00e5 v\u00e6re \u00f8nskeligt, at begrebet bariatri bliver fuldt ud implementeret og integreret i sprogbruget om mennesker, der ud fra sundhedsstyrelsens definition, kategoriseres som fede.
<\/p>\n\n\n\n


L\u00e6s ogs\u00e5:<\/strong> Sikker forflytning af bariatriske personer<\/a><\/p>\n\n\n\n

Hvad betyder bariatri?<\/strong><\/h2>\n\n\n\n

Begrebet bariatri blev for f\u00f8rste gang introduceret i Danmark i 2005. Bariatri eller bariatrisk er en mere pr\u00e6cis og neutral betegnelse, der kan rumme de mange fysiske, psykiske, sociale og praktiske aspekter relateret til fede mennesker.<\/p>\n\n\n\n

Bariatri er den gr\u00e6ske betegnelse for tyngde, og er den samlede betegnelse for det medicinske omr\u00e5de, der besk\u00e6ftiger sig med \u00e5rsager til, samt forebyggelse og behandling af sv\u00e6r overv\u00e6gt. En bariatrisk borger eller patient har en BMI st\u00f8rre end 35, med fedme relaterede sygdomme, som f.eks. hjerte-kar-sygdomme, diabetes og slidgigt.<\/p>\n\n\n\n

Min overbevisning er, at dette lidt nyere begreb er det bedst d\u00e6kkende og mest neutrale ord at bruge, n\u00e5r man omtaler borgere eller patienter, der er sv\u00e6rt overv\u00e6gtige eller fede.<\/p>\n","protected":false},"excerpt":{"rendered":"

Antallet af sv\u00e6rt overv\u00e6gtige vokser, og der kommer flere bariatriske patienter og borgere p\u00e5 vores plejehjem og sygehuse. N\u00e5r vi snakker om disse borgere, bliver mange begreber brugt. Men hvad betyder de egentligt? 5. februar 2019 Af: Ergoterapeut, Pia Beck I forbindelse med min undervisning i bariatri, oplever jeg j\u00e6vnligt, at deltagerne omtaler denne gruppe … Continued<\/a><\/p>\n","protected":false},"author":40,"featured_media":179812,"parent":174696,"menu_order":63,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-179811","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"\nHvad er fedme og bariatri? | DHG<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.directhealthcaregroup.com\/da\/viden-og-evidens\/179811-2\/\" \/>\n<meta property=\"og:locale\" content=\"da_DK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Hvad er fedme og bariatri? | DHG\" \/>\n<meta property=\"og:description\" content=\"Antallet af sv\u00e6rt overv\u00e6gtige vokser, og der kommer flere bariatriske patienter og borgere p\u00e5 vores plejehjem og sygehuse. 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