Among the strategies suggested to face obesity epidemics there is also a mere reduction of only 100-200 kcal day, i.e. less mouthfuls of food and a little more walking every day. Are these proposals \u00ab\u00a0simple and feasible\u00a0\u00bb or, vice versa, \u00ab\u00a0simplicistic and unrealistic\u00a0\u00bb solutions? A possible source of such confusion comes firstly from dietary guidelines: the \u00ab\u00a0food pyramid\u00a0\u00bb may easily lead to misinterpretation as low-fat foods enriched in simple sugars produce similar metabolic abnormalities as saturated fat rich foods. Replacement of fruit derived fructose with other fructose-enriched beverages is not adequately considered. In total, 45-60 min of moderately intense physical activity, instead of \u00ab\u00a0few steps\u00a0\u00bb, daily appears a more realistic evaluation of the role of physical activity in energy balance but is still an unrealistic intervention strategy in many obese individuals requiring a long preliminary rehabilitation period. Another complaint is the current poor distinction between \u00ab\u00a0preventive, population oriented\u00a0\u00bb and \u00ab\u00a0therapeutic, clinical\u00a0\u00bb intervention strategies possibly due to the long duration of the latent \u00ab\u00a0preclinical\u00a0\u00bb phase of the disease and the scarcity of safe and effective drugs. Obesity may be considered a \u00ab\u00a0culture-bound\u00a0\u00bb disease and as such it requires a proper cultural, political and educational strategies. The number of obesity clinics worldwide is too limited; educational interventions in the crucial period of the developmental age are lacky. The social science content of medical school curricula, and teaching healthy behaviours, needs to be improved. In conclusion, a deeper reflection from Medical Societies on the relationship between the negative aspects of the \u00ab\u00a0transition diet\u00a0\u00bb and \u00ab\u00a0globalization process\u00a0\u00bb may help to produce really \u00ab\u00a0simple\u00a0\u00bb and more successful strategies against obesity epidemics and its complications.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-51288","resume","type-resume","status-publish","hentry"],"acf":{"auteurs":null,"adresse":null,"numero":null,"page":null,"mois":null,"annee":null,"mots-cles":null,"sources":null},"yoast_head":"\n