El Podcast de Marco Antonio Regil - Especial 9.- Hombres vs Mujeres, ¿quién baja de peso más fácil y por qué? - Dr Iñaki y Marco Antonio Regil

Episode Date: July 12, 2026

Hombres y mujeres NO vivimos de la misma manera el subir o bajar de peso. ¿Por qué parece que nuestros cuerpos juegan con reglas distintas? El Dr. Iñaki Villanueva, uno de los mayores expertos en obesidad en México, revela cómo las hormonas, la menopausia, la testosterona, la grasa abdominal y hasta la presión social afectan distinto a hombres y mujeres cuando hablamos de sobrepeso y obesidad. Porque muchas veces no solo luchamos con el peso, también con la culpa, la frustración y la forma en la que nos hablamos. Si quieres empezar a romper esas barreras, te invito a mi masterclass gratuita: “Rompe las barreras y diseña la vida que deseas”. 👇🏻https://marcoantonioregil.com/vida-podcast/ *Importante: Nuestros invitados son expertos en sus temas y reflejan su conocimiento y su punto de vista, siendo conscientes de que cada una de las opiniones es totalmente personal. La información, datos, comentarios, estadísticas que se presenten en el Podcast de Marco Antonio Regil, son de exclusiva responsabilidad de quienes las emiten y no representan, necesariamente, el pensamiento de Marco Antonio Regil o de la producción del podcast.

In the love, the women are and the women are the and the person are the same. It's exactly

the same. The men women and the women are not we're not we're not those most risk.

No, not we're not even we're doing about we don't know. Today we we're in the

podcast to Dr. Inaki Villanueva. He is one of the great, great,

great, experts in Mexico in things of things of sobe sobeau and obviously.

So, we're going to learn much, we're we're ready we we're

we'll start us the podcast of marco antonio regil is a production of our geal entertainment and all his their rights are reserved

doctor inaki viannueva welcome to the program marco thank you good to be to be able to do you

do you know that the people we're we're going to make up more rapid that we make sure

that's that the is that's is a mytho or is meant it is we're not

no no No, no, no, no, there's a great difference, Mark. Partying, from the obesity is a problem, that's a problem.

Yes. Dentro of this spectrum of the hormones, this has that the way in that the women, accumulamous

we accumulate tissue grass, can be. And that's normal, and it's natural, and it has to be also,

with a problem, even with a thing, with the men, we tend to do something

to make a accumulation of tissue gras in an android. And so, android.

So the grass we have to accumulate in the abdomen, is to say, a level central. The women accumulate more more tegid

a level of a form of hynecoid. It's saying, we're more accumulation of the tissue grass, in caderas,

in muslos. And this has a relevancy importantatism because, without a risk

that comes the risk that a man that a woman that is a woman that is a

person. We're we're different, but that has the women have the capacity to

give a baby and the women, no, have a little no, has a no, when you see, when you see the

perspective of the quantity of energy that's required to get a unbarraiser and you need to need more

reserves of energy. The form biologic natural, the adiposito or the cellula of the tissue

so, so the principal function is accumulate energy. So, so,

all you have this reserves, the woman can be overje more, what happens, with a

person, a sportista, of high-rendiment. No is rare that we're women who are women's that are the menstruation,

that have more difficulty for embalasers, and it's because, because because, because they're depotists

at a lot of rendiment, they're more more tissue muscular, less tegid grass, and then we have a difference

in how express hormones, because the tissue-gras favorse the production of some other So-

then-Mam natural-as said, if this man-to- do-to- have-d- need more

more reserves of and the man, well, not will give a life,

no need a need a little bit of a lot of it's a way to be a matter

natural, and for us the other people, we're doing the end up more more than we

than the women. And so, here you have this difference. Because at the end of

the point of view of the evolution biologic, we've we're not another function.

Not we're biologically who will procrear or who will get the

but if was to come to to casser, to and to buy them to, and provide. So,

then you're more muscle for that. So, genetically, the women have that predisposition.

A woman, if you will have generally about, more tendency to the overpeas

or the obesity than the men, more than the distribution. Really, the manner in that

the way in that's being a different. The thing of the difference important. The tegidipos

that accumulam, when it's accumul in the that is metabolically much more active. To what I'm referring to this.

The tegid grass when it's a cumula and it's to get to liberate substances that can result to certain

toxicas for the body. Promove in a state of inflammation chronica. So it's more dangerous. The grass

abdominal is more dangerous? So the men, we're more more more than the women?

In a moment initial, yes. Because, because of the initial the men tend to

this accumulation. What What happens conform we're advancing in the age? In the case of the women, it's natural that

there's a change in the production of the ovario he has to produce certain estrogens. Extraadiol,

precisely. And then then it starts to change the distribution of the tissue in the

body of the woman and it's a increase to see more accumulation at level central. So,

there you go. If we we've from this accumulation initial of the

to say, to a certain point, he does a certain degree of a certain factor protector

to the health care of the women versus to the men, it's like if we're

in a carrera, we're going to get in a marathon, a man, a man, a man,

a man cardiovascular. When we we're going much more faster, the woman is so much

to get to the menopausia, will be to start to get to equaled to the man or it

supera. A woman that has I've got to get a menopausea and it has to be this redistribution

of the tissue, even could have a risk of cardiovascular much more important than that the

other than the person is important that in a woman young that I have had over the patient, we

attend us opportunely the before you before you get to get a right?

Exactly. For so there's more for those cariacos in the men, than men

in women, than men in general, the men, we have much more risk

cardiovascular. So, we're pros and contras. We're not we is equal.

We have functions different and our our body has pros and contras. No, there's no one that has a

great ventagas over the other in a lot of in the case of obesity, it's going to be to be a different ways.

And this, of the new, is over the thing of the thing of hormaloral, we're going to the

point of view of the sex biological, is a person, a a chromosome X and a a woman with a

which is what biologically we we're doing different types types of hormone. So, all the other

other other other than that's that's going to exactly, that's that will get to

this different to how it's about the hormone. According to the Journal of

Endocrinological investigation, the diary of endocrinology and investigation, two people can have the same level

of overpeas says, but one one can go to more risk than the other. So the

person is the factor determinant of more risk for risk for the person as

only, no. because it's an issue that tendem to associate to make a way regular,

that if I sub I'm in kilograms, necessarily the connotation is negative. And it's important to

understand that the different tissues that we have in the body and the muscle pes, the

muscle pes, the then it's not going to be the same, we're going of 50

kilos of muscle than to be 50 kilos of this. This is

you can do you can't in women and you you compare a

a woman or if you compare two HOMBes. I'll put a

example. Suppongam we think we have a grando my brother and I'm both

we have a indice of a social of 25. Is we're in the ralita

of overpeas. I am a sportist of an high-endiment and my brother

generally generally a life completely sedentary. So, clearly, the

composition corporal, we're we're going to find certainly with my

my brother, I mean, a quantity or a percentage of a mass of grass superior to the my. And then then

it's not not be the same. Because I'm going to have probably more muscle, he's more

muscle, and then he will be criteria for overpeas. I'll be criteria for one

person who and this and this happens with the other rendiment. The sportists of a lot of people get to

10, 10, kilos, but it's primarily particularly the muscle

muscular, that, that, And, also is a technique metabolically much more

demandantant. Require much more energy. Even so the sportsists when you're not your own when you're

when you're those people like the people who are more than a person regular that we're going on active and

training because they're retien and they're they're not eating and you know cases no famous as

like Diogamando Maradona no. For example one of the cases extreme. Yes,

we've this change because you have to that demand, disminute the tissue muscular,

and then then you're going to you're going to things to overpes of obesity, the man has more risk when is more

risk when it's when it gets to the peri-menopausea and the menopausea. Generally, about it, but here is the alert in all the ages.

No, no doubt. It's very important when we're not that we're to look at think in a

diagnosis of obesity, to attenders because at the final of the day, no it's a

very much it's important to attender the time to work to get a risk of the problem, more muscle,

less muscle, less grass, any other that's the ideal. That's what we have to understand.

Now, when the man does that testosterone, when the end the endropausia, what happens?

Because the woman when you get to the menopausia has more problems, but the

men, but the is a concept a very interesting, Mark, because the theme of endropausea is a little controversial from the point of view of this scientific, because at the difference

of what happens in the menopausea, that there's a moment very clear where the ovary has to produce estrogens, and we see this change important hormonal

in the woman, in the woman, in the woman, not a long of the life, we're seeing that the woman is to diminish

the production of testosterone. It's going normally the major change we observe us in the 45, 55 years

in that is where we associate with this initial of the andropausea. Okay. What happens, for example, in the man that I live with obesity? Uh-huh. The tegidrozo produces an enzyme that's a

aromatasa. Okay. The aromataza transforms some hormones, between the testosterone. Okay. So, it transforms in a type of estrogen.

So, then you start a diminution of the levels of testosterone in the woman and an increment in some estrogens. So,

so it seems that's could confunding andropausia with obesity.

Of fact, if you have a patient that has a patient, you see that they're

levels of testosterone, and in automatic, your response is to attend only the

deficiency of testosterone, but you are the attention of the obesity, then you

you're you're doing a component of the context in that's

living the patient. A see if you were to do

what that you like that all the patients, that all the people are we're in

a difference of the women and different things. First, and very important is to understand

women's and women's that the obesity not is a thing of decision personal.

Because it's very common, no. The fact, it's really little, the data of the

case of the house Ipsos, where it has a evaluation of 14,000 people

living with obesity, among those, participo Mexico, which I applaud enormously, because regularly Mexico no appears in this

type of encuests. And, for example, here you know, at level global, the 66% of the people that live with

obesity, creak that is totally prevenable. So, the first that is this. It's a

thing that requires a manoe and require a company and require a company. Second,

without a way, we've a person, a man, a woman, will be different.

The the woman will have a major risk cardiovascular basically in every moment for how it's going

on the tissue or the tissue or so and I refer netamety to risk cardiovascular. There are

other complications associated to the other women and women and that are that for

that also also that also that I'm important. Example that I can't be a sonated, a cancer of

a man. A manned has a major risk to develop cancer of when this is dependent on hormones.

This is not that any woman that live with obesity and that gets to the menopausea will have cancer of mama, but is it

increment a risk without a doubt. And this risk is going to in when it is going to increase in quite it's

not be the risk of a woman that is overpense to a woman to live with an obesity class 3.

What more you'd like to that we would be that we're No, no doubt that's that from

from the tamisage very simple to know if I need to need to need to be a great

equipment for a diagnostic to do. The only that I'm going to need to my stature, my

peso, and if I can, a scintametric Mark. Stature, Pess, and scintametric. Exactly.

With these three things, I can't to start to do a tamisage a timeisage

to tamisage. A tamisage is to make an evaluation to determine if there's a risk of

or no. In this case, I'll determine if I'm in risk of over the overbecer or obesity. Okay.

So, the index of mass corporal is a measure that we use us for many years and that's standardized,

that we're that is a composition corporal. Okay. The grand problem that always has

been the index of the indexe of the not distinguish between the different types of the

different types of you. It's a global of the way to you know, that's

you know that you're so you're very easy it's very we're doing in the calculator

if you do it is very simple, we do we're doing two things. So you

have to you know. You know, you know, I'm so I'm so I'm perquency

to be a frequency, so I can't say my piece more different that's of 10.4 kilograms.

Okay. And I mean 10. 10 and in kilos, for those who we're in the

US and that's they use libres and just the time just the only do you know in internet

and it's in the formula that you're going to do you is in kilos and meters. That's actually a level

international is standardized in kilograms in kilograms in all the world in the country but for the

people who are there's been there. Just. There's to convert it. The formula

to calculate is to take the piece and we're going to divide into tally

to do so if I do one 80 I'm to Multiplicar one.

I don't prove mathematics two. It's very easy. But with the calculator. How was,

how is the formula? It's, P. Pesso between taya or altitude to

the height or so if I do 1.80 okay. I'm going to do 1.8 1.8 1.8.

Pessor into the quarter. How do you pick you do that the calculator to do?

1.8 1.8 for 1.8. For 1.8. For 1.8. 1.0. That's 3.24.

3.2. 3. We can to to record- of this data. Okay.

3.24. So, but where do this? This is the result of my altitude, or 50,

is 1.50, is 1.5 for 1.5. 1.7 for 1.7. That is your altitude. And then?

Then, then we then we're so much. 70.4. And it we're divided between 3.24.

My indice of muscle corporal is 21.72. How you can do you

to start to do this a little more final. You know, you're talking about of this relevance of this relevance of the tissue

gross to be about abdominal. Uh-huh. If I'm midd the perimeter of the center, I'm also,

I'm also, do you know, more final and have a additional to determine if really I'm really,

the pancita, the cintura, then you make the cintura, so you know, to make the minute, there's a

amount, so, now, how it's how you do, first, for this

you, you, you're going, Mark. So, to be going to be able to be

a stinty around the back in the thing. Oh, because it's a technique? What is the technique?

The first you're going to identify the wheycito to your car. This is that we're

the part superior. The part is the long. And just after that's

that you, you're going to you're going to get to the little. Okay. Then you

go to you're going to imagine a line imaginary that will go to the

center of your axilla, and in that space, just in the point me gave, between this wussito and the costilla? There's a...

There you're going to... There you're going to... There you're going to... There's a lot. There's a lot. There's just a lot. And there is where it's where it's to accumulate more tegid or so. But still right, no need someone that

me help. There's to be the help. To make it, to make it correctly, the person has to have the person with the hand down. The person with the scintemeteric, you know, respirals, you know,

and at the moment to get the time of the time you're in, you're going to get to the pancita. No, exactly.

There's a yeah, there's, in this case. And there's what we're doing. And what we're doing this

case in this case, in centimeters. Depending on what you're uptengues if you're a woman, then then

we're going to be a more risk. More of 80 centimeters in women, risk. Riesco.

More of 90 in men, risk. Riesgo. So, so, what do I in the case, if I do in

a index of muscle if I'm a index of muscle, for now so what you do you do you know, but is that

I'm not I'm doing the different different types of things to that's that's

there's there's there's there. Before to continue with the podcast,

I'm question to ask you something. You're you're living the life that

really you think you think you think you think you're you're you're

you don't know you on one and you want to find time

or motivation to manifest that those you have to And when you start to questioner the bocese in your mind,

you say, because you're asking that? So, why is that's tardy, yeah, there's time for dreams, and I'm very old, very a very for to start something new, no I have time, no I have money. I'm going to know that this

can change. I'm Mark, Ontario Regil, and for that I want to invite you to come to a master class gratuit in that we can more more about that.

The class is rompe the barriers and design the life that you you want to you want to be it's gratis. And at final there's a

final special. Inscribett now right right on Marko oniorogil com

diagonal Vida repito Markoantonioregil com diagonal and now we're

we're we're two questions of our public that they want to let's

let's let's a question with the hormones soel carlita

thank thank if the hormones are if the hormones are the

amount of Why the treatments are being focused to the diet and the exercise? And not the hormones? And not to the hormones. It's exactly the reason.

It's a great question, Carla. Thank you. Fisageate that this is a thing netamente of perception. The first

that is before some years, the obesity not we had we had as a problem

a chronic as we do it's something that we've studied. The fact, when I studied medicine,

the obesity as a factor of risk for other other a problem not like

a problem. And he changed for complete this paradigm. So,

it's that when we're not that we're not in diet and exercise,

was it was a thing to help you understand what we're a factor of risk.

When we understand that is a different, it's a problem, because at

time, as well, we're not automatically we have to make in the diagnosis,

establishing a treatment, and give a a second. Why diet and exercise

result insufficiency if we're talking about hormones? Sure. It's a pillar super important.

At the final of the day, diet and activity physical are very relevant in the

manhue of the person that the person that is we have to think in other that's

we're doing the component of the patient. Because at the way to adder therapy, accompaniment,

therapy cognitive conductual to make a relation that we have to the relationship we can't we can evaluate the use of other strategies therapeuticas and that we have

many available. Medicaments also can't enter. Surgery. Vaya, in fin, today we have many strategies that we can't

valer us to be individualized the treatment of the patient and just to go more than only diet and exercise.

Because there are a lot of people that does diet and exercise no back. And that's the frustration, no, Carlita,

Vilo, Vilo, do it, totally. It's the problem. Dehats to eat things delicious and you do the

exercise and not you notice the difference. And then they're saying that's a of force of the

and we dostrames and we do that we just they're just and we're because

we're justgous because we don't I'm not I'm able to be my my friend

my friend I'm I'm I'm up and I'm someone And, and it's

and it's and it's not much, and they're in not the food. So, we're we're not going

we're doing tacos or we're going morguesos or we're so we're so it's just, no it's

just to culpara to say it to say, it's a fault of and you don't know.

If two, it's just and also also, also, also, it's,

it's, has been a prejuice from the personal of the health, to the

person that I live with overpeas, obesity, that is something we're trying because that's also changing,

because that's the way to do you know, stories of the patient that gets and they say, I need to first you do this

before we're doing that way to not the strategy of diet and exercise. Yeah, but there's, nothing.

And then you go back to and then we'll come to come to you know, and I know, I'm trying to do you get to get to

I'm doing this And something that's a lot of this example that are the dietas are the things is that summa

to the frustration of the patient. Because, because you do this diet restrictive, you cost to work,

you see a more changes minimum, you know, you know, you know, and then it's a

thing of frustration. The rebote famous. The remotes or reganance so, no?

So, is part of this image or this optica that we need to is doing that.

There's a change. Medical, like you, the new generation of the new generation of the medical, you are the thing of the

overpeas about the and not only in diet and exercise? Every way is more. Cade this

idea of not only only at the health of physical but it's a point of the physical,

but also from a space free of the patient and empathic with the patient.

There actually, there are standardized to the international for just how

to how to the evaluation and the manage of a patient with and that's correct with the patient. And that's part very important of a treatment. It's part of a part important of the treatment.

Also, also there are the medications that can be a maravitia if are part of a treatment integral. We've been a era where

every time we're migrating more to the medicine of precision. It's a every time is more important to establish what

needs to every patient for their diagnostic and to get to the management. So, So, without

a doubt, when one has made the necessity, it's indispensable to go to the medical.

And, of the fact, you know, that's interesting, that the 93% has been a conceded

or has considered to go to a doctor to attend their but only the 46%

of them really, really have really, they have done that has taken that need

to be, and they have done a cab. What is more danino?

The grass that we can't have in the overpeas or the

misisies and the stigma that's more for a person that's

that's doing that's that's that's dangerous from their

own from from the point of the point of the stigma,

impacta much in how the person is perci in how

actu even in how they're in the society in this in this encuctor that we're about

about the perception of the infirmat the infos is an analysis for example of how

actuans women and in relations social activities of recreation or even in

establishes activities romantic and what is that the 76% of the women

that live with obesity have have been this type of activities is 76% is alt-isim.

So, evita an relation romantic. They can evite a relation romantic because they're in obesity and they're to get to this area.

And the the number? In the case of the women is minor, but also it's a lot. It's about the

64% of the women that evitant these type of relations. But if is it really different to

the women that have over-pess that the human just. Just it's a

thing cultural, as you you know, historically the woman has been more just

more that is incorrect is impropried at the end uprope the end of the person who has been in a

problem with the problem and both and both merce the same respect and the same the same

the same we have the we're still we're still we're talking we're the woman has been to

be a woman has been beautiful or are those obligations if we're if you're

if you're there's a good there's a very good and if if you're a

true you also is enormous. And that is something that's something very huge and that does make much damage and that still after decades of to talk of this, we're still still still battling to keepers this form of thinking.

Sure. At the final of the day, it's difficult to to fight against many years of a stigma social that exists. Milles of years. But I'm part of the day of that is it to be a lot of work. To change that paradigm, because in

When we change that paradigm not only in the environment but in the community in the

society in general, it will be the form in that we're that you see a a patient that

I'm going to see how much you're going to get to be but if you talk about you've been going to be

that's not you're going to say it's you're going but because the patient that's this is what

we need to get to change. Oh yeah we're another question Patricia that's

also in the public, has a question very related with the difference of the women to do the

question of the problem of the pressure social, that is what we we're talking about. Let's with

Patricia. Well, my question is, to the women us cost much

a much to do the person, for how it's a question to our or for the

pressure social that we impose or that we make. So, that is

better? Yeah, because well, all what all the what we critiqued

us us says if you're gortita or if before you were a little, and then you're

you're not you're going to you're going to you're going to the same women. Yes, exactly.

And also of the women, that's obvious, no? Yes, but at me the same women, we're doing more

than a more than you don't know, that's part of what we are talking of this thing of

this time of the stigm thanks for your question. A bit without, if in

no a component physiologic, is normal in the the body of because we

we've right you you mentioned about the man's in the first he's a

little bit of a person that's doing a little bit and we're doing and we're we're doing to be one

precisely with the levels of testosterone the testosterone to the men promote that

we're just that we're that's the women have levels more more low

of testosterone and the women have more tegid grass that we we've

that you're that you have to to be able to accumulate more tigidogamous. So, from the point of of view of physiological,

is understandable because a woman has a little more of difficulty to lose to get a lot of this. We've seen even

in studies of investigation, where we've this difference between women and women, where we've

seen the more rapid of the people in the women than the point of the point of

the component social, well, if, no, there's a important, because

there's this pressure social, well, it was said, Marko, that the woman should be back to

the person, and the woman, not necessarily and at the day, I think that is equal to important

that a man that's at a woman. If the little bit more, I remember, if I was up, if I was

my abuelita and I said, oh, you are so, literally, you're not, you're not a man,

and then I'm a bit, my chita, yeah, there, you have to get the pancita,

or me I'm not I'm not so, the little abuelita that is God in the earth no, that's a marvellia the figure of the

abel. Because she's not your cause it's a thing. All it's all of supervience at the final

of the day, you know? So, you're that your kids, so with the education that you're saying,

you're saying, ah, well, that's, very, very, very very hard and responsible, he'll be

be good. And if it's a attractiva to be a lot is a thing that's very limitant.

I can't tell the counterpart to Mark. To me my my mother my

my how is it their security personal to look a place a place a place

a place a question this stigma and this this this this

issue that still actually has that the person that the

affect more than the person I think this this stories

of the women that are to be to go

and not they're not so they're they're having a little

a and a man, you see, passandos live and without pure puder, and this is part of the pressure

social that exists, because how I'm percibo I, and how me perceive the society, and at the final

of the day, we don't know what is. It's a thing that requires a attention. This is to

exercise a pressure social, it's a normal. Yeah, because it's a

problem. So, as a rata, not you say, you'd something, you'd

a, you criticar you would say you'd like to say to chalegas. No, without a dudas, no. We'd say to an electrocardiogramma, a treatment, medication, what that's necessary, change your style of life,

bet to live to a, a place that you favorisca more, for the altitude, the overpess, a person to be able to be a socially not it's not a person, but like if it were

your option, like you'd like you elgieras start in overpess. And it's curious because, And, also, also

we know that a proportion more a proportion more a proportion is a problem that's

a new thing. But we still we're again in force of a glutton. It's a

thing too. So, so we have been to change this vision,

this chip, for to say to say to say, to

pass to a thing to a thing to what really is.

And this is is supermently relevant. But a lot of things limitant. Stigmas that are there.

We've worked much to try to change these stigmas and change the form in that we're

in the problem. We're we're doing we're about this where we we're going to

talk about about but as a real of juries, justinging the time, the people

that live with obesity or the person that have some a family because, I mean, statistically,

is altamity that some of us or it's or he's a person who over the person

of a lot of the population of publicity. Of this, more or less about the 37% live with

obesity. My circle family, not is the of you the majority has that problem.

We have the tendency to have that problem. Exactly. Because, because, I mean,

it's a problem that has a components and we know that in Mexico there are certain aspects that favorize in this

environment that we're like we're in that foment that the disease but in all America Latina no in Ecuador in Colombia in Brazil in the people

that we're in in Spain there's less that is so if there differences you know those we've had the privilege because it's a privilege to be

to beaja and you go to example to Spain and you see a problem much than the Mexico and America Latin we

the middle, being Spain or Europe, a problem much more much more

better than the problem the problem the problem more the problem the problem the thing that's a thing that's

because in the classification of the obesity, there's three grad one, grader three. What are those grades?

Grade one is precisely these indices of mass corporal that's to 30 to 35,

grado 2 is to 35 to 40 and above of 40 is grader 3. this is the form standardized

basic at through the index of physical to determine grades of obesity what happens in countries

in the country in the case of the majority of the population that is in obesity

is in obesity grade one what what you do you do you have to be a country

to be a country that people that live in obesity grado 2 grade 2 grade 3

that visually is much more more more more more

that that give the appearance of that there's a problem or that the situation of

public can be more relevant in a country like the United than Mexico, Peru, Argentina, but

is a issue. Mexico and the United we are in the main the main in the

state. In Spain, what happens? But we see very different. We're very different.

But we have a situation critical of obesity and overpeas in the country. The kids

and adults. What what? What are? in countries like Spain. There's a style of diet

different. There are other dynamics of the job. What happens, for example, here with us? I, for example, to be to go to casa to work, Mark, I do a hour at day in the auto. And you go very well.

Because I'm at the 6th of the morning. You're privilegedgated. But for the tars, we're going to do so much time in situations sedentary. Because apart, we're getting to the time, we're going to bea part the time sentado

and then this type of conducts favorize to the environment obscenical. What is for example

in countries like Spain where is much more common, can't do you do you?

Caminas, caminas, camines, yeah. What's what you do you where the taxes of

subpoise of society are considerably more badas. You know a diet very based

in animals of the mar a culture that foment the caminar,

the other other type of activity physical. Because also also, important also

also in this idea of activity physical is tend we're to think that for that's activity physical

in the treatment of obesity has has been to be a cardiovascular of high impact.

Is that to go to get a cross-fit, what I see you. And not necessarily

can be something can be a way, to come to come in 20 minutes all day.

Even has studied Marko the correlation between the risk of mortality and

different activities physical. And what has observed is that, all the activities fisticas disminuels

in the risk of mortality. What do you is the activity physical that most associated with disminution of the risk

of mortality? Independientiment is a person normal, or a person with a obesity. I imagine

that is the obvious. Caminar. Caminar. Yeah. It's is a sumamint simply.

Camin, cam. There's there. And you're I'm The same is that is that is a continual

and that's enfocated in that's in a long, the style of life more antiquity, where you live in a colony,

you know, you know, you know, for the tortillas, camines for the fruit, camines to work, you know, you know,

you know, with your people, you know, you're going to you, you know, you're going to

the style of the city's more old years, has been because the United, because it's

not designed to be a minute to be, yeah, yeah, unless that we're

being in Boston or in New York, but in the cities modernas, Los Angeles, Phoenix, this,

Cesar, are designed for you know because it's it's a car. So, it's just a pure freeway

and center commercial and car, car, car, car, the colonies newas that are now in America

Latina, are very so, for all you have to get the car, to get to a car,

to go to auto, auto, auto, auto, so is, and I think that's in other there are

conducts that we can make that are little changes that are

in a tenderness, you say, you say, you say, we're going to buy the tortillas

and then why not retomar it when you know, for example, the tortillery that is

near my house is a 1.1 kilometers and not is a problem, it's

I'm medited, I'm not d' do you. For the supposed. So, it's

relatively simple, I'm I'm going to need tortillas, I can't come to the tortillery

and I'm in the time. Now, you're in frontas a traffic, you're in different to you're in frontes,

but are little little you can't do you do that you can't help to change the life and

that's you're going to help, because, not all of diet of exercise, but without

not it's important. Sure. Before to continue with the podcast, I want to

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style of the American's the is the result that we have the world of the state of

we've been that we've been that's been that's been more at the global in the time of

the post-girra without it's a place, it's a environment that has been able

because are conducts sedentary as we we said and, and that's... Comed

and that's the access to consume to consume food food hypercaloric and in a way far,

rapid and it's a diet Mediterranean, some it's many pox fruits and vegetables is pan,

meat, and this sum, that the person can't have the otherations genetic

that they predispone to develop obesity, that is a person that at the most

has a person that is a So, so you go summing factors that that at the end up the end up

everything. All frit, all in bolzita, no, I'm going, the car the auto for

all, I'm going factor of risk because I'm an American, I'm a more risk of

accumular tegid grass, all goes and so you're so you're the other

part. Yeah. If you go to Europe, and it's other style of

the Europe the people can't, also in Europe in the majority,

they're the excellent transport public where the people don't even even if it's it doesn't even because the transport public is so

so good and the streets are so so sure and the all can't and the banquettes and the parkes and the invitation

and the normal is to go to come to it's what normal is what normal and it's a time. I've been

the opportunity I've had been the opportunity, like you, to visit a Europe and you go out and you

you can find out with people coming because it they're doing a lot of a lot of

you know, you know, you're doing the whole thing is doing the world because it's not going to you know,

you know, you know, you know, this type of differences in patrons. I remember that when I've got the opportunity to

know in New York. I'm surprised you much that you see a proportion much more

more than a person who are in an enormous person. But just it's a city where it's

much more more easy to come in you know, where the people get a work,

does more activity physical. So, then you get to you know, because you

start to control other factors of the environment of so general. So, but those are

cities that are built style European before that they apostar to the industry

of the auto and so Los Angeles San Diego Seattle, San Antonio, Houston,

Dallas, Miami are they're constructed as they're they're built for that not you're

going to a style of life that not that's the that's the that's the that

favores that that the incidence of the disability disminuia yeah

well well what what you can't ask you someone that's

obesity or overpeas or or has pre-diabetes or has already is entering in those problems? To what

specialist I can look to all the gamas of medical that there's a way that you recommenderies

to try to the obesity? How we we've got a doctor, a doctor, that's the people correct

that not not us stigmatize that not not says back the back of and then

we're going to try this like this like this like a this is a chelel

than that the Federation World of Obesidad offer a series of capacitations that's

basically standardize the attention how weendam the attention as a people who live in

obesity. This is a through a series of courses that collectively are collectively they're

so you do you do you do you do you're you're you

as a person as form part of a directorio global

of medicos that have taken the capacity necessary to attend the obesity you know you can't

you can't you can't you can't scope scope medical scop scop scop sc o p e

sc ope and you you can't and you put mexico and you put it to find out of those medics in mexico

and you have concluded satisfactorially the course they're certified and they're the instruments

for do diagnostic and establish the treatment and you you're going to find endocrinologists medicals,

medicals, ciruans varietas, medics generales is very varied no is something that is a little

a speciality in particular. The same case in Ecuador, in the in Guatemala the world. The grand

maravilla of this is that is an initiative impulsed by the Federation World

of Osead. How elix? Where do I'm here? My best advice would be the best

of a medical that is registered in SCOPE if you decide or elges to go to an endocrine

or an internist with a syruhano variatra I think that any of

the options is incorrect because even a medical

specialist in these areas will help help and do

and you and you get to to to

to to any other because of you can you

can you can initiates the diagnosis, a treatment and it's a point where you

know we need to you know, we need to you know, we know the endocrine and the endocrine and the endocrine you say,

you know, the pain that we include as part of the team, a psychologist and a surgeon oriator

because that also is very important Mark. The attention of the obesity should be

a through a broadage multidis not just one. It's totally an

team that we do this we provide the attention that

needs each one of the patients. Let us the advice as well those questions, like when

you're an doctor, I know that's you're doing a person who you're doing a job to

help you. So, so, so, so, if it's valid interviewer

so, what are the questions that you would you askeries that we to do

to do to do to do where is the his grado of education

and the reality, that what you you would you? I think

more than to ask you question to make a question is it's

to hear first just to look these spaces of and second

when we're we do this this this about this multidis

no is only on your piece to we need to

we need to we need to how is your percentage of

mass grass what is your percentage of muscle

muscle muscular. We're to do an boardage multidisciplinary for the attention of your health.

If you're going to get a plan nutritional, but I need to see a a newtriologist a plan

of an plan of an food to the need to do a company or a

psychologist, a case that's necessary. We're to get this or other strategy.

You'll start this set up a red complete? So, there you're in a place

in a good. In those. So, if you your medical, your doctor, to your doctor,

you start your your life's your life, oh yeah, how's your life sexual, how is your your life

family, how is your your exercise, how is your, you start all these questions to give, to give a,

to do you get a good, we're doing the if you know, to ask you don't you think you're

on how much you, then you then you know, we need we need to to look a little

more. For this this director of Scope is so marvellouso because justly are just like

are people that have been in this so if you see you know, you know, you know,

you know, to start the book, or not you don't know it's one the night is that's

one of the most in the past in the without no doubt. Markito,

well, you know there's no other. Comer less and more than more.

Yes, no. It's what that's I'm in the place. I'm in the place, but

I'm we're we're trying we're we're in many can't do you do the part

that I'm I'm to try to try to change this object in general. There are

organizations civil that are there's for example obesity that is an organization

civil in Mexico that's also to just to change to change this

object and it's much more more more more labor

that does make this change of the perception and to make

for complete of the other the other and migrate to this

vision based in science that is a a chronic but that

is that's that and we have to and also with compassion

with with love because we're just in the, I'm just, in in in in in in in in in in in in in in in in in in in in it. and how we're going to do through various

tools, for that your relation with the food can be, and for that we don't get to move more, if not you

do you get in the gymnasio, we'll, we'll find out of, how do you, to, for that you get to,

and that's correct. And that's what we're doing with any other other health,

we know, we know, we're in diabetes, regularlyly we're we're going, we're

we're doing a power for that so, we're so, If we have a family that, unfortunately,

suffer an infartheid a heart of the heart, there's all we're in obesity it's been the same. Because also there the juice and the

stigma in the family and also impact to the patient and it's necessary that we can't we're saying if you're someone

that has what you're saying what you're doing, hey? Oh yeah, well, yeah you have to back her.

No, but that's the Exactly. So the obesity is a disease is a disease. It's.

It's. It's. It's. It's can't do you can't do with multidisplina, with

science and with much love. Yes, a disease a chronicle, controllable, that will that will

different moments as you can't with the patient that has been with diabetes that of the

that's that may be more that may have to have to that's this

also can also can also. this also can with obesity, but it's super important not to leave the side

this accompaniment of a professional of the salas. Perfect. Well, I thank you much, Dr. Inaki Villanueva. In where

we can't find out of the rest of Lili Latam. We're in Facebook, we're in TikTok, we're in LinkedIn, and we're in

Instagram, and there we're we're sharing much information and not only of obesity, but also, of diabetes,

of some types of cancers, then the is that there is that there's a content that we've done that we've done

that's different things and that can't be of much interest. Well, much thanks. Let us an applause

to Dr. Inaki Villanueva. Thanks for having been with us. We've learned. I mean, it's a good

so. Well, thanks. I mean, you've got with Mark and all the social. This podcast,

you know, you know, copy in the Liga, peggenla, mandenla, in websites, in the media social,

etiquet, or if they have any opinion, if they're in YouTube, you know, give a like to give the and give a comment

about saying, what was what more learned. And I think something we get to learn to learn to talk with more

more care, with more compassion and with more sympathy about about the about the of the

obesity. It's a problem. Before that we have our book and critiqued to someone

that has suffering with this problem, we're we're not, doctor. So, not is

a decision. No, you're not because you're not, you know, there's a there's a thing, so it's a

problem, not a decision. So, and muchism thanks for the space for the space for the space for

to be, we're talking about the next. After pronto, it's a maximum potential. Thank you

to our public. Thank you in the studio. Thank you.