{"id":4095,"date":"2026-01-24T13:21:30","date_gmt":"2026-01-24T18:21:30","guid":{"rendered":"https:\/\/coattitude.com\/?p=4095"},"modified":"2026-01-24T13:28:59","modified_gmt":"2026-01-24T18:28:59","slug":"comment-perdre-du-poids-durablement","status":"publish","type":"post","link":"https:\/\/coattitude.com\/en_ca\/comment-perdre-du-poids-durablement\/","title":{"rendered":"Comment perdre du poids durablement : expertise de la Dre S\u00e9verine Mazur, m\u00e9decin de l\u2019ob\u00e9sit\u00e9"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"4095\" class=\"elementor elementor-4095\" data-elementor-settings=\"{&quot;element_pack_global_tooltip_width&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_width_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_width_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_padding&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_padding_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_padding_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true}}\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6a03b95 e-flex e-con-boxed e-con e-parent\" data-id=\"6a03b95\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a02e866 elementor-widget elementor-widget-text-editor\" data-id=\"a02e866\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Perdre du poids durablement ne devrait jamais commencer par une nouvelle di\u00e8te. Dans la pratique m\u00e9dicale de la <\/span><b><a href=\"https:\/\/coattitude.com\/en_ca\/a-propos\/\">Dr. S\u00e9verine Mazur<\/a><\/b><span style=\"font-weight: 400;\">, m\u00e9decin de l\u2019ob\u00e9sit\u00e9, l\u2019enjeu n\u2019est pas de \u201ctenir bon\u201d quelques semaines, mais de <\/span><b>comprendre le corps, s\u00e9curiser le processus et construire une d\u00e9marche de sant\u00e9 stable<\/b><span style=\"font-weight: 400;\">.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> L\u2019objectif n\u2019est pas une transformation brutale, mais un cheminement r\u00e9aliste qui prot\u00e8ge la personne, ses habitudes, son mental et son avenir.<\/span><\/p><p><span style=\"font-weight: 400;\">Dans cet article, vous d\u00e9couvrirez une approche claire et durable, bas\u00e9e sur une id\u00e9e centrale : <\/span><b>l\u2019alimentation, dans le contexte de l\u2019ob\u00e9sit\u00e9, fait partie du traitement.<\/b><\/p><h2><b>1) Oublier les r\u00e9gimes : la base d\u2019une perte de poids durable<\/b><\/h2><p><span style=\"font-weight: 400;\">Pour parler s\u00e9rieusement de perte de poids, il est essentiel de mettre de c\u00f4t\u00e9 ce qui semble \u201clogique\u201d au d\u00e9part, mais qui \u00e9choue presque toujours \u00e0 long terme : <\/span><b>les r\u00e9gimes, les di\u00e8tes et les r\u00e8gles strictes<\/b><span style=\"font-weight: 400;\">.<\/span><\/p><p><span style=\"font-weight: 400;\">Les \u00e9tudes scientifiques sont claires : <\/span><b>encourager la restriction et la rigidit\u00e9 alimentaire n\u2019est pas une strat\u00e9gie durable<\/b><span style=\"font-weight: 400;\">. La Dre Mazur insiste sur un point fondamental :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><b>La restriction m\u00e8ne souvent \u00e0 l\u2019\u00e9chec<\/b><span style=\"font-weight: 400;\">, car elle d\u00e9stabilise le corps, augmente la frustration, puis alimente le regain de poids.<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">La d\u00e9pendance alimentaire ne se traite pas comme une addiction o\u00f9 l\u2019on peut \u201carr\u00eater compl\u00e8tement\u201d, car <\/span><b>on ne peut pas arr\u00eater de manger<\/b><span style=\"font-weight: 400;\">.<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">La direction m\u00e9dicalement recommand\u00e9e aujourd\u2019hui est la <\/span><b>th\u00e9rapie nutritionnelle<\/b><span style=\"font-weight: 400;\">, c\u2019est-\u00e0-dire une alimentation pens\u00e9e comme <\/span><b>un pilier th\u00e9rapeutique<\/b><span style=\"font-weight: 400;\"> au m\u00eame titre que le suivi m\u00e9dical ou psychologique.<\/span><\/p><h2><b>2) R\u00e9apprendre \u00e0 manger : reconnecter le corps, la faim, et la sati\u00e9t\u00e9<\/b><\/h2><p><span style=\"font-weight: 400;\">\u201cBien manger\u201d n\u2019est pas seulement choisir des aliments \u201csains\u201d. C\u2019est d\u2019abord <\/span><b>savoir ce que l\u2019on fait quand on mange<\/b><span style=\"font-weight: 400;\">.<\/span><\/p><p><span style=\"font-weight: 400;\">Or, dans l\u2019ob\u00e9sit\u00e9, il est fr\u00e9quent que les personnes soient :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">d\u00e9connect\u00e9es de leurs sensations corporelles,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">parfois d\u00e9connect\u00e9es de leurs \u00e9motions,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">et aient un fort potentiel de d\u00e9pendance alimentaire.<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">L\u2019enjeu n\u2019est donc pas seulement nutritionnel : il est aussi <\/span><b>sensoriel et comportemental<\/b><span style=\"font-weight: 400;\">.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> La Dre Mazur recommande de ramener la personne vers une compr\u00e9hension simple et concr\u00e8te :<\/span><\/p><h3><b>Comprendre ce qui nourrit r\u00e9ellement la sati\u00e9t\u00e9<\/b><\/h3><p><span style=\"font-weight: 400;\">Les approches les plus efficaces permettent aux patients de comprendre :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">comment les aliments influencent la sati\u00e9t\u00e9,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">comment ils participent au maintien des muscles,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">et comment ils peuvent soutenir la r\u00e9gulation naturelle de la faim.<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">Progressivement, la personne am\u00e9liore son savoir alimentaire, apprend \u00e0 :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">mieux lire ce qu\u2019elle ach\u00e8te,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00e9viter les produits ultra-transform\u00e9s hyper gras ou hyper sucr\u00e9s,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">faire des choix plus coh\u00e9rents \u00e0 l\u2019\u00e9picerie.<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">Ce n\u2019est pas une r\u00e8gle stricte : c\u2019est une <\/span><b>autonomie qui se construit<\/b><span style=\"font-weight: 400;\">.<\/span><\/p><h2><b>3) Hydratation : un levier sous-estim\u00e9 pour mieux r\u00e9guler l\u2019app\u00e9tit<\/b><\/h2><p><span style=\"font-weight: 400;\">L\u2019hydratation est un point simple, mais particuli\u00e8rement important en gestion du poids.<\/span><\/p><p><span style=\"font-weight: 400;\">Certaines personnes vivant avec l\u2019ob\u00e9sit\u00e9 peuvent ressentir des signaux internes parfois confus. Il arrive qu\u2019elles :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">confondent la soif avec la faim,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">interpr\u00e8tent mal certaines sensations.<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">Ainsi, <\/span><b>apprendre \u00e0 s\u2019hydrater au quotidien<\/b><span style=\"font-weight: 400;\"> fait partie de la r\u00e9\u00e9ducation alimentaire.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> Ce n\u2019est pas un d\u00e9tail : c\u2019est une strat\u00e9gie qui aide \u00e0 r\u00e9duire les grignotages r\u00e9flexes et \u00e0 clarifier les signaux corporels.<\/span><\/p><h2><b>4) Le premier vrai pas : organiser l\u2019alimentation pour rassurer le corps<\/b><\/h2><p><span style=\"font-weight: 400;\">La Dre Mazur propose une approche tr\u00e8s concr\u00e8te :<\/span><span style=\"font-weight: 400;\"><br \/><\/span> <b>organiser l\u2019alimentation au quotidien pour rassurer le corps.<\/b><\/p><p><span style=\"font-weight: 400;\">Le corps a besoin de sentir qu\u2019il est en s\u00e9curit\u00e9 alimentaire.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> Quand une personne saute des repas, attend trop longtemps ou mange de fa\u00e7on impr\u00e9visible, cela peut amplifier :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">les fringales,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">la perte de contr\u00f4le,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">les d\u00e9cisions alimentaires impulsives.<\/span><p>\u00a0<\/p><\/li><\/ul><h3><b>Respecter la faim au bon moment<\/b><\/h3><p><span style=\"font-weight: 400;\">Une r\u00e8gle simple : <\/span><b>manger quand la faim appara\u00eet<\/b><span style=\"font-weight: 400;\">, sans attendre qu\u2019elle devienne intenable.<\/span><\/p><p><span style=\"font-weight: 400;\">Beaucoup de patients expliquent que :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">le matin, ils n\u2019ont pas faim et sautent le petit d\u00e9jeuner,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">puis la faim devient tr\u00e8s intense vers midi.<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">Dans ce cas, une strat\u00e9gie utile peut \u00eatre de <\/span><b>cesser le je\u00fbne au milieu de la matin\u00e9e<\/b><span style=\"font-weight: 400;\">, afin de :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">atteindre une sati\u00e9t\u00e9 plus stable,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">et ramener la faim du lunch \u00e0 une intensit\u00e9 plus confortable.<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">Ce type d\u2019ajustement n\u2019a rien d\u2019un r\u00e9gime : c\u2019est une adaptation intelligente aux besoins physiologiques du corps r\u00e9ellement.<\/span><\/p><h2><b>5) Prot\u00e9ines et sati\u00e9t\u00e9 : un pilier simple et puissant<\/b><\/h2><p><span style=\"font-weight: 400;\">Parmi les recommandations cl\u00e9s de la Dre S\u00e9verine Mazur, une ressort avec une grande efficacit\u00e9 :<\/span><span style=\"font-weight: 400;\"><br \/><\/span> <b>augmenter les prot\u00e9ines de mani\u00e8re coh\u00e9rente \u00e0 chaque repas.<\/b><\/p><p><span style=\"font-weight: 400;\">Pourquoi ? Parce que les aliments les plus rassasiants sont :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><b>les prot\u00e9ines<\/b><b> <\/b><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><b>les gras<\/b><b> <\/b><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">Dans une alimentation inspir\u00e9e du Guide alimentaire canadien, le premier pas efficace consiste \u00e0 viser <\/span><b>un bon apport en prot\u00e9ines \u00e0 chaque repas<\/b><span style=\"font-weight: 400;\">.<\/span><\/p><h3><b>Combien de prot\u00e9ines par jour ?<\/b><\/h3><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Une personne s\u00e9dentaire peut viser environ <\/span><b>1 g de prot\u00e9ines par kg de poids corporel par jour<\/b><span style=\"font-weight: 400;\">.<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dans une perspective de perte de poids, augmenter l\u00e9g\u00e8rement cette quantit\u00e9 peut aider \u00e0 :<\/span><p>\u00a0<\/p><ul><li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">soutenir la faim,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">rassurer le corps,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">limiter la perte musculaire.<\/span><p>\u00a0<\/p><\/li><\/ul><\/li><\/ul><p><span style=\"font-weight: 400;\">Exemple :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Une personne de <\/span><b>90 kg<\/b><span style=\"font-weight: 400;\"> devrait consommer <\/span><b>au minimum 90 g de prot\u00e9ines par jour<\/b><span style=\"font-weight: 400;\">.<\/span><p>\u00a0<\/p><\/li><\/ul><h2><b>6) Le rythme alimentaire : 3 repas + 1 \u00e0 2 collations (si n\u00e9cessaire)<\/b><\/h2><p><span style=\"font-weight: 400;\">Une perte de poids durable n\u2019est pas seulement \u201cquoi manger\u201d, mais aussi <\/span><b>quand manger<\/b><span style=\"font-weight: 400;\">.<\/span><\/p><p><span style=\"font-weight: 400;\">La Dre Mazur recommande souvent un rythme de base :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><b>3 repas par jour<\/b><b> <\/b><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">and <\/span><b>1 \u00e0 2 collations<\/b><span style=\"font-weight: 400;\"> selon les besoins<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">Ce rythme correspond au fonctionnement naturel du corps chez la plupart des gens :<\/span><span style=\"font-weight: 400;\"><br \/><\/span> <b>manger toutes les 3 \u00e0 4 heures environ.<\/b><\/p><p><span style=\"font-weight: 400;\">L\u2019objectif est encore le m\u00eame :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">stabiliser le corps,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">r\u00e9duire l\u2019urgence alimentaire,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">diminuer les \u00e9carts qui viennent d\u2019une faim trop intense.<\/span><p>\u00a0<\/p><\/li><\/ul><h2><b>7) Mod\u00e9ration : aller plus loin plut\u00f4t que \u201ctenir bon\u201d<\/b><\/h2><p><span style=\"font-weight: 400;\">La Dre Mazur r\u00e9sume cette logique avec une id\u00e9e simple :<\/span><span style=\"font-weight: 400;\"><br \/><\/span> <b>tout est dans la mesure.<\/b><\/p><p><span style=\"font-weight: 400;\">La perte de poids durable ne vient pas de la perfection, mais de la continuit\u00e9.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> \u201cManger de tout un peu, avec mod\u00e9ration\u201d permet souvent :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">plus de s\u00e9r\u00e9nit\u00e9,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">moins de culpabilit\u00e9,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">une meilleure stabilit\u00e9 sur plusieurs mois.<\/span><p>\u00a0<\/p><\/li><\/ul><h2><b>8) Sommeil,\u00a0<\/b><a href=\"https:\/\/coattitude.com\/en_ca\/anxiete-et-perte-de-poids-comprendre-un-lien-souvent-sous-estime\/\" target=\"_blank\" rel=\"noopener\">stress<\/a><b>, hormones : ce qui influence la perte de poids au-del\u00e0 des calories<\/b><\/h2><p><span style=\"font-weight: 400;\">M\u00eame avec une alimentation bien structur\u00e9e, d\u2019autres facteurs influencent fortement le poids.<\/span><\/p><h3><b>Le sommeil : un pilier trop souvent n\u00e9glig\u00e9<\/b><\/h3><p><span style=\"font-weight: 400;\">Un sommeil de qualit\u00e9 (dur\u00e9e + rythme) influence favorablement :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">la perte de poids,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">le maintien du poids.<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">La Dre Mazur rappelle que :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">dormir <\/span><b>moins de 6 heures<\/b><b> <\/b><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">or <\/span><b>plus de 9 heures<\/b><b><br \/><\/b><span style=\"font-weight: 400;\"> augmentent les risques de prise de poids.<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">Les raisons peuvent inclure :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">le stress de journ\u00e9es trop longues,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">la s\u00e9dentarit\u00e9 associ\u00e9e \u00e0 des nuits tr\u00e8s longues,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">une perturbation globale des signaux de r\u00e9gulation.<\/span><p>\u00a0<\/p><\/li><\/ul><h3><b>Apn\u00e9e du sommeil : d\u00e9pistage essentiel en ob\u00e9sit\u00e9<\/b><\/h3><p><span style=\"font-weight: 400;\">Chaque personne en ob\u00e9sit\u00e9 devrait envisager un d\u00e9pistage de l\u2019apn\u00e9e du sommeil, car elle :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">d\u00e9grade la qualit\u00e9 du sommeil,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">favorise la prise de poids.<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">Des outils de rep\u00e9rage de l\u2019apn\u00e9e,\u00a0 utiles incluent :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: inherit; font-family: inherit; font-size: inherit; font-style: inherit; letter-spacing: inherit; text-transform: inherit;\"><a href=\"https:\/\/fondationsommeil.com\/ameliorer-son-sommeil\/evaluer-votre-sommeil\/echelle-de-somnolence-depworth\/\" target=\"_blank\" rel=\"noopener\">l\u2019\u00e9chelle d\u2019Epworth\u00a0<\/a><\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: inherit; font-family: inherit; font-size: inherit; font-style: inherit; letter-spacing: inherit; text-transform: inherit;\">the <\/span><b style=\"color: inherit; font-family: inherit; font-size: inherit; font-style: inherit; letter-spacing: inherit; text-transform: inherit;\">circonf\u00e9rence du cou<\/b><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><ul><li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">au-dessus de <\/span><b>48 cm<\/b><span style=\"font-weight: 400;\"> : probabilit\u00e9 augment\u00e9e<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">en dessous de <\/span><b>37 cm<\/b><span style=\"font-weight: 400;\"> : probabilit\u00e9 diminu\u00e9e<\/span><p>\u00a0<\/p><\/li><\/ul><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">et certains facteurs comme : ronflement, HTA, sexe, signes de somnolence.<\/span><p>\u00a0<\/p><\/li><\/ul><h2><b>9) M\u00e9tabolisme, g\u00e9n\u00e9tique et \u201cpoids de consigne\u201d : pourquoi le corps r\u00e9siste<\/b><\/h2><p><span style=\"font-weight: 400;\">Le corps cherche naturellement l\u2019\u00e9quilibre entre :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">les entr\u00e9es d\u2019\u00e9nergie (ce que l\u2019on mange),<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">et les d\u00e9penses (ce que l\u2019on consomme).<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">Quand les entr\u00e9es d\u00e9passent les d\u00e9penses, le corps stocke.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> Avec le temps, le poids le plus \u00e9lev\u00e9 devient une forme de r\u00e9f\u00e9rence interne : <\/span><b>le poids de consigne (set-point).<\/b><\/p><h3><b>Pourquoi la perte de poids devient plus difficile apr\u00e8s une baisse<\/b><\/h3><p><span style=\"font-weight: 400;\">Lorsqu\u2019une perte de poids survient, le corps peut interpr\u00e9ter cela comme un signal de danger (comme une maladie).<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> Il r\u00e9agit en :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">ralentissant le m\u00e9tabolisme basal,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">conservant l\u2019\u00e9nergie en r\u00e9serve,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">favorisant le retour vers le poids de consigne.<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">La g\u00e9n\u00e9tique joue aussi un r\u00f4le important :<\/span><span style=\"font-weight: 400;\"><br \/><\/span> <b>plus de 140 g\u00e8nes<\/b><span style=\"font-weight: 400;\"> sont impliqu\u00e9s dans la gestion du poids.<\/span><\/p><p><span style=\"font-weight: 400;\">C\u2019est pourquoi, selon la Dre Mazur, les changements <\/span><b>progressifs et plus lents<\/b><span style=\"font-weight: 400;\"> sont souvent plus efficaces :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">ils respectent le corps,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">soutiennent l\u2019acceptation,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">et augmentent les chances d\u2019installer un nouveau \u201cpoids bien-\u00eatre\u201d.<\/span><p>\u00a0<\/p><\/li><\/ul><h2><b>10) Mesurer une perte de poids en sant\u00e9 : au-del\u00e0 de la balance<\/b><\/h2><p><a style=\"background-color: #ffffff;\" href=\"https:\/\/coattitude.com\/en_ca\/mesures-medecine-obesite-au-dela-imc\/\" target=\"_blank\" rel=\"noopener\">Le chiffre sur la balance n\u2019est pas le meilleur indicateur de sant\u00e9.<\/a><span style=\"font-size: inherit;\">Un indicateur tr\u00e8s utile est :<\/span><\/p><h3><b>Le tour de taille (en cm)<\/b><\/h3><p><span style=\"font-weight: 400;\">Surtout si la personne augmente son activit\u00e9 physique, car :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">la masse adipeuse abdominale diminue,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">la masse musculaire peut se stabiliser ou augmenter,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">le tour de taille baisse m\u00eame si le poids ne baisse pas autant (ou augmente).<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">D\u2019autres outils existent (selon les cas) :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">balance \u00e0 imp\u00e9dance<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">lipodensitom\u00e9trie<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">La progression r\u00e9elle peut donc \u00eatre invisible sur la balance, mais tr\u00e8s visible sur la sant\u00e9.<\/span><\/p><h2><b>11) Activit\u00e9 physique : un outil de sant\u00e9, pas une punition pour maigrir<\/b><\/h2><p><span style=\"font-weight: 400;\">La Dre Mazur est tr\u00e8s claire :<\/span><span style=\"font-weight: 400;\"><br \/><\/span> <b>le but du sport n\u2019est pas la perte de poids.<\/b><\/p><p><span style=\"font-weight: 400;\">Dans une d\u00e9marche de gestion du poids, l\u2019activit\u00e9 physique sert surtout \u00e0 :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">prot\u00e9ger la masse musculaire,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">soutenir la sant\u00e9 globale,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">am\u00e9liorer la capacit\u00e9 du corps \u00e0 fonctionner efficacement.<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">Le risque lors d\u2019une perte de poids est de perdre :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">de la graisse <\/span><b>et aussi<\/b><b> <\/b><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">du muscle<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">Or, perdre du muscle n\u2019est pas souhaitable.<\/span><\/p><h3><b>Attention au signal de faim apr\u00e8s l\u2019activit\u00e9<\/b><\/h3><p><span style=\"font-weight: 400;\">Apr\u00e8s une activit\u00e9, le corps envoie souvent un signal de faim pour \u201crecharger\u201d.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> Dans un objectif de perte de poids, ce signal doit \u00eatre temp\u00e9r\u00e9 consciemment avec des strat\u00e9gies comme :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">choisir de bonnes collations post-effort,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">bien s\u2019hydrater,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">se re-saler si n\u00e9cessaire.<\/span><p>\u00a0<\/p><\/li><\/ul><h3><b>Quelles activit\u00e9s sont durables ?<\/b><\/h3><p><span style=\"font-weight: 400;\">Une activit\u00e9 mod\u00e9r\u00e9e est souvent suffisante pour :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">conserver les muscles,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">encourager le corps \u00e0 utiliser l\u2019\u00e9nergie sans stocker.<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">Exemples possibles :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">marche<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">m\u00e9nage actif<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">v\u00e9lo<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">danse<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">patin<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">bouger de la mani\u00e8re qui convient \u00e0 la personne<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">Pour renforcer le corps, les pilates peuvent \u00eatre utiles pour la sangle abdominale profonde :<\/span><span style=\"font-weight: 400;\"><br \/><\/span> <b>10 \u00e0 30 minutes par jour<\/b><span style=\"font-weight: 400;\"> peuvent suffire.<\/span><\/p><p><a style=\"background-color: #ffffff;\" href=\"https:\/\/coattitude.com\/en_ca\/perdre-du-poids-rapidement\/\" target=\"_blank\" rel=\"noopener\">Plus l\u2019activit\u00e9 est compatible avec une vie normale, plus elle a de chances d\u2019\u00eatre maintenue.<\/a><\/p><p><b style=\"font-size: 40px; letter-spacing: -1.08px;\">12) Mythes fr\u00e9quents sur la perte de poids \u00e0 d\u00e9construire<\/b><\/p><h3><b>Mythe 1 : \u201cLa balance = le bonheur\u201d<\/b><\/h3><p><span style=\"font-weight: 400;\">Le poids peut \u00eatre un point central au d\u00e9but, et c\u2019est normal.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> Mais la sant\u00e9 durable s\u2019installe quand la personne d\u00e9couvre une vision plus large :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00e9quilibre alimentaire<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00e9quilibre psychique<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00e9quilibre physique<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">s\u00e9r\u00e9nit\u00e9<\/span><p>\u00a0<\/p><\/li><\/ul><h3><b>Mythe 2 : \u201cIl faut \u00eatre strict pour r\u00e9ussir\u201d<\/b><\/h3><p><span style=\"font-weight: 400;\">La restriction est souvent la base des \u00e9checs.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> Dans l\u2019ob\u00e9sit\u00e9, la solution n\u2019est pas la rigidit\u00e9, mais :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">les compromis,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">les choix,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">la stabilit\u00e9.<\/span><p>\u00a0<\/p><\/li><\/ul><h3><b>Mythe 3 : \u201cJe dois faire du sport pour perdre du poids\u201d<\/b><\/h3><p><span style=\"font-weight: 400;\">Le sport aide la sant\u00e9, les muscles, les organes, et diminue plusieurs risques.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> Mais le but principal n\u2019est pas la perte de poids.<\/span><\/p><h3><b>Mythe 4 : \u201cJe dois y arriver seul\u201d<\/b><\/h3><p><span style=\"font-weight: 400;\">Demander de l\u2019aide n\u2019est ni un \u00e9chec, ni une faiblesse.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> L\u2019ob\u00e9sit\u00e9 est une maladie chronique \u00e9volutive : le corps lutte contre la perte de poids.<\/span><span style=\"font-weight: 400;\"><br \/><\/span><span style=\"font-weight: 400;\"> Un accompagnement est souvent n\u00e9cessaire.<\/span><\/p><h2><b>13) Suivi m\u00e9dical et accompagnement psychologique : s\u00e9curiser le parcours<\/b><\/h2><p><span style=\"font-weight: 400;\">La Dre Mazur explique que le suivi m\u00e9dical sert \u00e0 :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">s\u00e9curiser la perte de poids,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">suivre les signes vitaux et les param\u00e8tres biologiques,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">prescrire des examens,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">faire des d\u00e9pistages essentiels,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">recommander une activit\u00e9 adapt\u00e9e,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">proposer des traitements m\u00e9dicamenteux lorsque n\u00e9cessaire.<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">Elle cherche aussi \u00e0 identifier certains \u00e9l\u00e9ments souvent li\u00e9s \u00e0 l\u2019ob\u00e9sit\u00e9 :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">apn\u00e9e du sommeil<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">d\u00e9fis hormonaux f\u00e9minins<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">TDAH<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">trouble d\u2019acc\u00e8s hyperphagique<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">d\u00e9pression<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">trouble anxieux<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">organisation alimentaire quotidienne<\/span><p>\u00a0<\/p><\/li><\/ul><h3><b>Pourquoi l\u2019accompagnement psychologique est essentiel<\/b><\/h3><p><span style=\"font-weight: 400;\">Surtout au d\u00e9but, car il permet :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">d\u2019identifier ce qui bloque le processus,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">de cr\u00e9er un soutien adapt\u00e9,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">d\u2019accueillir les enjeux qui \u00e9mergent en cours de route.<\/span><p>\u00a0<\/p><\/li><\/ul><p><a href=\"https:\/\/coattitude.com\/en_ca\/services\/medecine-de-lobesite-et-coaching\/\" target=\"_blank\" rel=\"noopener\">Tout ne se r\u00e8gle pas en une seule \u00e9tape. Le cheminement se fait au rythme du patient, avec des outils possibles selon les moments :\u00a0\u00a0<\/a><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/coattitude.com\/en_ca\/medicaments-pour-la-perte-de-poids\/\"><span style=\"font-weight: 400;\">medications<\/span><\/a><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">PNL<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">hypnosis<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">EFT<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">gastric balloon<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">remplacements alimentaires<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">chirurgie<\/span><p>\u00a0<\/p><\/li><\/ul><h2><b>14) Les d\u00e9couvertes scientifiques qui transforment la compr\u00e9hension de l\u2019ob\u00e9sit\u00e9<\/b><\/h2><p><span style=\"font-weight: 400;\">Selon la Dre Mazur, comprendre la physiopathologie de l\u2019ob\u00e9sit\u00e9 est une avanc\u00e9e majeure.<\/span><\/p><p><span style=\"font-weight: 400;\">Parmi les m\u00e9canismes importants :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">un d\u00e9s\u00e9quilibre de communication entre cerveau et cellules adipeuses<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">le r\u00f4le de la leptine et de la ghr\u00e9line dans la faim et la sati\u00e9t\u00e9<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">le dysfonctionnement de la boucle de r\u00e9compense dans l\u2019alimentation \u00e9motionnelle, compulsive ou anxieuse<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">une meilleure compr\u00e9hension de l\u2019hyperphagie boulimique<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">le concept du poids de consigne<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">les m\u00e9canismes de regain apr\u00e8s di\u00e8tes et pertes rapides<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">Ces d\u00e9couvertes montrent pourquoi <\/span><b>l\u2019alimentation et l\u2019activit\u00e9 physique seules ne suffisent pas toujours<\/b><span style=\"font-weight: 400;\"> \u00e0 \u201cgu\u00e9rir\u201d l\u2019ob\u00e9sit\u00e9, et pourquoi la strat\u00e9gie doit \u00eatre globale.<\/span><\/p><h2><b>15) Ce qui distingue les patients qui progressent le mieux (au-del\u00e0 du r\u00e9sultat)<\/b><\/h2><p><span style=\"font-weight: 400;\">Selon la Dre S\u00e9verine Mazur, les meilleurs indicateurs de progression sont :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">l\u2019installation durable des habitudes avec moins d\u2019effort<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">la constance de la routine<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">la capacit\u00e9 \u00e0 l\u00e2cher prise sur les contraintes<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">la reprise du mouvement avec plaisir, m\u00eame \u00e0 minima<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">le retour de la vie sociale<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">une forme de calme int\u00e9rieur, de pr\u00e9sence \u00e0 soi<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">la pr\u00e9sence de plaisir dans le cheminement<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">un objectif de sant\u00e9 clair et stable<\/span><p>\u00a0<\/p><\/li><\/ul><h2><b>Conclusion : perdre du poids durablement, c\u2019est retrouver de la s\u00e9curit\u00e9 et de la coh\u00e9rence<\/b><\/h2><p><span style=\"font-weight: 400;\">L\u2019approche de la <\/span><b>Dr. S\u00e9verine Mazur<\/b><span style=\"font-weight: 400;\">, m\u00e9decin de l\u2019ob\u00e9sit\u00e9, ne repose pas sur le contr\u00f4le absolu, mais sur la compr\u00e9hension, la stabilit\u00e9 et le soin.<\/span><\/p><p><span style=\"font-weight: 400;\">Perdre du poids durablement, c\u2019est :<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">arr\u00eater de se battre contre son corps,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">apprendre \u00e0 l\u2019\u00e9couter,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">structurer une routine rassurante,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">prot\u00e9ger ses muscles,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">dormir mieux,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">se faire accompagner,<\/span><p>\u00a0<\/p><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">et avancer \u00e0 un rythme qui respecte la r\u00e9alit\u00e9 de la maladie.<\/span><p>\u00a0<\/p><\/li><\/ul><p><span style=\"font-weight: 400;\">C\u2019est un processus m\u00e9dical, psychologique et humain, qui vise moins la performance imm\u00e9diate\u2026 que la paix \u00e0 long terme.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Perdre du poids durablement ne devrait jamais reposer sur une nouvelle di\u00e8te. Inspir\u00e9e de l\u2019approche m\u00e9dicale de la Dre S\u00e9verine Mazur, cette m\u00e9thode vise \u00e0 s\u00e9curiser le corps, stabiliser l\u2019app\u00e9tit et construire une routine r\u00e9aliste, en combinant nutrition th\u00e9rapeutique, prot\u00e9ines, sommeil et accompagnement.<\/p>","protected":false},"author":2,"featured_media":4101,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12,9],"tags":[],"class_list":["post-4095","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-accompagnement-psychologie","category-comprendre-obesite"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Perte de poids durable : l\u2019approche m\u00e9dicale recommand\u00e9e<\/title>\n<meta name=\"description\" content=\"D\u00e9couvrez l\u2019approche m\u00e9dicale de la Dre 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