Health
Italy Allocates €4.2 Million Fund to Combat Obesity, Sparking Debate on Impact
Italy is on the verge of creating a €4.2 million public fund aimed at addressing obesity, a health issue affecting approximately six million Italians. While advocates have hailed the move as a significant step forward, critics argue that the funding falls short of addressing the scope of the problem.
The fund, included in Italy’s 2025 budget law, is set to be approved by parliament. Managed by the health ministry, it will be distributed over three years to support obesity-related initiatives. This marks a continuation of Italy’s recent efforts to recognize obesity as a chronic disease, a status it gained in 2019.
Growing Obesity Concerns
Although Italy’s obesity rate of 11.4% is below the European Union average of 16%, rising rates among children and teenagers have raised alarms. A 2023 European Commission report highlighted high levels of physical inactivity among Italian youth, warning of potential long-term public health challenges.
Dr. Paolo Sbraccia, head of the internal medicine unit and obesity center at the University of Rome Tor Vergata, called the fund a “real breakthrough” in paving the way for future resources. However, he acknowledged that obesity remains largely overlooked in Italy’s healthcare system despite being included in the country’s chronic disease plan this year.
Symbolic or Substantial?
Not everyone is convinced of the fund’s potential impact. Francesco Paolucci, a professor of health economics and policy at the University of Bologna, described the fund as a “drop in the ocean.” He argued that it is more of a symbolic gesture than a comprehensive solution, adding, “It’s saying that something needs to be done, but it’s not enough.”
Roberto Pella, a lawmaker from the Forza Italia party and advocate for combating chronic diseases, introduced the amendment to create the fund. Pella has promised further legislation by 2025 to ensure broader access to nutritional, pharmaceutical, and surgical treatments for obesity.
Debate Over Medication Costs
The fund has raised questions about its use, particularly regarding expensive weight-loss drugs like Ozempic and Wegovy. While these medications are approved in Italy, they are not covered by the national health service due to cost concerns. Spending on semaglutide, the active ingredient in both drugs, surged by over 50% in 2023, highlighting the financial burden on the healthcare system.
Sbraccia argued that such drugs should be reserved for patients with severe obesity or those at high risk of complications, given the high prevalence of the condition.
A Call for Systemic Reform
Critics like Paolucci contend that Italy’s healthcare system requires broader reform to tackle chronic conditions effectively. Without improved access to primary care, he warned, obesity and other health issues would continue to strain the country’s hospital system.
“Obesity is both a problem in itself and a risk factor,” Paolucci said. “If we don’t address it comprehensively, it will exacerbate pressures on an already struggling healthcare system.”
Health
World Cup Emotion Can Strain the Heart, Cardiologists Warn Fans at Risk
As the World Cup begins, medical experts are cautioning football fans with underlying heart conditions that the emotional intensity of matches can place unexpected strain on the cardiovascular system.
Cardiologists say that the excitement, tension, and anxiety generated during high-stakes games can trigger physical reactions similar to intense exercise, raising heart rate, blood pressure, and stress hormones.
“Intense emotions, whether positive or negative, can act as ‘precipitating risk factors’ for cardiovascular events such as heart attack,” said Paola Santalucia, a cardiologist and board member of the European Heart Network.
She explained that moments of extreme excitement, such as a decisive penalty shootout or a last-minute goal, may pose risks for people already living with heart disease. Those with additional risk factors, including hypertension, obesity, or smoking habits, are also advised to be cautious during emotionally charged matches.
Research using wearable devices has shown that during major football events, some fans experience heart rates climbing as high as 150 beats per minute. That level is comparable to sprinting and reflects how strongly the body reacts to emotional stress.
A study examining supporters during the 2025 German Cup final found that even watching from home can significantly affect physiological responses. “They still had an increase in heart rate that compares to walking, even though they didn’t walk,” said Christian Deutscher, professor of sports economics at Bielefeld University and co-author of the study.
He noted that the most intense reactions often occur not during goals themselves, but during moments of uncertainty such as VAR checks, penalty shootouts, or shots striking the post. These unpredictable situations, he said, are what drive the strongest emotional and physical responses among fans.
Deutscher also pointed out that stadium spectators may experience even greater strain due to environmental factors such as heat and alcohol consumption.
However, experts emphasize that football itself is not inherently dangerous. Instead, it is the body’s natural response to excitement that can create temporary stress.
“The adrenergic stimulation is at its max: extreme high blood pressure, high heart rate, and adrenaline, cortisol, skyrocketing,” said Dan Atar, professor of cardiology at Oslo University Hospital. In rare cases, he added, this surge can contribute to the rupture of arterial plaque in vulnerable individuals, potentially leading to a heart attack.
Atar stressed that such events can occur in everyday situations as well, including physical exertion like shoveling snow. “It is in no way dangerous to watch a football game,” he said. “All this is physiologic. It’s not dangerous to be excited.”
Still, he acknowledged that combining emotional stress with alcohol, heat, and pre-existing conditions can increase risk for some viewers.
Doctors advise those at higher risk to continue prescribed medications, limit alcohol intake, avoid smoking, and watch for warning signs such as chest pain or irregular heartbeat.
“The key message is not to avoid enjoying the match, but to do so with moderation and awareness,” Santalucia said.
Health
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Health
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