K]ckhjgZd]e]f$ _]d\rgj_]f$ \Yl ]f] _dYYkb] ]pljY3 da]n]j n]jroab_]f o] `]l nggj \] `makYjlk& EYYj nggj ]]f _g]\] \aY_fgk] ]f Z]`Yf\]daf_ cmf b] Zab \] ngd_]f\] rYc]f Z]l]j _]]f ZdY\ nggj \] egf\ f]e]f&
Gh]f cYYjl kh]d]f Zab b] `makYjlk Klj]kk ]f j]dYla]kljmZZ]daf_]f
K]ck klYYl e]l klah gh fmee]j f af `]l jablb] lYZg]% gf\]jo]jh]f ,. K Y f l • b m d a • * ( ( 1
SAN09007-gezond03.indd 46
ÉE]fk]f hjYl]f fa]l eYcc]dabc gn]j klj]kk ]f j]dYla]hjgZd]e]f$ ge\Yl r] da]n]j fa]l lg]_]n]f \Yl `]l kd][`l e]l r] _YYlÊ$ `]]^l `makYjlk Af_ja\ Cmah]j _]e]jcl& R] eg]l nYYc n]]d eg]al] \g]f ge hYla fl]f l] dYl]f n]jl]dd]f gn]j hjgZd]e]f af `mf hjan d]n]f& ÉOYfl `]l ak o]d `]]d Z]dYf_% jabc \Yl ac o]]l oYl ]j kh]]dl$ Yd oYk `]l Ydd]]f Yd ge kgeea_] cdY[`l]f l] n]jcdY% j]f& DYYlkl `Y\ ac ZabnggjZ]]d\ ]]f njgmo
gh eabf khj]]cmmj \a] kd][`l kda]h ]f ` ]na_] `gg^\habf `Y\3 \Yl cYf fYlmmjdabc \ggj nYf Ydd]k cge]f& Lg]f ac \ggjnjg]_$ coYe ac ]jY[`l]j \Yl `]l `YYj Ydd]eYYd l] n]]d o]j\& R] `]]^l ]]f ^mddlae] ZYYf$ \g]l \YYjfYYkl fg_ ]]f klm\a] ]f e]l `YYj j ]dYla] _af_ `]l ggc fg_ ]]fk fa]l d]cc]j& E]l \Yl kggjl af^gjeYla] ra] ac `YYj cdY[`% l]f af ]]f `]]d Yf\]j da[`l& <a] n]j\oabf]f fa]l e]l ]]f hadd]lb]$ ]]jkl eg]l]f o] \] ggjrYc]f YYfhYcc]f&Ê
<ggj rabf _]`]ae`gm\af_khda[`l eY _ ]]f `makYj l k _]_]n]fk gn]j bgm fa]l e]l Yf\]j]f \]d]f&
12-05-2009 15:16:09
?]]f _]`]ae]f e]]j gf\]jo]jhÊ$ r]_l Cmah]j& @]l _]ngd_2 `]l \]mjcfgh^]fge]]f& É<Yf `]]^l a]eYf\ ]]jkl la]f eafml]f gn]j oYl cd]af] coYYd% lb]k _]cd]lkl& 9dk r] gh `]l hmfl klYYl l] n]jlj]cc]f ]f Zab oabr] nYf khj]c]f \] \]mjcfgh Yd af `Yf\]f `]]^l$ r]_l r]2 ËG bY$ o] `]ZZ]f Yd ZabfY ]]f `Yd^ bYYj _]]f k]ck e]]j _]`Y\Ì& <YYjnggj eYc]f o] \Yf e]l]]f ]]f fa]mo] Y^khjYYc&Ê
l]ckl2 E]fkb] E]d[`agj t Z]]d\2 ;gjZak$ K`mll]jklg[c
<Yl ]f] _dYYkb] ]pljY Fg_ rgÌf gf\]jo]jh oYYj o] fa]l Ydlab\ gh]f gn]j rabf2 Yd[g`gd_]Zjmac& 9dk Af_ja\ Cmah]j YYf e]fk]f e]l cdY[`l]f Ydk kdY% h]dggk`]a\ ]f [gf[]fljYla]klggjfakk]f njYY_l `g]n]]d r] ]a_]fdabc \jafc]f$ cjab_l r] kl]]nYkl l] `gj]f ÉEoY`$ fa]l rg n]]d&Ê N]jngd_]fk l]kl r] `]l Yd[g`gdhjgeaddY_] af `]l Zdg]\ ]f \Yf Zdabcl eYYj Yd l] nYYc \Yl \] hYla fl jmaek[`gglk Zgn]f \] lo]] _dYr]f h]j \Y_ ral& @]l ak fa]l Ydlab\ eYcc]% dabc e]fk]f ]jnYf l] gn]jlma_]f \Yl e]]j \Yf \a] lo]] _dYYkb]k lg[` ][`l gf_]rgf\ ak& Cmah]j2 ÉA]eYf\ \a] nggj `]l ]l]f ]]f \jYfcb] \jafcl$ l ab\]fk \] eYYdlab\ lo]] _dYr]f oabf f]]el ]f \YYjfY fg_ ]]f kdYYhemlkb]$ \]fcl e]]klYd \Yl `]l Ydd]% eYYd fa]l rg kd][`l ak& @]l ak `]]d dYkla_ ge e]fk]f l] gn]jlma_]f \Yl eaf\]j]f e]l Yd[g`gd Z]l]j ak&Ê
:]dYf_jabc] oakk]oYkb]k =j rabf hYla fl]f \a] nggj ]dc oakk]oYkb] fYYj \] `makYjlk _YYf$ oYl eakk[`a]f ggc o]]j gn]j\j]n]f ak& EYYj cd]af] cdY[`l]f f]_]j]f ak ggc fa]l _g]\& Gfn]jcdYYjZYYj _]oa[`lkn]jda]k$ ]]f `g]kl \a] eYYj fa]l o]__YYl$ `]]k`]a\ \a] dYf_]j \Yf r]k o]c]f YYf`gm\l3 rgeYYj oYl nggjZ]]d% \]f nYf cd]af] \af_]f oYYje]] b] fYYj b] `makYjlk rgm eg]l]f _YYf& Af_ja\ Cmah]j2
,0 K Y f l • b m d a • * ( ( 1
SAN09007-gezond03.indd 48
É=j `g]^l fa]lk YYf \] `Yf\ l] rabf$ eYYj `]l ak o]d _g]\ ge ]j k]ja]mk fYYj l] dYl]f cabc]f&Ê
K]ckjaka[gÌk :ab k]ckm]]d gn]j\jYY_ZYj] YYf\g]faf% _]f kgYÌk! _YYl \] [geemfa[Yla] e]l \] `makYjlk gh rabf rY[`lkl _]r]_\ ggc kljg]^& Cmah]j k[`]lkl `g] `]l ]j e]]klYd YYf lg] _YYl& ÉAc cjab_ ZabnggjZ]]d\ ]]f njgmo gh eabf khj]]cmmj e]l gf\]jZmaccdY[`l]f ]f e]]j nY_afYd] Y^k[`]a\af_ \Yf fgj% eYYd& Gh \] njYY_ g^ r] gfn]ada_ `]]^l _]nj]] f ]f ]]f kgY cYf `]ZZ]f$ ak `]l Yfloggj\ e]]klYd2 ËAc7 Gfn]ada_7 EYYj ac `]Z Yd la]f bYYj \]r]d^\] hYjlf]j Ì Ac o]]l \Yl ac \Yf nggj \] r]c]j`]a\ lg[` ]]f co]]cb] eg]l Y^f]e]f$ oYfl f]_]f nYf \] la]f c]]j _]n]f hYla fl]f ]]f kg[aYYd o]fk]dabc Yfloggj\ Ydk ac fYYj `mf k]ck% d]n]f njYY_&Ê Bmakl Zab kgYÌk ak `]l Z]dYf_% jabc ge rg kf]d eg_]dabc gh]f cYYjl l] kh]d]f$ Z]fY\jmcl Cmah]j& É<] _]ngd_]f nYf YYf\g]faf_]f Ydk [`dYeq\aY$ rgYdk gfnjm[`lZYYj`]a\$ ogj\]f ]jfkla_]j fYYjeYl] b] dYf_]j oY[`l e]l `]l klYjl]f nYf \] Z]`Yf\]daf_&Ê 4
9dYjeZ]dd]f 9dk b] \]r] cdY[`l]f `]Zl$ cYf ]j a]lk ]jfkla_k YYf \] `Yf\ rabf& ?Y rg kf]d eg_]dabc fYYj \] `makYjlk&
=]f eg]\]jnd]c \a] _jgl]j ogj\l$ nYf cd]mj g^ ngje n]jYf\]jl$ b]mcl$ hjacl$ habf \g]l g^ Zdg]\l$ cYf \ma\]f gh ]]f e]dYfgge$ ]]f ngje nYf `ma\cYfc]j& :dg]\ af \] gfldYklaf_ cYf nYf Ydd]k Z]l]c]f]f& @]d\]jjgg\ Zdg]\ YYf \] Zmal]fcYfl ak e]]klYd gfk[`md\a_& EYYj Ydk `]l Zdg]\ n]je]f_\ ak e]l \] gfldYklaf_$ cYf ]]f gflkl]caf_ g^ a]lk ]jfkla_]jk \] ggjrYYc rabf& :]f b] f]l gh j]ak _]o]]kl ]f `]Z b] dYkl nYf cggjlkYYfnYdd]f7 <Yf cYf `]l rabf \Yl b] eYdYjaY `]Zl gh_]dgh]f& @]Z b] cggjlk$ _]oja[`lkcdY[`l]f ]f roYj] `gg^\habf7 <al cYf \ma\]f gh \] kdYYhra]cl]$ gh_]dgh]f \ggj ]]f kl]]c nYf \] lk]]lk]]nda]_& @]Z b] dYkl nYf e]]j g^ Yf\]j] nY_afYd] Y^k[`]a\af_ \Yf fgjeYYd$ habf Zab `]l hdYkk]f g^ af \] gf\]jZmac$ habf g^ Zdg]\n]jda]k lab\]fk g^ fY `]l njab]f7 <Yl cYf \ma\]f gh \] kgY [`dYeq\aY& =]f ZgZZ]dlb] af b] Zgjkl cYf ]]f gh_]r]l e]dccda]jlb] g^ ]]f _g]\YYj\a_] [qkl] rabf$ eYYj ggc ZgjklcYfc]j& =]f `g]kl \a] o]c]f YYf`gm\l$ ]j_]j ogj\l eakk[`a]f r]d^k e]l cggjlk! g^ oYYjZab b] dYkl `]Zl nYf Ö afc] Z]fYmo\`]a\ cYf gh YkleY g^ a]lk ]jfkla_]jk \ma\]f&
:ab `]l]jgk]c km]d]f af F]\]jdYf\ ak [`dYeq\aY \] e]]kl _]ngf\]f kgY &
12-05-2009 15:16:30
_]rgf\`]a\ <g]%`]l%r]d^e]\a[Yla] E]l gfr] _]rgf\`]a\ cdmkk]f o] r]d^ `]]d oYl Y^& :ab `gg^\habf f]e]f o] ]]f a Zmhjg^]f ]f ]]f Öafc] `g]kl ra]c]f o] mal e]l \jYfcb]k ]f c]]dhYkladd]k& 9dk \] cdY[`l]f YYf`gm\]f$ eg]l \] `makYjlk o]l]f oYl b] r]d^ Yd `]Zl _]hjgZ]]j\& ÉN]]d hYla fl]f \]fc]f \Yl `]l _]]f coYY\ cYf ge eYYf\]fdYf_ habfkladd]jk l] kdacc]f$ eYYj `]l cYf ZabnggjZ]]d\ eYY_cdY[`l]f n]jggjrYc]f& G^ \Yl \a] `g]kl \a] b] gf\]j\jmcl `]Zl e]l \jYfc% b]k$ gh a]lk ]jfkla_k Ydk dgf_cYfc]j \ma\l& N]jl]d \YYjge oYl b] r]d^ cgghl ]f _]Zjmacl& 9dd]]f \Yf cYf ]]f `makYjlk ]]f _g]\] \aY_fgk] kl]dd]f&Ê
E]\ak[`] gf_]`ggjrYYe`]a\ @]l `Yf_l Y^ nYf \] e]\a[abf]f \a] a]eYf\ kdacl$ eYYj fYYj k[`Yllaf_ `gm\l +( lgl .( hjg[]fl nYf \] hYla fl]f ra[` fa]l YYf \]
l`]jYha] \a] ]]f `makYjlk g^ ]]f kh][aYdakl nggj r] malklahh]dl& =f lg]_]n]f YYf b] `makYjlk \Yl b] rabf g^ `YYj Y\na]k fa]l `]Zl gh_]ngd_\$ ak eg]adabc& Cmah]j2 ÉHYla fl]f n]jl]dd]f da]n]j fa]l \Yl r] rabf _]klghl e]l e]\a[abf]f$ ge\Yl r] fa]l dYkla_ g^ ]a_]f% oabk oadd]f gn]jcge]f& EYYj b] cmfl `]l eYYj Z]l]j o]d n]jl]dd]f& 9dk ]]f `makYjlk o]]l \Yl b] hadd]f \ggj \a] n]jn]d]f\] Zab% o]jcaf_]f fa]l kdacl$ o]]l `ab g^ rab o]dc] jaka[gÌk b] dgghl ]f cmff]f bmdda] kYe]f gh rg]c fYYj ]]f Yf\]j ea\\]d&Ê
9dl]jfYla]n] Z]`Yf\]daf_]f Kgeea_] e]fk]f n]jl]dd]f da]n]j fa]l \Yl r] fYYj ]]f Y[mhmf[lmjakl g^ ]]f `ge]ghYYl _YYf$ ge\Yl r] ZYf_ rabf \Yl \] `makYjlk \Yl Y^c]mjl& EYYj `]l ak nggj \] `makYjlk o]d Z]dYf_jabc ge l] o]l]f Zab o]dc] _]f]]kcmf\a_]f b] fg_ e]]j gn]j \] ndg]j cgel& =j rabf ZabnggjZ]]d\ cjma\]f%
hj]hYjYl]f \a] kd][`l [geZaf]j]f e]l _]ogf] e]\a[abf]f& Cmah]j2 ÉE]fk]f kdac% c]f kafl%bYfkcjma\ l]_]f ]]f kgeZ]j _]ng]d$ eYYj `]l cYf ggc \] o]jcaf_ nYf Yfla\]hj]kkanY n]jeaf\]j]f& =f Zab Yf\]j] e]\a[abf]f cYf \] [geZafYla] bmakl o]]j ]jfkla_] Zabo]jcaf_]f _]n]f& 9dk ac fa]l o]]l oYl a]eYf\ r]d^ _]Zjmacl$ ak `]l dYkla_ ge ]]f _g]\] Z]`Yf\]daf_ l] _]n]f&Ê
HjgZd]e]f e]l njab]f K]ck klYYl e]l klah gh fmee]j f af `]l jablb] lYZg]gf\]jo]jh]f& <Yl `]l fa]l e]]j rg d]cc]j _YYl lmkk]f \] dYc]fk$ Z]khj]]c b] eakk[`a]f da]n]j e]l ]]f _g]\] nja]f\af \Yf e]l \] `makYjlk& EYYj bmakl \] `makYjlk `]]^l nYYc \] ghdgkkaf_ af `Yf\]f& ÉNjgmo]f hjYl]f ]j e]l ]]f njgm% o]dabc] `makYjlk _]dmcca_ fg_ o]d j]\]dabc eYcc]dabc gn]j$ eYYj `]l Zdab^l ]]f eg]adabc
6
9\n]jl]fla]!
SAN09007-gezond03.indd 47
12-05-2009 15:16:12