Ndeipi Inofanirwa Kuongorora Kungozi Yemwoyo?
Zvinonyatsozivikanwa kuti kunyanya kuwandisa kana kupfutira kunokosha kunokonzerwa nekodonary artery disease (CAD) , kurwisa mwoyo , uye kurohwa . Zvisinei, vatsvakurudzi vanosiyana maererano neipi nzira inonyanya kuenzanisa kana munhu ari "zvakare" kudarika muviri - kureva, akaremera zvakakwana kuti uremu hwavo huve nehutano hwehutano hwemwoyo yavo. Aya matatu matanho anowanzoshandiswa ndeye BMI (muviri mashizha index), chiuno chakasara, uye chiuno-kusvika-hip chikwata.
Asi mumwe ari nani kupfuura mamwe here?
The BMI
Chiyero chinonyanya kushandiswa kuongorora njodzi inosangana nehutano ndeye BMI, chiyero chehuremu hwako kusvika pachiyero chekureba kwako. A BMI ye 25 - 29.9 inonzi inorema, kubva pa30 kusvika ku 34,9 yakazara, uye 35 kana kupfuura inodarika. BMI calculators iri nyore kushandisa (zvose zvaunoda ndeyekukura kwako uye kuyerwa) uye zvinowanikwa zviri nyore paIndaneti. (Heino imwe kubva kuNIH.)
IBMI inobatsira nokuti chiyero ichi chave chakashandiswa mune zvidzidzo zvakawanda zvechiremba, saka kuongororwa kwakawanda kwakaitwa ne BMI muyero. Ichokwadi, tsanangudzo dzakarongeka dze "kuwandisa," "dzakaoma" uye "zvakanyanya kwazvo" dzakanga dzichibva pane izvi zvidzidzo zveBMI.
Zvisinei, BMI haisi nguva yakarurama. Iyo inofadza mafuta omuviri muvanhu vane hutundu hwakawanda hwemasimba uye inowanzoita kuti vanhu vasati vakura (avo vanowanzorasikirwa nemasumbu akawanda).
Waist Circumference
Pfungwa yekushandisa chiuno chechiuno sehutano hwekugadzirisa inobva pakuderera kwepamuviri (kuunganidza mafuta muviri mudumbu) inowanzofungidzirwa kuva "yakaipisisa" kupfuura kuunganidza mafuta kune dzimwe nzvimbo (zvakadai semakumbo kana mahudyu).
Ichi ndechokuti kuwedzera kwepamuviri kunobatanidza nehuwandu hwekuwedzera kwehutachiona hwehutano, asiwo hutachiona hwehutachiona , hutachiona hwehutachiona , uye chirwere cheshuga .
Zvidzidzo zvakaratidza kuti chiuno chechiuno chemasentimita makumi mana kana kupfuura (102 cm) muvarume, uye chemasentimita makumi matatu kana kupfuura (88 cm) mumadzimai, chinosangana nepamusoro yepfungwa dzepfungwa.
Waist-To-Hip Ratio
Chiuno-kusvika-hip chiyero ndedzimwe nzira yekuongorora kuwedzera kwepamuviri, uye zvidzidzo zvakatsigira kuti izvi zvinokonzera correlates zvakanyanya nehutano hwemwoyo. Kuti uverenge chiuno chako-kusvika-hip chiyero, chiyera zvose zviviri zvechiuno chako uye hip circumferences, uye gurai chiyero chechiuno nechiyero chechiuno. Madzimai, chiyero chinofanira kuva 0,8 kana pasi, uye mumarume, chinofanira kunge chiri 1.0 kana kupfuura. (Izvi zvinoreva kuti mumadzimai chiuno chinofanira kunge chakanyanyisa kupfuura mahudyu, uye mumarume, chiuno chinofanira kunge chakanyanyisa kana chakafanana nehudyu.)
Chiuno-kusvika-hip chibatsiro chinobatsira nekuti muvanhu vashomanana chiuno chinongedzo choga chinogona kuderedza ngozi. Nokufananidza chiuno chakasvibirira kusvika muchidimbu, iwe unogona kuwana zviratidzo zviri nani zvekuwedzera kwepamuviri.
Nhamba Ipi Inofanirwa Izvo Zviri nani Pakutaurira Njodzi?
Hapana mhinduro yakananga kumubvunzo uyu.
BMI ndiyo chokwadi che "chimiro" chekurema, pakuti ndiyo inorayirwa neNIH, American Heart Association, American College of Cardiology, uye The Obesity Society. Aya mazano, zvakare, akavakirwa muboka guru rekutsvakurudza rakashandisa BMI kufanotaura matambudziko emwoyo.
Zvisinei, zvakakosha kuziva kuti, nepo BMI yakanyatsonaka pakufanotaura nezvehuwandu hwehuwandu hwevanhu vakawanda, zvingave zvisina kuve yakakwana yakakwana yemunhu akapiwa.
Uyewo, haritauri zvakananga chiyero chekuwedzera kwepamuviri munhu angave.
Tsvakurudzo dzinoverengeka dzakaratidza kuti chiyero chebhandi chepamuviri chinogona kuva chakarurama kupfuura BMI mukufanotaura nezvechirwere chemwoyo. Kunyanya, apo BMI inofanirwa kurwisa mwoyo, inenge isinganzwisisiki pane zvimwe zvinhu zvinokonzera njodzi (zvakadai sechirwere cheshuga, kusvuta, cholesterol, kudya, basa, nehutachiona) zvinofungidzirwa. Kusiyana neizvi, zvimwe zvidzidzo zvakaratidza chiuno chakakwirira-kusvika-hip chiyeuchidzo kuti chive chivimbo chakasimba chepfungwa yemwoyo, kunyange mushure mokunge nhamba idzi dzagadziriswa kune dzimwe mimwe ngozi dzengozi.
The Bottom Line
Kunyanya kuwandisa kune chinhu chinokosha chinokonzerwa nehutano hwehutano uye zvirwere zvemagetsi zvakadai sechirwere cheshuga. Mubvunzo wekuti zvakanaka sei kuverenga kana tichiyera "zvakanyanya" zvakanaka, asi mumatambudziko mazhinji, hazvisi nyore kuti tione.
Vanachiremba vakawanda vari kuvimba zvinoenderana nematanho ekurudzira varwere pamusana pengozi yavo yechipimo. Kana yako BMI iri 35 kana yakakwirira, ndizvo zvakanaka chaizvo zvaunoda kuziva. Uye kana yako BMI iine 30 - 35, kunze kwekuti iwe uri muumbi wevamwe kana imwe mhando yemutambo wemusimba, iwe unenge uine mafuta. Asi kana uri mu "chikwereti", kuziva chiuno chako chidimbu kana chiuno chako-kusvika-hip chikwata chinogona kukuudza chimwe chinhu chinokosha, sezvo kuwedzera kwepamuviri kwakaipa kwauri kunyange kana uwandu hwako hwose husingaiti zvakanyanya.
Rimwe rimwe ruzivo rwechiuno-kusvika-hip chiyero ndechokuti iwe unogona kuzviongorora iwe pachako, pasina kuenzanisa chero chinhu chipi zvacho, muga wega pamba pako. Ingozvitsaurira pasi kumatenga enyu uye uzvione iwe uri muchionioni, zvose zviri mumusoro uye muhuwandu. Kana chiuno chako chiri chepamusoro chakakura kudarika chiuno chako, iwe unenge wakabatwa, uye kuwedzera kwepoundage yako kunowedzera kuhutano hwako hwehutano hwehutano . Kuti uderedze njodzi yako, uremu hwako chimwe chinhu chaunoda kutarisa.
Sources:
Flegal KM, Carroll MD, Kit BK, uye al. Kuwedzera kwekuneta uye mafambiro mukupararira kwemuviri wehutano huzhinji pakati pevakuru veUnited States, 1999-2010. JAMA 2012; 307: 491.
Jensen MD, Ryan DH, Apovian CM, et al. 2013 AHA / ACC / TOS nhungamiro yehutungamiri hwehuwandu hwepamusoro nekurema kune vanhu vakuru: mushumo weAmerican College of Cardiology / American Heart Association Task Force pamitungamiri yeOkudzidzira uye The Obesity Society. Circulation 2014; 129: S102.
Coutinho T, Goel K, Correa de Sá D, et al. Kubatanidza muviri mashoma index neyero dzehutano hwakanyanya mukuongorora kwekufa mune zvidzidzo ne coronary heart disease. Basa re "chimiro chepanyama chinonyanya kukosha." J Am Coll Cardiol 2012; 61: 553-560.