Izwi rokuti "kunyanya" kunokandwa pasi pose, uye dzimwe nguva zvingave zvisina kujeka kuti zvinorevei. Rinoreva munhu wose ane uremu hwepamusoro kana ane huwandu hunorema kurasikirwa? Kana zvinopfuura izvozvo? Zvakanaka, pane tsanangudzo yezvokurapa kwekuneta , pamwe chete nezwi rokuti "overweight."
Muchirevo chechiremba, izwi rokuti "overweight" rasvika kushandiswa sezita (sezvinoreva, "kuneta uye kupisa simba") zvakafanana nechirevo.
Kushandiswa kwakadaro kunobatsira pakujekesa kuti kuwandisa kwehuwandu uye kukwegura kune chikamu cheurwere-huwandu pane izvozvi pasi apa.
Iro tsanangudzo yezvehutano yehuwandu hwehuwandu hwepamusoro inobva mumuviri mass index (BMI). BMI inoyerwa muyuniti ye kg / m 2 , zvinoreva kuti inoda kureba uye kuyerwa kwekuverenga. BMI calculator inowanikwa nyore nyore kushandisa, yakadai seyo inopiwa pano. Ingoisa mukana wako kuti udzidze BMI yako.
Kuwandisa kwepamusoro kunotsanangurwa seBMI ye 25.0 - 29.9 kg / m 2 . A normal BMI inotsanangurwa seinowa pakati pe18.5 ne24.9. Kuva neBMI iri pasi pe18.5 kunoratidzira imwe sekuisa pasi.
Chii Chinorema Kudarika?
Kungofanana nekuwedzererwa kwepamusoro, tsanangudzo yezvehutano yehutano hwakanyanya kune ye BMI kuverenga. Kuti zvienzaniswe sezvakawanda, murwere anofanira kuva ne BMI ye 30.0 kana kupfuura. A BMI ye 40.0 kana yakakurumbira inowanzonzi "kuora mwoyo zvakanyanya," uye inokurudzirwa nemitemo yenyika sechikonzero chekucherechedza varwere vanogona kukodzera kurapwa chirwere.
Izvo zvinofanira kuonekwa, zvechokwadi, kuti vamwe vatambi vane musimba zvikuru vanogona kuva neBMI yakawanda iyo inokonzerwa nehukuru hwavo hutsika kwete pane mafuta emuviri. Nokudaro, iyo BMI inotarisirwa kuve chikamu chemakirini makuru ekuongorora.
Nei Zvine Basa?
Ongororo dzakawanda dzakaratidza kuti mukana wehutano hwakashata (maererano nezvirwere zvakadai sekenza, mwoyo , chirwere cheshuga , chirwere cheshuga , kukwira kweropa , uye vamwe), pamwe chete nekufa kwenguva isati yakwana, inowedzera sezvo BMI inowedzera.
Uye kliniki yekutsanangurira kuneta (BMI ye30.0 kana kupfuura) inoshandiswa muzviitiko zvakawanda kusarudza nzira dzakakodzera dzokurapa.
Panewo zvinoreva kushandiswa kweinishuwarenzi uye kuti kurapwa kwaizotaridzirwa sei kuchidiwa. Muna 2013, American Medical Association (AMA) yakaratidza zvakadzama kuva nehupenzi kuva chirwere, kubvuma "hukuru hwevanhu uye hupfumi hwekunetseka kwekuwedzera sekuda kwekurapa, kutsvakurudza, uye dzidzo kune zvimwe zvirwere zvikuru zvehutano pasi rose."
Uyewo mugore ra2013, American Heart Association, American College of Cardiology, uye The Obesity Society yakabudisa mitsva, yakareba kwenguva refu yakanyanyisa kutungamirirwa, iyo yakabudiswa se "2013 ACCF / AHA / TOS Guideline yekutungamira kwekuwedzera kwehuwandu nekunyanyisa kwevanhu vakuru. "
Izvo zvinokonzerwa nekubvumirana nekubvuma kuderera sechirwere chisingagumi hachitarisiri kungosimudzira kuziva kwechinetso pakati pevanhu vose asiwo kugadzirisa hurongwa pamatunhu ose. Vagadziri vezano vanogona kunzwa kunzwa zvakanyanya kudiwa kubhadhara uye kushandisa zvirwere zvekuneta nekupindira zvirongwa, apo vateresi vatatu vanogona kunge vachida kubhadhara vanachiremba nevamwe vadzidzisi vezvehutano mukurapa uye kutungamirirwa kwekuneta sechirwere chakazivikanwa.
Sezvo kusvika kune Centers for Medicare neMedicaid Services (CMS) inonetseka, kuneta kwakagadzirirwa sechirwere chisingagumi kubva muna 2004. Kubva munaNovember 29, 2011, Medicare yakavhara mari yekurapa kwetsika kune varwere vane chirwere chekuwedzera kuneta. Izvi zvingangosanganisira kuongororwa neBMI uye chiuno chakasvibirira, kudya kwezvokudya, uye kupindira kwepamusoro kwekuita maitiro. Bhuku rekuvhiya yeBariatric rinowanikwawo pane imwe nzira.
Kuvhara pasi pezvirongwa zvehutano hwehuga zvinogona kusiyana; Zvisinei, pasi pegore ra2010 Affordable Care Act (ACA), zvirongwa zvitsva zvehutano zvinotarisirwa kuvhara maitiro ekudzivirira anonzi "A" (zvakakurudzirwa) kana "B" (yakakurudzirwa) neU.S. Preventive Services Task Force (USPSTF).
Kuwedzera kwekuongorora kuve kwakapiwa chirongwa che "B" kune vose vakuru nevana ne USPSTF, uye naizvozvo zvirongwa zvitsva zvehutano zvichatsvirwa kuvhara kuneta kwepamusoro, iyo, sezvataurwa pamusoro apa, kazhinji inotanga neBII kuongorora uye inogona kusanganisira chiuno chechiuno uye kudya kuongorora. Kuwedzera kuparidzirwa nehutano hwehutano hwehumwe hutano hwehutano hwehutano hwakanaka uye huripo, asi, hucharamba huchienda. Vamwe vatsigiri, somuenzaniso, vanopa mazano ekupa mazano, asi vamwe vanopa hutano hwekudzidzisa kana kutumira kune hutano-kurasikirwa svondo seSeight Watchers.
Sources
American Medical Association Imba yeVaparidzi: Kururamisa 420 - Kuzivikanwa kweUkuwedzera Sechirwere . Jensen MD, Ryan DH, Apovian CM, et al.
2013 AHA / ACC / TOS Nhungamiro yehutungamiri hwehuwandu hwehuwandu hwehuwandu hwehuwandu hwehuwandu hwevanhu muhutano hwevanhu vakuru: Mharidzo yeAmerican College of Cardiology / American Heart Association Task Force pamusoro pekushandisa mazano uye Obesity Society [yakabudiswa paIndaneti musi waNovember 27, 2013]. Circulation.
Benson SS. Kuwedzera muviri muTennessee: Zvinangwa zvePurogiramu Yokunyora Kuderedza Kuwedzerwa se "Denda." Tennessee Mishonga. January 2014; 27-30.