Misiyano pakati pezvitsanangudzo zvezvechiremba zve "kuwandisa" uye "kuora mwoyo" zvinongobatsira chete mumuviri mashizha (BMI), asi kune marudzi akasiyana ekuremawo zvakare? Nyanzvi dzinotanga kufunga saizvozvo, uye, kana ichokwadi, izvi zvinogona kubatsira kutsanangura kuti nei kuora-kurasikirwa kunosvika kune vamwe vanhu uye kwete kune vamwe.
Kusiyana Pakati Pakuneta Uye Kuwedzeresa
Sezvambotaurwa pamusoro apa, kune musiyano wekutanga pakati pekuneta nekuwedzerwa kwehuwandu hwepamusoro kana iwe uchishandisa tsanangudzo yezvechirongwa inotarirwa neBMI chete.
Kuwandisa kwepamusoro kunotsanangurwa seBMI ye 25.0 kusvika 29.9 kg / m 2 . Kuti zvienzaniswe sezvakawanda, murwere anofanira kuva ne BMI ye 30.0 kana kupfuura. (Kazhinji BMI iri pakati pe18.5 ne24.9.)
A BMI ye 40.0 kana yakakurumbira inowanzonzi "kuora mwoyo zvakanyanya," uye inokurudzirwa nemitemo yenyika sechikonzero chekucherechedza varwere vanogona kukodzera kurapwa chirwere.
Iwe uchacherechedza kuti kusiyana uku, kana kuchikosha kune zvoutano, usafungisisa chero chimwe chinopfuura BMI. Asi nyanzvi dzakawanda dziri kutarisa kunze kweBMI nokuda kwekutsanangurira kujekesa kuderedza-uye nzira yekurapa nayo.
Aripo 59 Mitemo Yokudarika?
Kuwedzera kwehutano hunoratidzika sehunosiyana mune zvadzo zvekuti ndeapi marudzi akasiyana-siyana ekuwedzeredza aripo, asi chinhu chimwe chavanobvumirana ndechokuti hapasi imwe chete yehutano hwakanyanya.
Mumwe mutsvakurudzi, Dr. Lee Kaplan, Mutungamiriri weObesity, Metabolism uye Nutrition Institute paMassachusetts General Hospital, akaudza I New York Times muna 2016 kuti akaverenga 59 marudzi ekuderedza kusvika ikozvino.
Zvichipa kuti mazana emagetsi makumi maviri nemaviri ane zvikwiriso zvekuwedzeredza zvino zvave zvaratidzwa, zvisingashamisi kuti paizova nemhando dzakasiyana dzekuninipiswa kunofanira kupikisana. Nzara, iyo FTO gene yakave yakatarwa mumakore achangobva kunge seine ushamwari hwakajeka nehutano hwakanyanya, asi vamwe vanoita sevari kuitawo basa zvakare.
Iko kwave kwakambove neine maitiro ekubatanidza kudya zvakadyiwa izvo zvave zvichionekwa.
Chimwe chidzidzo, chakabudiswa mu Journal of Public Health muna 2015, chakashuma kuti kune zvitanhatu zvakasiyana-siyana zvekuneta. Muchidzidzo ichi, vaongorori vakatarisa dhesi rakagadzirwa kubva kuYorkshire Health Study pakati pemakore a2012 ne2012.
Vadzidzi vadzidza vakanga vatumirwa mibvunzo yekuongororwa nevanhurume vavo, uye, pane zvose, nhamba yevanhu 27 806 yakaunganidzwa, avo 4144 vakawana tsanangudzo yezvehutano yehutano neBMI ye30 kana kupfuura.
Ongororo yakabvunzwa mibvunzo maererano nezera, zvepabonde, hupfumi hwehupfumi, rudzi, uye hutano. Upenyu hune chokuita nehutano hwakarongedzwawo. Vaparidzi vakatsvakurudzwawo panyaya dzakadai sehupfumi, chiito chemuviri, uye doro rinoshandiswa.
Vatsvakurudzi vakashandisa ruzivo urwu kuti varondedze mapoka evanhu vane hutano hwakakura avo vaiwanzoita zvinhu zvinopfuura BMI chete. Mukuita kudaro, vakagumisa kuti pane humwe huchapupu hwakakwana hwekuona zvikamu zvitanhatu zvinotevera, vose vane BMI ye30 kana kupfuura:
- "Kunwisa" varume
- Vechidiki, vane hutano hwakanaka
- Vakanaka, vane utano hwakwegura
- Anorwara asi anofara akwegura
- Usingafari, unonetseka pakati pezera remakore
- Vaya vane hutano hwakakosha
Saka izvi zvakadzidzei vatsvakurudzi pakupedzisira? Iko kune marudzi akasiyana-siyana evanhu vane hutano hwakanyanya, uye kuti "zvakakosha kuongororwa" nokuda kwekusiyana uku "mukati mevanhu vanoremekedzwa." Vakaramba vachiratidza kuti kuziva kuti kusiyana uku kunogona kuva nemigumisiro inokosha pamigiramuro yekliniki nekuita zvisarudzo chinangwa chekutora uye kubata kuneta, sezvo "imwe-yakanakira-yose" nzira isingashandisi.
Zvichida, somuenzaniso, kuvapo kwekumwa doro (doro) ndiyo chikonzero chikuru chekuvandudzwa kwekuneta kwepamusoro muboka rekutanga revarume vanotaurwa pamusoro apa; kana zvakadaro, kunwa kunofanira kutarisirwa uye kunopindira pairi sechikamu chekuedza chero kupi nekupi kurapa kuneta.
Nzira imwe chete iyoyo haingashandisi kune chikamu chechipiri chevechidiki, vakadzi vane utano hwakanaka, avo vanogona kunge vane chikonzero chakasiyana (kana zvikonzero) chokuva nekuneta, uye saka vangada rudzi rwakasiyana rwekupindira, nezvimwewo zvakaderera pasi .
Zvakakosha kuziva, nenzira, kuti chikuru pane zvitanhatu zvikamu zvechikamu chaive chechipiri, icho chevaduku, vakadzi vane utano. Ava vaiva vakadzi vainwa doro zvishoma kudarika vanhu vemuimwe mapoka uye vaiva nehuwandu hwehupenyu hwehupenyu.
Zvinoda Nzira dzakasiyana-siyana dzekuremerwa kurasikirwa
Kana pasina chimwe chinhu, kuziva kuti kune marudzi akasiyana ekurema kunofanira kutungamirira kumagariro akasiyana-siyana ekurasikirwa nekurema.
Kana iwe uine kuneta, iwe unogona kunge watoona izvi kuti iwe uri mhaka iwe pachako: iwe unogona kunge wakaedza zvishomanana kana nzira dzakasiyana-siyana dzekurasikirwa. Kana iwe wakaita sevanhu vazhinji, imwe kana imwe yemaitiro aya yakakurudzirwa kwauri neshamwari kana chiremba, nokuti yakashanda kwavari kana kune vamwe varwere. Asi zvichida wakazviwana hazvina kushanda kwauri, kunyange iwe wakazvipa zvakanakisa kupfura.
Zvakanaka, panzvimbo yekunyadziswa kuti iwe "haugone" kushaya uremu, zvino iwe unogona kunyaradzwa nekuziva kuti, nemhando dzakasiyana-siyana dzekuneta kunogona kunge dziri kunze uko, izvo zvakashanda kune mumwe munhu zvingasashanda kwauri, uye haisi mhosva yako kuti haina kushanda.
Icho chikonzero ndechokuramba uchiedza kusvikira iwe uchiwana izvo zvinokubatsira iwe, nokuti huzhinji hwevanhu, pasinei nehutano hwekuwedzeredza, hunogona, chaizvoizvo, hurasikirwa-hunezve, huchipiwa kuti hunoona hutano hwakanaka-kurasika hunoenda inoshanda kwavari.
Izvi zvinorema-kurasikirwa zvinosvika kune zvakasiyana-siyana, uye zvose kubva kune zvakasiyana-siyana zvekudya kune mishonga yekuvhiya ye-bariatric.
Zvese dzinotanga uye dzinoguma nekudya kwakanaka, zvakadaro, saka iva nechokwadi kuti hausi kusiya izvozvi. Nokutevera dzimwe nheyo dzinokosha dzekudya kwakanaka , kwete chete iwe unenge uri mumugwagwa wekutarisa kuneta, asi, zvisinei nokuti unoora zvakadini, iwe uchaderedzawo ngozi yako kune dzimwe zvirwere zvisingaperi sezvinonzi chirwere chemwoyo, chirwere cheshuga, uye kenza . Saka kudya kwakanaka kunokosha.
Saizvozvowo, kuita basa rekuita nguva dzose, zvisinei nokuti uremu huri kurasikirwa, hunoita muviri wako wose-uye pfungwa dzako-mumamiriro ezvinhu akanaka kwazvo, uye iwe uchakohwa zvikomborero munguva refu, nenzira yekuderedza mungozi yezvakaipa zvakafanana vatambi: chirwere chemwoyo, chirwere cheshuga, kenza, nezvimwe zvirwere zvisingaperi.
Uyewo musakanganwa kukosha kwekurara kwakanaka kweusiku , izvo zvakanyanya kuonekwa sechinhu chinokosha kune zvakakwana zvehutano-kuchengetedza kubatsirwa. Haisi kungova nehope yakakwana pane nguva dzose rubatsiro rwekurema nekurasikirwa uye kudzivirira kuwedzera kuwedzera, asi zvinoita kuti iwe utsungirire zviri nani nekudzvinyirira. Kurara kwakakwana kunokoshawo, isu zvino tinoziva, nekudzivirira chirwere chemwoyo.
Saka zvose izvi zvinotapira pasi kuti uzvichengete zvakanaka. Ita izvozvo, uye vamwe vose vachauya.
> Sources:
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> Ishean G, Pakrashi D. Itai zvinhu zvose "kuyera" zvakaenzana? Kusiyana kwakasiyana kwezvinhu zvemuviri zvakasiyana sekufananidzira kwekuyera. Risk Anal . 2015 May 20.
> Smemo S, Tena JJ, Kim KH, Gamazon ER, et al. Kuwedzera kwehupombwe hwakasiyana-siyana mukati meFTO fomu kwenguva yakareba inoshandiswa kuwirirana ne IRX3. Nature 2014; 507: 371-5.
> St-Onge M, O'Keeffe M, Roberts AL, RoyChoudhury A, et al. Kurara kwenguva pfupi, glucose dysregulation uye hormonal mutemo wekudya mune varume nevakadzi. Kurara. 2012; 35: 1503-10.