Ka momona i nā keiki

ʻO ka nui o ka momona ʻo ka momona o ke kino. ʻAʻole like ia me ka overweight, ʻo ia hoʻi ke kaupaona o ke keiki ma ke kiʻekiʻe o nā keiki o ka makahiki a me ke kiʻekiʻe like. Ma muli paha o ka hoʻonui ʻia o ka mākala ka iwi, ka iwi, a i ʻole ka wai, a ʻo ka momona hoʻi.

ʻO ka manaʻo o nā huaʻōlelo ʻelua he ʻoi aku ke kaumaha o ke keiki ma mua o ka mea i manaʻo ʻia he olakino.

Ke ʻai nā keiki i nā meaʻai he nui aʻe ma mua o ko lākou kino e pono ai no ka ulu maʻamau a me ka hana, mālama ʻia nā calorie keu i nā momona momona no ka hoʻohana ma hope. Inā hoʻomau kēia ʻano i ka manawa, hoʻomohala lākou i nā hunaola momona hou a hoʻomohala paha i ka momona.

ʻO ka maʻamau, pane nā pēpē a me nā keiki ʻōpio i nā hōʻailona o ka pōloli a me ka piha i mea e ʻai ʻole ai lākou i nā mea ʻoi aku ka nui ma mua o ko lākou kino e pono ai. Eia nō naʻe, nā hoʻololi i nā makahiki i hala aku nei i ka nohona a me nā koho meaʻai i alakaʻi ai i ka piʻi ʻana o ka momona ma waena o nā keiki.

Hoʻopuni ʻia nā keiki e nā mea he mea maʻalahi e ʻai nui a paʻakikī hoʻi i ka hana. ʻO nā meaʻai i kiʻekiʻe i ka momona a me nā kō i hele pinepine mai i nā nui o ka nui. Hiki i kēia mau mea ke alakaʻi i nā keiki e lawe i nā calorie hou aʻe ma mua o kā lākou e pono ai ma mua o ka piha. Hiki i nā hoʻolaha kīwī a me nā hoʻolaha pāʻī ʻē aʻe ke alakaʻi i nā koho meaʻai maikaʻi ʻole. ʻO ka hapa nui o ka manawa, ʻo ka meaʻai i nā hoʻolaha e pili ana i nā keiki ke kiʻekiʻe i ke kō, ka paʻakai, a me nā momona.

ʻO nā hana ʻo "screen screen" e like me ka nānā ʻana i ke kīwī, pāʻani pāʻani, kikokiko ʻana, a me ke pāʻani ʻana i ke kamepiula e pono ai ka liʻiliʻi o ka ikehu. Lawe pinepine lākou i kahi o ka hoʻoikaika kino hoʻoikaika kino. Eia kekahi, makemake nui nā keiki i nā meaʻai māmā maikaʻi ʻole a lākou e ʻike ai ma nā hoʻolaha TV.

Hiki i nā kumu ʻē aʻe i ke kaiapuni o ke keiki ke alakaʻi i ka momona. Kōkua ka ʻohana, nā hoaaloha, a me ke kau kula i ke ʻano o ka papaʻai a ke keiki a me nā koho hoʻoikaika kino. Hoʻohana ʻia ka meaʻai ma ke ʻano he makana a hōʻoluʻolu paha i kahi keiki. Hiki i kēia mau ʻano aʻo ke alakaʻi i ka ʻai nui. He paʻakikī ka poʻe he nui i ka haki ʻana i kēia ʻano ma hope o ke ola.

Hiki i nā genetics, nā kūlana olakino, a me nā maʻi o ka naʻau ke hoʻonui i ka makaʻu o ke keiki no ka momona. ʻO nā maʻi Hormone a i ʻole ka hana thyroid haʻahaʻa, a me kekahi mau lāʻau, e like me nā steroid a i ʻole nā ​​lāʻau anti-seizure, hiki ke hoʻonui i ka makemake o kahi keiki. Ma hope o ka manawa, hoʻonui kēia i kā lākou makaʻi no ka momona.

ʻO ka nānā pono ʻole i ka ʻai, ke kaupaona, a me ke kiʻi o ke kino e alakaʻi i kahi maʻi ʻai. Loaʻa pinepine ka maʻi momona a me ka ʻai ʻana i ka manawa like i nā kaikamahine ʻōpio a me nā wahine ʻōpio makua ʻole i hauʻoli ʻole i ko lākou ʻano o ke kino.

E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau i nā nīnau e pili ana i ka mōʻaukala olakino o kāu keiki, nā ʻano ʻai, a me nā hana hoʻoikaika kino.

Hana ʻia paha nā hoʻokolohua koko e nānā i nā pilikia o ka thyroid a i ʻole ka endocrine. Hiki i kēia mau kūlana ke alakaʻi i ka loaʻa kālā.

Paipai nā poʻe loea olakino keiki e nānā ʻia nā keiki no ka momona ma ka makahiki 6. Helu ʻia ka papa kuhikuhi kino o kāu keiki (BMI) me ka hoʻohana ʻana i ke kiʻekiʻe a me ke kaumaha. Hoʻohana kahi mea hoʻolako i kahi ʻano BMI i hoʻolālā ʻia no nā keiki e ulu ana e koho i ka momona o kāu keiki. Hoʻomaopopo ʻia ka Obesity ma ke ʻano he BMI (index mass body) ma luna a ma luna paha o ka 95th pakeneka i hoʻohālikelike ʻia me nā keiki ʻē aʻe a me nā ʻōpio o ka makahiki a me ka wahine like.

Kākoʻo i kāu keiki

ʻO ka hana mua i ke kōkua ʻana i kāu keiki e loaʻa i kahi kaupaona olakino ke kamaʻilio ʻana me ka mea hāʻawi o ke keiki. Hiki i ka mea hoʻolako ke kōkua i ka hoʻonohonoho ʻana i nā pahuhopu olakino no ka pohō kaumaha a kōkua me ka nānā ʻana a me ke kākoʻo.

E hoʻāʻo e hoʻohui i ka ʻohana āpau i ka hoʻololi ʻana i ka lawena olakino. Hoʻolālā nā papa hana hoʻemi kaumaha no nā keiki i nā ʻano nohona olakino. Maikaʻi ke ʻano olakino olakino no nā mea āpau, ʻoiai inā ʻaʻole ka pohō ka pahuhopu nui.

ʻO ke kākoʻo ʻana mai nā hoaaloha a me ka ʻohana hiki ke kōkua i kāu keiki e lilo i ka paona.

KA HOʻOLOLI ANA I KE KEIKI O KE KEIKI

ʻO ka ʻai ʻana i ka papaʻai kaulike ʻo ia hoʻi e ʻai ana kāu keiki i nā ʻano kūpono a me nā nui o nā meaʻai a me nā mea inu e mālama ai i ko lākou kino.

• E ʻike i nā nui o ka ʻāpana kūpono no ka makahiki o kāu keiki i loaʻa i kāu keiki ka lawa pono o ka meaʻai me ka ʻai ʻole.
• Kūʻai no nā meaʻai olakino a hoʻolako i kāu keiki.
• Koho i nā ʻano meaʻai like ʻole mai kēlā me kēia hui meaʻai. E ʻai i nā meaʻai mai kēlā me kēia hui i kēlā me kēia pāʻina.
• E aʻo hou e pili ana i ka ʻai ʻana i ke olakino a me ka ʻai ʻana i waho.
• Koho i nā meaʻai māmā a me nā mea inu no kāu mau keiki he mea nui.
• ʻO nā hua a me nā huaʻai nā koho maikaʻi no nā meaʻai māmā. Piha lākou i nā huaora a haʻahaʻa i nā calorie a me nā momona. Hana kekahi mau pahūpahū a me nā paʻi wai i nā meaʻai māmā.
• E kaupalena i nā meaʻai māmā ʻole e like me ka ʻāpana, ke kanakē, keke, nā kuki, a me nā kalima. ʻO ke ala ʻoi loa e pale aku ai i nā keiki mai ka ʻai ʻana i nā meaʻai maikaʻi ʻole a i ʻole nā ​​mea ʻono maikaʻi ʻole ʻole e loaʻa ʻole kēia mau meaʻai i kou hale.
• Hōʻalo i ka soda, nā mea inu haʻuki, a me nā wai ʻono, ʻo ia hoʻi nā mea i hana ʻia me ke kō a me ka syrup kānana. Kiʻekiʻena kēia mau mea inu a hiki ke alakaʻi i ka loaʻa ʻana o ke kaumaha. Inā pono, koho i nā mea inu me nā mea hoʻonaninani (hana ʻia e ke kanaka).

E hōʻoia i ka manawa o nā keiki e komo i ka hoʻoikaika kino kino i kēlā me kēia lā.

• Paipai nā loea i nā keiki e loaʻa he 60 mau minuke o ka hana i kēlā me kēia lā. ʻO ka hana haʻahaʻa ke ʻano o kou hanu ʻana ma mua o ka manawa i ka hoʻomaha a me ka wikiwiki o kou puʻuwai ma mua o ka maʻamau.
• Inā ʻaʻole pāʻani kāu keiki, e huli i nā ala e hoʻonāukiuki ai i kāu keiki e ʻeleu i ka hana.
• Paipai i nā keiki e pāʻani, holo, paikikala, a pāʻani i nā haʻuki i ko lākou wā kaʻawale.
• ʻAʻole pono nā keiki ke nānā ma mua o 2 mau hola o ke kīwī i ka lā.

HEAHA LA E KUMU MAI AI

E kamaʻilio i kāu mea hāʻawi ma mua o ka hāʻawi ʻana i nā mea hoʻoliʻiliʻi kaumaha a i ʻole nā ​​mea kanu lāʻau i kāu keiki. ʻAʻole ʻoiaʻiʻo ka nui o nā kuleana i hana ʻia e kēia huahana. Hiki i kekahi mau mea hoʻopihapiha ke loaʻa i nā hopena koʻikoʻi.

ʻAʻole koi ʻia nā lāʻau hōʻemi kaumaha no nā keiki.

Ke hana ʻia nei ke kahakaha ʻo Bariatric no kekahi mau keiki, akā ma hope o ka pau ʻana o ka ulu ʻana.

ʻO ke keiki i kaupaona a momona paha e ʻoi aku ka momona a i ʻole ka momona i ka wā makua. Ke hoʻomohala nei nā keiki momona i kēia manawa i nā pilikia olakino e ʻike wale ʻia i nā mākua wale nō. Ke hoʻomaka kēia mau pilikia i ka wā kamaliʻi, lilo lākou i mea ʻoi aku ka paʻakikī ke lilo ke keiki i makua.

Kūpono nā keiki me ka momona no ka hoʻomohala ʻana i kēia mau pilikia olakino.

• ʻO ke kō glucose kiʻekiʻe (kō) a i ʻole ka maʻi kō.
• Ke koko kiʻekiʻe (hypertension).
• ʻO ke koko kiʻekiʻe a me nā triglycerides (dislipidemia a i ʻole nā ​​momona o ke koko kiʻekiʻe).
• ʻO nā puʻuwai puʻuwai ma muli o ka maʻi puʻuwai coronary, kō ʻole o ka puʻuwai kūpikipiki, a me ka hahau ʻana ma hope o ke ola.
• Nā pilikia iwi a me nā hui - nui ke kaumaha i ka iwi a me nā hono. Hiki i kēia ke alakaʻi i ka osteoarthritis, kahi maʻi e ʻeha ai ka ʻeha pū a me ka ʻoʻoleʻa.
• Ke kū nei ka hanu ʻana i ka wā hiamoe (sleep apnea). Hiki i kēia ke kumu i ka luhi o ke ao a me ka hiamoe, nānā ʻole, a me nā pilikia i ka hana.

ʻAʻohe paha nā kaikamahine Obese i ka manawa maʻamau.

Loaʻa i nā keiki Obese ka haʻahaʻa haʻahaʻa iā lākou iho. E hoʻohenehene ʻia a hoʻomāinoino ʻia paha lākou, a paʻakikī paha lākou i ka hana ʻana i mau hoaaloha.

ʻO Obese - nā keiki

• Pakuhi kiʻekiʻe / kaumaha
• Ka momona o ke keiki

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ʻO Daniels SR, ʻo Hashink SG; KOMITE I KA NUTRITION. ʻO ke kuleana o ka pediatrician i ka pale mua ʻana i ka momona. Pediatrics. 2015; 136 (1): e275-e292. PMID: 26122812 www.ncbi.nlm.nih.gov/pubmed/26122812.

ʻO Gahagan S. Kaumaha a me ka momona. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 60.

Hoelscher DM, Kirk S, Ritchie L, Cunningham-Sabo L; Komite Hoʻonohonoho Kula. ʻO ke kūlana o ka Academy of Nutrition and Dietetics: nā mea kōkua no ka pale a me ka mālama ʻana i ke kaumaha o ka pediatric a me ka momona. ʻO J Acad Nutr Diet. 2013; 113 (10): 1375-1394. PMID 24054714 www.ncbi.nlm.nih.gov/pubmed/24054714.

Kumar S, Kelly AS. Nānā i ka momona o nā keiki: mai ka maʻi epidemiology, etiology, a me nā comorbidities i ka loiloi a me ka lāʻau lapaʻau. ʻO Mayo Clin Proc. 2017; 92 (2): 251-265. PMID: 28065514 www.ncbi.nlm.nih.gov/pubmed/28065514.

ʻO ka Hana Hana Hana Preventive US, Grossman DC, et al. ʻO ka loiloi no ka momona i nā keiki a me nā ʻōpio: US Preventive Services Task Force ʻōlelo aʻoaʻo. JAMA. 2017; 317 (23): 2417-2426. PMID: 28632874 www.ncbi.nlm.nih.gov/pubmed/28632874.