No ke aha e nānā ʻole ʻia ai ʻo Obesity i kahi maʻi

Anter

• Pehea e ana ʻia ai ka momona?
• Papa kuhikuhi kino lehulehu
• Puni puni
• He aha ka maʻi?
• ʻO nā kumu kumu momona ka manaʻo ʻia he maʻi
• ʻAʻole i manaʻo ʻia nā kumu momona i maʻi
• Ke ʻano paʻakikī o ka momona

ʻO ka nui he pilikia olakino lehulehu e ʻae nei nā loea loea i kēia manawa he nui nā kumu. Hoʻopili kēia i nā kumu o ke kino, psychological, a me ka genetic.

E wehewehe mākou i ka momona e like me ka hana a nā loea lapaʻau i kēia manawa. E nānā mākou i nā ʻōlelo a me ka hoʻopaʻapaʻa mai ke kaiaulu olakino e pili ana i ka ʻike ʻana o ka poʻe i ka momona ma ke ʻano he maʻi.

Manaʻo nā ʻoihana olakino nui i ka momona he maʻi, ʻoiai ʻaʻole kūlike kekahi mau kauka. Eia ke kumu.

Pehea e ana ʻia ai ka momona?

Manaʻo nā kauka he mea momona kahi kūlana kahi e hoʻomohala ai ke kanaka i ka momona o ke kino, a ʻo ka mea i ʻike ʻia he kino adipose. I kekahi manawa hoʻohana paha nā kauka i ka huaʻōlelo "adiposity." Hōʻike kēia huaʻōlelo i ke kūlana o nā momona momona i loko o ke kino.

Lawe i kēia momona keu hiki ke hana i nā pilikia olakino, e like me ka maʻi diabetes type 2, ke koko kiʻekiʻe, a me nā maʻi puʻuwau coronary.

Hoʻohana nā kauka i nā ana e like me ke kaumaha o ke kino, ke kiʻekiʻe o ke kino, a me ke kūkulu kino e wehewehe i ka momona. ʻO kekahi o nā ana ʻana:

Papa kuhikuhi kino lehulehu

ʻO ka helu helu nui o ke kino (BMI) kaupaona i nā paona i puʻunaue ʻia e ke kiʻekiʻe i nā ʻīniha i loaʻa, hoʻonui ʻia e 703, i hoʻohana ʻia e hoʻololi i ke ana i ka anakahi o BMI i kg / m².

ʻO kahi laʻana, ʻo ke kanaka nona 5 kapuaʻi, 6 ʻīniha ka lōʻihi a me 150 paona e loaʻa iā ia he BMI o 24.2 kg / m².

ʻO ka ʻAmelika Hui Pū ʻIa no Metabolic a me Bariatric Surgery wehewehe i ʻekolu mau papa o ka momona i kau ʻia ma ka pae o BMI:ʻO ka maʻi o ka momona. (n.d.). https://asmbs.org/patients/disease-of-obesity

• papa I momona: he BMI o 30 a 34.9
• ʻO ka momona o ka papa II, a i ʻole ka momona nui: he BMI o 35 a 39.9
• Papa III momona, a i ʻole ka momona nui: he BMI o 40 a ʻoi paha

ʻO kahi calculator BMI e like me ka mea i hāʻawi ʻia e a i ʻole Diabetes Kanada hiki ke lilo i wahi e hoʻomaka ai, ʻoiai ʻaʻole ʻo BMI wale nō e ʻōlelo i ka mea olakino no kēlā me kēia kanaka.

Puni puni

Loaʻa ka nui o ka momona o ka ʻōpū e pili ana i ke koena o ke kino e kumu i ka nui o ka pilikia o nā pilikia olakino. No laila he kanaka BMI paha kekahi i loko o ka pae "overweight" (ʻo ka mahele ma mua o ka nui), akā manaʻo nā kauka iā lākou he momona nui ma muli o ko lākou pūhaka.

Hiki iā ʻoe ke loaʻa i kou puhaka ma ke ana ʻana i kou pūhaka ma luna pono o kou mau pūhaka. Wahi a ka CDC, ʻoi aku ka makaʻu o ke kanaka no nā kūlana pili i ka momona ke ʻoi aku ka nui o ko lākou pūhaka ma mua o 40 ʻīniha no kahi kāne a 35 ʻīniha no ka wahine hāpai ʻole.E pili ana i ka makua BMI. (2017).

ʻO nā ana e like me ka BMI a me ke anapuni ke kuhi o ka nui o ka momona o ke kanaka. ʻAʻole kūpono lākou.

ʻO kahi laʻana, he muscular paha kekahi o nā poʻe hoʻoikaika kino a me nā haʻuki hana a loaʻa iā lākou kahi BMI i hāʻule i ka pae momona.

E hoʻohana ka hapa nui o nā kauka iā BMI e hana i kā lākou kuhi ʻoi loa e pili ana i ka momona i ke kanaka, akā ʻaʻole pololei paha kēia no nā mea āpau.

He aha ka maʻi?

Ma hope o nā ana ʻana e wehewehe ana i ka momona, pono e noʻonoʻo nā kauka i ka manaʻo o ka huaʻōlelo "maʻi". Ua paʻakikī kēia i ka pili o ka momona.

ʻO kahi laʻana, ua hoʻāʻo kahi komisina o ka poʻe loea o The Obesity Society i ka makahiki 2008 e wehewehe i ka "maʻi."Allison DB, et al. (2012). ʻO Obesity ma ke ʻano he maʻi: ʻO kahi pepa keʻokeʻo e pili ana i nā hōʻike a me nā hoʻopaʻapaʻa i hāʻawi ʻia e ka ʻaha o ka The Obesity Society. DOI:
10.1038 / oby.2008.231 Ua hoʻopau lākou i ka ʻōlelo paʻakikī loa e wehewehe piha ʻia. ʻAʻole like me nā ana ʻepekema i loaʻa ka hoʻohālikelike a me nā helu ma hope o lākou, ʻaʻole hiki i ka "maʻi" ke loaʻa i ka nui o ka wehewehe ʻoki a me ka maloʻo.

ʻOiai ʻaʻole wehewehe ka wehewehe ʻana i ka puke wehewehe ʻōlelo i ka huaʻōlelo ma ʻō aku o ka nui. ʻO kahi laʻana, eia kahi ma Merriam-Webster's:

"ʻO kahi ʻano o ka holoholona ola a i ʻole ke kino mea kanu a i ʻole kekahi o kāna ʻāpana e hōʻino i ka hana maʻamau a hōʻike pinepine ʻia e ka ʻokoʻa ʻana i nā hōʻailona a me nā hōʻailona."

ʻO ka mea a nā kauka i ʻike ai aia he ʻokoʻa ma ka pehea o ka lehulehu, nā ʻoihana ʻinikua, a me nā ʻoihana olakino ʻokoʻa e ʻike ai i kahi kūlana i ʻike ka poʻe he maʻi me ka mea ʻaʻole.

I ka 2013, ua koho nā lālā o ka ʻAhahui Lapaʻau ʻAmelika (AMA) o ka hale o nā ʻelele i kā lākou ʻaha kūkā makahiki e wehewehe i ka momona ma ke ʻano he maʻi.Kyle T, et al. (2017). E pili ana i ka momona ma ke ʻano he maʻi: Ke ulu nei nā kulekele a me nā hopena o lākou. DOI:
Ua hoʻopaʻapaʻa iki ka hoʻoholo no ka mea ua kūʻē i nā ʻōlelo aʻoaʻo a ka ʻAha Kūkākūkā o ka AMA ma ka ʻepekema a me ke olakino lehulehu.Pollack A. (2013). ʻIke ʻo AMA i ka momona ma ke ʻano he maʻi. Ka Nūhou o Nu Ioka. https://www.nytimes.com/2013/06/19/business/ama-recognises-obesity-as-a-disease.html

Ua ʻimi ka ʻaha kūkā i kēia kumuhana a ʻaʻole i paipai iā lākou e wehewehe ka ʻelele i ka momona ma ke ʻano he maʻi. Eia naʻe, ua hana nā ʻelele i kā lākou mau ʻōlelo aʻoaʻo no ka mea ʻaʻohe ala hilinaʻi a conclusive e ana i ka momona.

ʻO ka hoʻoholo a ka AMA i hoʻonāukiuki i ka mea e hoʻomau i ka hoʻopaʻapaʻa e pili ana i ka paʻakikī o ka momona, e like me ke ʻano o ka mālama pono ʻana iā ia.

ʻO nā kumu kumu momona ka manaʻo ʻia he maʻi

Ua alakaʻi nā kauka i nā kauka e hoʻoholo i ka momona ʻo ia ke ʻano olakino i ʻoi aku ma mua o ka manaʻo "calories-in, calories-out".

ʻO kahi laʻana, ua loaʻa i nā kauka kekahi mau gen e hoʻonui paha i ka pae pōloli o ke kanaka, e alakaʻi iā lākou e ʻai i nā meaʻai hou aʻe.Nā kumu momona a nā mākua a me nā hopena. (2017).
Hiki i kēia ke kōkua i ka momona.

Eia kekahi, hiki i nā maʻi olakino ʻē aʻe a i ʻole nā ​​maʻi ke kumu i loaʻa i ke kanaka ke kaupaona. ʻO nā laʻana me:

• hypothyroidism
• Maʻi ʻo Cushing
• maʻi polycystic ovary syndrome

Lawe i kekahi mau lāʻau no nā ʻano olakino ʻē aʻe hiki ke alakaʻi i ka loaʻa kaumaha. ʻO nā laʻana me kekahi antidepressants.

Ua ʻike nō hoʻi nā kauka he hiki i nā kānaka ʻelua like ke kiʻekiʻe ke ʻai i ka papaʻai like, a he momona paha kekahi a ʻoiai ʻaʻole kekahi. Loaʻa kēia ma muli o nā kumu e like me ka nui o ka nui o ka metabolic base o ke kanaka (ehia mau calorie e kuni i ko lākou kino i ka hoʻomaha) a me nā kumu olakino ʻē aʻe.

ʻAʻole wale ka AMA i ʻike i ka momona ma ke ʻano he maʻi. ʻO nā mea ʻē aʻe e komo pū ana me:

• Ka Hui Ola Ola Honua
• ʻO ka Federation of obesity o ka honua
• ʻAhahui Lapaʻau ʻo Kanada
• ʻO Kanada nui

ʻAʻole i manaʻo ʻia nā kumu momona i maʻi

ʻAʻole ʻae nā loea lapaʻau āpau me ka AMA. ʻO kēia wale kekahi o nā kumu e hōʻole ai kekahi i ka manaʻo ʻo ka momona ka maʻi, hāʻawi ʻia nā ʻano hana i kēia manawa no ke ana ʻana i ka momona a me kāna mau hōʻailona.

ʻAʻohe ala maopopo e ana ai i ka momona. Ma muli o ka hoʻopili ʻole ʻana o ka papa kuhikuhi o ke kino i nā kānaka āpau, e like me nā mea haʻuki kūpaʻa a me nā hāpai hāpai, ʻaʻole hiki i nā kauka ke hoʻohana mau i ka BMI e wehewehe i ka momona.

ʻAʻole hōʻike ka Obesity i ke olakino maikaʻi ʻole. Hiki i ka momona ke lilo i mea pilikia no nā kūlana olakino ʻē aʻe, akā ʻaʻole ia e hōʻoia i ka loaʻa ʻana o nā pilikia olakino i kekahi kanaka.

ʻAʻole makemake kekahi mau kauka i ke kāhea ʻana i ka momona he maʻi no ka mea ʻaʻole kumu ka hopena momona i nā hopena olakino maikaʻi ʻole.

Hoʻoulu kekahi mau kumu i ka momona, ʻaʻole hiki ke kaohi ʻia kekahi o ia mau mea. ʻOiai ʻo ka ʻai ʻana i nā koho a me ka pae hoʻoikaika kino hiki ke pāʻani i kahi ʻano, no laila hiki i nā genetics.

Ua ʻōlelo kekahi poʻe loea loea i ka hopohopo e hiki i ke kāhea ʻana i ka momona i kahi maʻi ke "hoʻoulu i kahi moʻomeheu o ke kuleana pilikino ʻole."ʻO Stoner K, et al. (2014). Ua hoʻoholo pololei ka ʻAhahui Lapaʻau ʻAmelika i ka hoʻohālikelike ʻana i ka momona ma ke ʻano he maʻi? DOI:
Ma muli o ka makemake pinepine o nā kauka i kā lākou mau mea maʻi e hana i ka hana i ko lākou olakino, hopohopo kekahi i ka hoʻokaʻawale ʻana i ka momona ma ke ʻano he maʻi e hoʻopili i ka hana a ka poʻe i ko lākou olakino a noʻonoʻo paha i kā lākou koho a me kā lākou hiki.

ʻO ka wehewehe ʻana i ka momona ma ke ʻano he maʻi e hoʻonui i ka hoʻokae ʻana no ka poʻe me ka momona. Ua hōʻike kekahi mau pūʻulu, e like me ka Fat Acceptance ma kēlā me kēia neʻe a me ka International Size Acceptance Association, i ka hopohopo no ka wehewehe ʻana i ka momona ma ke ʻano he maʻi e ʻae ai i nā poʻe ʻē aʻe e hoʻokaʻawale hou a hoʻokaʻawale i ka poʻe e like me ka nui.

Ke ʻano paʻakikī o ka momona

ʻO ka obesity kahi pilikia a me ka naʻau naʻau no nā poʻe he nui. ʻIke nā kānaka noiʻi he nui nā mea i ka pāʻani, e like me nā genetics, ka nohona, ka noʻonoʻo, ka nohona, a me nā mea hou aʻe.

Hiki ke pale ʻia kekahi mau hiʻohiʻona o ka momona - hiki i ke kanaka ke hana kūpono i nā loli i kā lākou papaʻai a hoʻomaʻamaʻa i nā papa hana e kūkulu a mālama i ko lākou naʻau olakino, hiki i ka māmā, ka laulā a me ka wikiwiki o ka neʻe, a me ka hōʻoluʻolu.

Eia nō naʻe, ʻike kauka ua hana kekahi i kēia mau loli, akā ʻaʻole hiki ke lilo i ka nui o ke kaumaha.

No kēia mau kumu, e hoʻomau ka hoʻopaʻapaʻa ma luna o ka momona ma ke ʻano he maʻi a hiki i ka puka ʻana o nā ʻano ʻē aʻe no ka helu a hilinaʻi ʻana i ka hoʻoholo ʻana i ka momona.