Yintoni abantu abangayiqondiyo xa bethetha ngobunzima kunye nempilo

Umxholo

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Kwimeko apho ungakhange uqaphele, kukho intetho ekhulayo malunga nokuba ungaba "ngamafutha kodwa ulunge," enkosi kwinxalenye yokuhamba komzimba okuqinisekileyo. Kwaye ngelixa abantu bahlala becinga ukuba ukutyeba kuyingozi ngokuzenzekelayo kwimpilo yakho, uphando lubonisa ukuba umba unzima kakhulu kunoko. (Imvelaphi eyongezelelekileyo apha: Yintoni Ubunzima obuseMpilweni Phofu?)

Okokuqala, ngelixa ukutyeba kakhulu kunokuwonyusa umngcipheko weengxaki zempilo ezinjengesifo sentliziyo, isifo samathambo, kunye nomhlaza, idatha ikwacebisa ukuba akunjalo konke abantu abatyebe kakhulu banomgangatho ofanayo wengozi yempilo. Isifundo se-European Heart Journal sabonisa ukuba abo babetyebe kakhulu kodwa babe noxinzelelo lwegazi oluqhelekileyo, iswekile yegazi, kunye namanani e-cholesterol babengekho semngciphekweni omkhulu wokubulawa ngumhlaza okanye sisifo sentliziyo kunabo bakuluhlu lwe "BMI" oluqhelekileyo. Kutshanje, isifundo kwi Ijenali yoMbutho Wezonyango waseMelika ifumanise ukuba eyona BMI isempilweni ngokwenene "kukutyeba kakhulu." Ukuphumelela kuluntu lomzimba.

Uphando olutsha olusaza kupapashwa oluvela kwiDyunivesithi yaseBirmingham e-UK kungabiza "ngamafutha kodwa kufanelekile" kumbuzo, ngokwe-BBC. Abo batyebe kakhulu kodwa besempilweni ye-metabolic (oku kuthetha ukuba uxinzelelo lwegazi, iswekile yegazi, i-cholesterol, kunye namanqanaba e-triglyceride aphakathi koluhlu oluqhelekileyo) basesemngciphekweni omkhulu wokuba nesifo sentliziyo, ukubetha, kunye nokungaphumeleli kwentliziyo, abaphandi bathi kwiYurophu yaseYurophu. ICongress on Obesity.

Uphando olukhulu lubandakanya ngaphezulu kwesigidi se-3.5 sabantu kwaye kungoku nje luphantsi koqwalaselo lokupapashwa kwejenali, okuthetha ukuba akukangqinisiswa ngokupheleleyo okwangoku. Oko kuthethiweyo, iziphumo zibalulekile ukuba zijonga. Iziphumo zinokuthetha ukuba oogqirha bayacebisa ukuba abantu abatyebe kakhulu banciphise umzimba, nokuba babonisa ezinye izinto ezinobungozi okanye babonakala belungile, ucacisa uRishi Caleyachetty, Ph.D., umphandi ophambili kwiprojekthi.

Oku akuthethi kuthi konke okunye kupapashwe "ngamafutha kodwa kufanelekile", nangona kunjalo. "Kukho umahluko omkhulu phakathi kokutyeba kakhulu nokutyeba kakhulu," utshilo uJennifer Haythe, MD, unjingalwazi oncedisayo kwiYunivesithi yaseColumbia. Ngokobuchwephesha, ukutyeba kakhulu kuthetha ukuba une-BMI phakathi kwama-25 nama-29.9, kwaye ukutyeba kuthetha ukuba une-BMI engama-30 okanye ngaphezulu. "Andothusi ukuba idatha evela kolu phando lutsha ibonisa ukuba abantu abawela kwinqanaba lokutyeba kakhulu banomngcipheko okhulayo wokuphila kwesifo sentliziyo," utshilo uGqirha Haythe, osoloko ecebisa ukuba abaguli abane-BMIs kuluhlu olutyebileyo balahlekelwe ubunzima ngenxa yezizathu zempilo. Kwi-flip side, uthi imingcipheko yempilo enxulumene nokuba yinto nje encinci ukutyeba kakhulu akubalulekanga kangako. (Ngokokubalulekayo, ezinye iimbaleki ezinzulu ziwela kudidi olugqithisileyo okanye olutyebileyo olusekwe kwi-BMI yabo, bebonisa ukuba akufuneki uhambe ngaloo nto wedwa.)

Ekugqibeleni, oogqirha basakrazukile kwisihloko. Nangona ecinga ukuba kukhuselekile ukuba izigulana zibe kuluhlu lobunzima “oluqhelekileyo”, uGqr. Haythe uthi ngenene abantu banokuba batyebe kakhulu kwaye bomelele. "Unokutyeba kakhulu, ubaleke umdyarho weembaleki, kwaye ubume obuhle kumbono wentliziyo."

Kwaye ayifani nabantu abakwimilinganiselo "esempilweni" abangaze bafumane isifo sentliziyo. "Baninzi amaxesha endiye ndafumanisa ukuba ndaye ndanyanga isifo sentliziyo esomeleleyo kumntu obaleka kakhulu, ongatyebanga kakhulu, omncinci ngokwentelekiso, kwaye unezinto ezimbalwa ezinobungozi," utshilo uHanna K. Gaggin, MD, MPH, ugqirha wentliziyo kwiSibhedlele Jikelele saseMassachusetts.

Oko akutsho ukuba ukugcina ubunzima obuphilileyo yinkcitha xesha. UGqr. Gaggin uchaza ukuba nangona ingozi yesifo senhliziyo isetyenziselwa ukujongwa ngendlela esekelwe kuluntu (njengoko, ngokusekela umngcipheko wokuba umntu unokufumana isifo senhliziyo ngenxa yokuba abanye ubunzima obufanayo bafumana isifo senhliziyo), indlela yangoku. Iya isiba yeyomntu ngakumbi kwaye ibodwa. Nazi ezininzi izinto ezidityanisiweyo ukumisela umngcipheko wesifo sentliziyo, njengokutya, inqanaba lokuqina, icholesterol, uxinzelelo lwegazi, ubudala, isini, ubuhlanga, kunye nembali yosapho. "Kufuneka uqwalasele zonke iinkcukacha zomntu," uyongeza.

"Ukunikwa ukhetho, andicingi ukuba ukutyeba kakhulu yinto esempilweni," utshilo. "Kodwa xa uthelekisa umntu otyebe kakhulu kwaye osempilweni, ozilolonga kwaye atye kakuhle, kumntu ongatyebanga kodwa angazenzi ezo zinto, umntu ophilileyo ngulowo unemikhwa esempilweni." Imeko efanelekileyo, uyaphawula, iya kuba sisisindo esifanelekileyo kwaye umthambo kwaye yitya kakuhle, kodwa inyani kunye nokufanelekileyo akusoloko kungqinelana.

Ke ekugqibeleni, kubonakala ngathi kuphambi kwexesha ukubiza "inqatha kodwa kufanelekile" yintsomi. Emva kwakho konke, ingozi yesifo senhliziyo isekelwe ekubulaweni kwezinto, kungekhona nje inani elibonayo kwisikali. Ukuthathela ingqalelo isondlo kunye nokuzilolonga kwakho kunenzuzo (emzimbeni nasengqondweni!) Nokuba ubungakanani ubunzima bakho.

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