Mwachiwonekere, timamva zambiri za mliri wa kunenepa kwambiri masiku ano. Popeza chuma chakudziŵika ndi kufufuza kosatha pazimene zimayambitsa ndi kuyendetsa kunenepa kwambiri, n'kopindulitsa kukhala ndi kumvetsetsa kwa ntchito zina zomwe zimaponyedwa pozungulira poyankhula za kunenepa kwambiri ndi kunenepa kwambiri.
Malingaliro
Mawu akuti "wochuluka," malinga ndi Stedman's Medical Dictionary, amachokera ku Chilatini "obesus," kutanthauza kuti "mafuta," ndipo amatanthauza "obedere," kutanthauza "kudya, kudya."
Zomwe Zimayambitsa Matenda ndi Kuteteza Matenda (CDC) zimatanthauzira kunenepa kwambiri kwa akuluakulu monga chiwerengero cha thupi (BMI) cha 30.0 (kg / m2) kapena chachikulu, ndipo BMI ya 25.0 - 29.9 imasonyeza kulemera kwambiri.
Kodi "Kunenepa Kwambiri" N'kutani?
Mawu akuti "kunenepa kwambiri" amatanthauza kunenepa kwambiri "kokwanira kuteteza ntchito yachibadwa kapena physiologic ntchito" (Stedman's). Kunenepa kwambiri kumawoneka pa BMI ya 40.0 kapena kuposa.
Kunenepa kwambiri ngati Matenda
Mu 2013, American Medical Association (AMA) inalengeza kuti kunenepa kwambiri ndi matenda, kuvomereza "kuchuluka kwaumphawi ndi zachuma zomwe zimakhudza kunenepa kwambiri monga kufuna thandizo lachipatala, kufufuza, ndi maphunziro a matenda ena akuluakulu padziko lonse lapansi."
Cholinga cha kuvomereza kuti matenda odwala kwambiri ndi odwala matenda osatha akuyembekezeka kuti azidziwitsa anthu za vutoli komanso kuthandizira ndondomeko m'madera onse. Chiyembekezo ndi chakuti otsogolera adzawona kuti akufunikira kwambiri ndalama komanso ndalama zothandizira anthu kuti azikhala ochepa kwambiri.
Nchifukwa chiyani Ma Matanthauzo awa Matter?
Mapiritsi a BMI amagwiritsidwa ntchito ngati mbali ya njira zoyenera kutsogolera kuti odwala akhoza kulandira opaleshoni yolemetsa kapena mankhwala operewera. Choncho, matenda a "kutayirira kwambiri," omwe amachokera ku chiwerengero cha BMI cha 40.0 kapena kuposa, amatha kulandira wodwala kuchipatala ndi opaleshoni yolimbana ndi kupweteka kapena mankhwala ena oletsa kunenepa kwambiri.
Ntchito ina ya kuyeza kwa BMI ndiko kufotokozera kalasi yoyamba, kalasi yachiwiri, ndi kulemera kwachitatu III. Malingana ndi malangizo atsopano a dziko, kukhala ndi BMI kuchokera 30.0 mpaka 34.9 kumapatsa wodwala mu gulu la "class I obese"; BMI yochokera 35.0 mpaka 39.9 imasonyeza kuti "gulu lachiwiri" ndilo; ndipo BMI ya 40.0 kapena yaikulu imadziwika kuti "gulu lachitatu lolemera kwambiri".
Kuyeza kotereku kungasonyezenso chiwopsezo cha matenda okhudzana ndi kunenepa kwambiri, monga khansara, matenda a mtima, kupweteka kwa mtima, kutsekeka kwa mphuno , ndi mtundu wa shuga 2 popeza chiopsezo chachikulu cha matendawa chikukwera mofanana ndi kukula kwa BMI ndi kukula kwa kunenepa kwambiri .
Zotsatira:
American Medical Association Nyumba ya Osonkhana: Kuthetsa 420 - Kuzindikiritsidwa Kwambiri Kwambiri Monga Matenda. Jensen MD, Ryan DH, Apovian CM, ndi al.
Benson SS. Kunenepa kwambiri ku Tennessee: Malangizowa amatanthawuza Kulemba Kunenepa Kwambiri Monga "Matenda." Tennessee Medicine. January 2014; 27-30.
2013 AHA / ACC / TOS Malangizo Otsogolera Otsogolera Kulemera Kwambiri ndi Kulemera kwa Okalamba: Lipoti la American College of Cardiology / American Heart Association Task Force on Practice Guidelines ndi The Obesity Society. Kudutsa . inafalitsidwa pa November 12, 2013.
Bonow RO, Mann DL, Zipes DP, Libby P. Braunwald Matenda a Mtima: Buku Lophunzitsa Mankhwala a Mtima. 9th ed. Ch. 79. Elsevier: Saunders, 2012.
> Dictionary Dictionary ya Medical Stedman. Kuyambira 25. Williams & Wilkins. 1990.