Malingana ndi US Centers for Disease Control and Prevention (CDC), oposa theka la akuluakulu ku United States ali ochepa kwambiri. Amenewa ndiwo mamembala 78.6 miliyoni a anthu akuluakulu a dzikoli.
Mliri wa kunenepa kwambiri umabweretsa mtengo wambiri kwa umoyo wa munthu aliyense komanso umoyo wa anthu, komanso kupeza ndalama zowonjezera zomwe zimaphatikizapo kuchuluka kwa ndalama za dongosolo lathu lachipatala. Mu 2008, CDC ikuyesa kuti, ndalama za pachaka zokhudzana ndi kunenepa kwambiri ku US zinali $ 147 biliyoni mu 2008 US $. Komanso, ndalama zamankhwala kwa iwo omwe anali ndi kunenepa kwambiri anali pafupifupi $ 1,429 apamwamba kusiyana ndi awo a kulemera kwenikweni.
Tsopano webusaiti yaumwini ya WalletHub yamasula mndandanda wa madera ozungulira kwambiri ku United States. Malinga ndi WalletHub, akatswiri ake akuyerekezera madera 100 a m'madera ambiri a ku America, poganizira zinthu zosiyanasiyana zamagetsi 14, kuti adziƔe mizinda "kumene mavuto okhudzana ndi kulemera amafunika kuti azisamalira kwambiri."
Malo otsatirawa ndi awa:
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Memphis, TennesseeMemphis imakhala yoyamba ngati malo ovuta kwambiri mumzinda wonse, kulandira chiwerengero chokwanira kuchokera ku WalletHub ya 76.97. Memphis anali ndi chiwerengero chachikulu cha okalamba akuluakulu komanso chiwerengero cha anthu akuluakulu omwe sankatha.
Memphis amangirizidwa kumalo awiri (ndi El Paso, TX) chifukwa cha kuchuluka kwa anthu akuluakulu a shuga. Kutaya kwambiri ndi chifukwa chodziwika cha mtundu wa shuga wa mtundu wa 2 , kotero kuti mgwirizano umenewu sayenera kudabwitsa. Pamene chiwerengero cha kunenepa kwambiri kwafala kwambiri ku United States ndi kuzungulira dziko lonse lapansi, khalani ndi chiwerengero cha mtundu wa shuga wa mtundu wa 2.
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Shreveport-Bossier City, LouisianaMalo ozungulira mzinda wa Shreveport-Bossier City ku Louisiana analandira chiwerengero cha 75.24 kuchokera ku WalletHub, ndikuwaika pamalo oyamba pa mndandanda wa "midzi yovuta kwambiri".
Mzindawu umakhala wachisanu pa chiwerengero cha anthu okalamba kwambiri, ndipo amamangiriza malo oyamba pa chiwerengero cha anthu akuluakulu omwe amadya zipatso zochepa kapena masamba kapena tsiku lililonse.
Kugwiritsa ntchito zipatso ndi ndiwo zamasamba n'kofunika, chifukwa kafukufuku wasonyeza kuti kudya kwakukulu kwa zipatso ndi ndiwo zamasamba, kumachepetsetsa mitengo ya kunenepa kwambiri ndi matenda ena aakulu monga matenda a mtima ndi khansa.
Zipatso zonse ndi zamasamba (zomwe zikugogomezera "zonse" -sinena za pie apa) zili ndi zida zambiri, mavitamini, antioxidants, ndi zakudya zina zomwe thupi lanu limafuna. Kafukufuku wasonyeza kuti, chifukwa cha zinthu zambiri zowonjezera, kudya zipatso zonse ndi zamasamba kungathe kuchepetsa kutentha thupi. Kudya zipatso ndi ndiwo zamasamba zasonyezedwanso kuti zipititse patsogolo mitsempha ya mitsempha (yotchedwa endothelial ntchito).
Kudya zipatso ndi ndiwo zamasamba si nkhani yamba chabe; Ndipotu, ndizofunikira pamoyo. Bungwe la World Health Organization (WHO) likuganiza kuti pafupifupi 1,7 miliyoni, kapena 2.8%, amafa padziko lonse lapansi amatha kudyetsa zipatso ndi masamba ochepa kwambiri!
WHO ikuwonetseratu kuti kudya kochepa kwa zipatso ndi ndiwo zamasamba zimayambitsa pafupifupi 14% mwa anthu odwala khansa, 11% ya imfa ya matenda a mtima, ndi 9% omwe amafa ndi matenda a stroke.
Kuonjezera apo, kafukufuku wasonyeza kuti kudya zakudya zitatu ndi zisanu pa zipatso ndi ndiwo zamasamba patsiku kudzachepetsa chiopsezo chanu cha kudwala, ndipo kudya zakudya zopitirira zisanu tsiku lililonse kudzachepetsa chiopsezo chotere. Mwachidwi, zipatso zambiri ndi ndiwo zamasamba zomwe mumadya, zimachepetsa chiopsezo chanu. Kubwezeretsa kwabwino kwambiri pa ndalama zanu.
Zipatso ndi ndiwo zamasamba zimapanganso zakudya zochepa. Lipoti la WHO linanena kuti pali umboni wokhutiritsa wakuti kudya zipatso ndi ndiwo zamasamba zimachepetsa chiopsezo cha kunenepa kwambiri. Poyerekeza ndi zakudya zamtundu wa kalori monga zakudya zopangidwa ndi shuga ndi mafuta, zipatso ndi ndiwo zamasamba sizikhala zochepa kuti zitha kunenepa kwambiri kapena kunenepa kwambiri. Ndipo chifukwa chakuti ali ndi zakudya zambiri zam'thupi komanso zakudya zina, zimakhala ndi chiwopsezo chachikulu cha shuga ndi insulini . Pazifukwa zomwezi, amachititsanso anthu kukhala okhutira ndi zochepetsera zochepa, motero amathandiza kuchepetsa kulemera.
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Indianapolis-Carmel-Anderson, IndianaKupyolera muzifukwa zambiri, malo a metro omwe ali pachitatu pa mndandanda wa WalletHub wa madera ambiri ovuta kwambiri anali Indianapolis-Carmel-Anderson, okhala ndi chiwerengero cha 73.88. Kufufuza kwa WalletHub kunaphatikizapo magawo olemera pa maselo monga "kuchuluka kwa mafuta," "matenda okhudzana ndi kulemera" komanso "malo abwinobwino," koma ochepa chabe.
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Jackson, MississippiJackson adayika chachinayi pa mndandanda wa WalletHub, ndipo ali ndi chiwerengero cha 73.75. Mzinda wa metrowu umakhala wachitatu pa chiwerengero cha anthu okalamba kwambiri komanso peresenti ya anthu akuluakulu.
Jackson ndi wachisanu mwa chiwerengero cha anthu akuluakulu omwe amadya zipatso zosachepera limodzi kapena masamba.
Kugwirizana pakati pa kuchepa kwa thupi ndi kunenepa kwambiri kumakhazikitsanso bwino. Mitundu yambiri ya mayiko ndi maiko akunja imalimbikitsa kupeza mphindi zochepa zokwanira 150 mlungu uliwonse. Izi zingatanthauzire mphindi 30 zochita masewero olimbitsa thupi kasanu pa sabata, mwachitsanzo. Ndipo kafukufuku watsimikizira za thanzi la kuyenda kwa mphindi 30: Mu Nurses 'Health Study, mwachitsanzo, iwo omwe adayenda mofulumira kapena atapindulapo zolimbitsa thupi kwa mphindi 30 tsiku lililonse anali ndi chiopsezo chachikulu imfa ya mtima m'zaka makumi asanu ndi ziwiri zapitazo.
Kodi ndiyeso yowonjezera mphamvu? Zinthu zakuthupi monga munda wamaluwa , kuyenda mwamsanga, kuvina mpira, ndi zofananazo zimagwera m'gulu la zolimbitsa thupi.
Kuonjezerapo, malingana ndi Maonekedwe a Ntchito Yachikhalidwe kwa Achimereka ochokera ku Dipatimenti ya Zaumoyo ndi Umoyo wa Anthu ku United States, kupeza ola limodzi ndi mphindi khumi zochita masewera olimbitsa thupi mlungu uliwonse kungathe kukwaniritsa zochepa zolimbitsa thupi. Zochita zolimbitsa thupi zimaphatikizapo ntchito zakuthupi monga kukwera mmwamba, njinga zamakilomita kapena maola khumi pa ora, kusambira msanga, kuthamanga, kupititsa patsogolo zida zowonongeka, ndi kupopera kolemera kapena kukumba, pakati pa ena.
Ndondomeko ya HHS yowonjezera kuti zowonjezereka zowonjezera zaumoyo zingapezedwe pakuwonjezera kuchuluka kwa zochitika zolimbitsa thupi mpaka maola asanu pa sabata, kapena kuwonjezera mphamvu zolimba kwa maola awiri kapena awiri pa sabata.
Mfundo izi zimalimbikitsanso kuchita masewera olimbitsa thupi osachepera masiku awiri pa sabata. Izi ndizofunika kumanga ndi kusunga mafupa amphamvu, chifukwa chokhala ndi thanzi labwino, komanso kuwonjezeka kwa minofu-yomwe imathandizanso kuthetsa kunenepa kwambiri.
Zotsatirazo zimanenanso kuti "zochitika zonse zolimbitsa thupi zili bwino kusiyana ndi kuchita kanthu ... ngakhale kuchita maminiti 10 owonjezera." Ndipo izi zimapangitsa kuti cholinga chanu chikhalebe kuyenda mofulumira tsiku lonse ndilofunika kukhala ndi thanzi labwino ndi thanzi kwa nthawi yaitali.
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New Orleans-Metairie, LouisianaKuzungulira asanu asanu apamwamba anali mzinda wa New Orleans-Metairie mumzinda wa Louisiana, ndi chiwerengero cha 72.94. Ofufuza a WalletHub adapeza kuti dera lino likhale mu chikhomo choyamba poyerekeza ndi chiwerengero cha anthu akuluakulu omwe amadya zipatso zosachepera limodzi kapena masamba.
Monga zikuwonetseredwa ndi malowa pamwambapa, pamene mtundu wonse (ndipotu, dziko) ukulimbana ndi mliri wa kunenepa kwambiri, sikuti mbali zonse zimakhudzidwa mofanana. Malingana ndi lipoti lapadera la Trust for America's Health ndi Robert Wood Johnson Foundation, pamene chiwerengero cha kunenepa kwambiri chawonjezeka pakati pa mitundu yonse ndi mafuko, magulu ena amakhudzidwa kuposa ena.
Mwachitsanzo, pakati pa anthu akuluakulu a ku America, omwe amadziwika ndi lipoti loti Black ndi Latino amapezeka kuti ali ndi kuchuluka kwa kunenepa kwambiri kuposa momwe anthu amtunduwu amawonetsera kuti ndi Oyera. Izi zinali zowona kwa amuna ndi akazi m'mitundu imeneyi.
Mwachindunji, kwa nthawi ya 2011 mpaka 2012, mlingo wa kunenepa kwambiri kwa akuluakulu onse a US anali 34.9%. Komabe, chiƔerengero cha anthu akuluakulu a Black anali 47.8%, ndipo pakati pa akuluakulu a Latino anali 42.5%. Pakati pa akulu achikulire, mlingo unali 32.6%.
Kusiyana kumeneku kunapangidwira kukula kwa ubwana wa ana , omwe anali apamwamba pakati pa ana a Black ndi a Latino kusiyana ndi ana a White.
Lipotili limapereka ndondomeko komanso njira zothetsera kunenepa kwambiri komwe kuli mtundu uliwonse ndi fuko. Kwa anthu a Black, lipotili linalemba kuti "kusiyana ndi kupeza chakudya chokwera mtengo ndi malo otetezeka kuti athe kugwira ntchito mwakhama kumathandizira kulemera kwa kunenepa kwambiri ndi matenda okhudzana ndi anthu a Black Black ku America."
M'madera a Latino, lipotili likunena kuti "njala yambiri ndi kusowa kwa chakudya" komanso "kuchepa kwa malo otetezeka kuntchito." Mipingo ya Latino imakhalanso ndi "zopanda malire pakupeza chithandizo chamankhwala."
Lipotili likupitiriza kunena kuti "zopanda malire muzinthu zosiyanasiyana, zopanda malire komanso zogula mtengo, zopeza maphunziro apamwamba ndi ena-zonse zimakhudza mwayi wa munthu kukhala ndi moyo wautali, wathanzi."
Choncho, kukwaniritsa zinthu zambiri ndi kuphatikizapo zidzakhala zofunikira ngati tikhoza kugonjetsa mliriwu.
Zotsatira :
Maofesi a Kuletsa ndi Kuteteza Matenda. Kugawidwa kwa Zakudya Zakudya, Zochita Zathupi, ndi Kutaya Kwambiri. Zambiri za kunenepa kwambiri. Kupezeka pa intaneti pa http://www.cdc.gov/obesity/data/adult.html
Mizinda Yotchuka kwambiri ya Bernardo R. 2016 ku America. WalletHub. Kupezeka pa intaneti pa https://wallethub.com/edu/fattest-cities-in-america/10532/
Seaquist ER. Kulimbana ndi vuto la shuga. JAMA 2014; 311: 2267-68.
Tsamba lachidziwitso: kulimbikitsa zipatso ndi ndiwo zamasamba padziko lonse lapansi. Bungwe la World Health Organization.
Ottawa (ON): A Canadian Agency for Drugs and Technologies mu Health. Kupititsa patsogolo kunenepa kwapadera kumapereka chisamaliro chapadera kwa odwala matenda a shuga: kubwereza kwa mphamvu ya kuchipatala. 2014 Jun 25.
Swedish Council on Health Technology Kulingalira. Kudyetsa zakudya za kunenepa kwambiri: ndondomeko yowonongeka. Stockholm: Swedish Council on Health Technology Assessment (SBU); 2013 Sep.
Doucet E, King N, Levine JA, Ross R. Pitirizani kuchita masewero olimbitsa thupi komanso kuchepetsa thupi. J Obes 2011; 2011: 358205. Epub 2011 Dec 18.
Ntchito Yogwirira Ntchito kwa Achimereka. Dipatimenti ya zaumoyo ku United States. Inapezeka pa intaneti pa http://www.health.gov/PAGuidelines/ pa June 12, 2014.
Chiuve SE, Fung TT, Rexrode KM, Spiegelman D, et al. Kugonjera moyo wathanzi, wathanzi komanso chiopsezo cha imfa yadzidzidzi pakati pa akazi. JAMA 2011; 306: 62-69.
Boma la Kunenepa Kwambiri: Makhalidwe Abwino a Mayiko Olemera. Lipoti lapadera: mitundu yosiyanasiyana komanso mitundu yosiyana kwambiri ya kunenepa kwambiri. Kupezeka pa intaneti pa http://stateofobesity.org/disparities/.