Zomwe Anthu Samazindikira Akamakamba Zokhudza Kunenepa Ndi Thanzi

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Ngati simunazindikire, pamakhala zokambirana zambiri zakuti mungathe kukhala "wonenepa koma oyenera" kapena ayi, zikomo pang'ono pamagulu olimbikitsa thupi. Ndipo ngakhale kuti anthu nthawi zambiri amaganiza kuti kunenepa kumakhala kovulaza thanzi lanu, kafukufuku akuwonetsa kuti nkhaniyi ndi yovuta kuposa pamenepo. (Zambiri apa: Kulemera Kwathanzi Ndi Chiyani Komabe?)

Choyamba, ngakhale kunenepa kumatha kubweretsa chiopsezo cha matenda monga matenda amtima, osteoarthritis, ndi khansa, kafukufuku akuwonetsanso kuti zonse anthu onenepa kwambiri amakhala ndi chiopsezo chofanana cha thanzi. Kafukufuku wa European Heart Journal adawonetsa kuti omwe anali onenepa koma anali ndi kuthamanga kwa magazi, shuga m'magazi, komanso manambala a cholesterol sanakhale pachiwopsezo chachikulu chomwalira ndi khansa kapena matenda amtima kuposa omwe ali "wamba" a BMI. Posachedwa, kafukufuku mu Zolemba pa American Medical Association adapeza kuti BMI yathanzi kwenikweni ndi "wonenepa kwambiri." Kupambana kwa gulu lakuthupi.

Koma kafukufuku watsopano yemwe adzafalitsidwe kuchokera ku University of Birmingham ku UK atha kunena kuti "wonenepa koma woyenera", malinga ndi BBC. Omwe ali onenepa koma ali ndi thanzi labwino (kutanthauza kuti kuthamanga kwa magazi, shuga, cholesterol, ndi triglyceride) ali pachiwopsezo chachikulu chokhala ndi matenda amtima, sitiroko, ndi kulephera kwa mtima, ofufuza adatero ku European Union. Congress pa Kunenepa Kwambiri.

Kafukufuku wamkuluyu adaphatikizira anthu opitilira 3.5 miliyoni ndipo pakadali pano akuwunikanso kuti atulutsidwe, zomwe zikutanthauza kuti sizinafufuzidwebe. Izi zikunenedwa, zomwe apezazi ndizofunikira ngati atuluka. Zotsatirazi zitha kutanthauza kuti madotolo amalimbikitsa kuti anthu onenepa kwambiri achepetse kunenepa, ngakhale akuwonetsa zina zowopsa kapena akuwoneka kuti ali oyenera, akufotokoza a Rishi Caleyachetty, Ph.D., wofufuza wamkulu pa ntchitoyi.

Izi sizitanthauza kuti kafukufuku wina "wamafuta koma oyenera" onse. "Pali kusiyana kwakukulu pakati pa kunenepa kwambiri komanso kunenepa kwambiri," akutero a Jennifer Haythe, M.D., pulofesa wothandizira ku University University. Mwaukadaulo, kunenepa kwambiri kumatanthauza kuti muli ndi BMI pakati pa 25 ndi 29.9, ndipo kunenepa kumatanthauza kuti muli ndi BMI ya 30 kapena kupitilira apo. "Sindikudabwitsidwa kuti zomwe zapezeka mufukufuku watsopanoyu zikuwonetsa kuti anthu omwe ali mgulu la onenepa kwambiri ali ndi chiopsezo chowonjezeka cha matenda amtima," atero Dr. Haythe, yemwe nthawi zonse amalimbikitsa kuti odwala omwe ali ndi ma BMI omwe ali onenepa kwambiri ataye kulemera pazifukwa zaumoyo. Pazithunzi, akuti mavuto azaumoyo omwe amabwera chifukwa chongokhala a pang'ono kunenepa kwambiri sikuli koopsa. (Zomwe zili zoyenera, othamanga ena othamanga amagwera m'gulu la kunenepa kwambiri kapena onenepa kwambiri potengera BMI yawo, kutsimikizira kuti simuyenera kuchita nokha.)

Pamapeto pake, madotolo sanasangalale ndi nkhaniyi. Ngakhale akuganiza kuti ndizotetezeka kwa odwala kukhala munthawi yotchedwa "yachibadwa", Dr. Haythe akuti anthu atha kukhala onenepa komanso oyenera. "Mutha kukhala wonenepa kwambiri, kuthamanga marathon, ndikukhala bwino kuchokera pamtima."

Ndipo sizili ngati anthu omwe ali ndi zolemera "zathanzi" samadwala matenda amtima. "Pakhala nthawi zambiri pomwe ndazindikira ndikumachiza matenda amtima mwa munthu amene amathamanga kwambiri, wopanda kunenepa kwambiri, ndi wachichepere, ndipo ali ndi zoopsa zochepa chabe," akutero Hanna K. Gaggin, MD, MPH, katswiri wa zamankhwala ku Massachusetts General Hospital.

Izi sizikutanthauza kuti kukhala wonenepa n’kungotaya nthawi. Dr. Gaggin akufotokoza kuti ngakhale kuti chiopsezo cha matenda a mtima chinkayang'aniridwa mwa anthu (monga momwe, kutengera chiopsezo chakuti wina akhoza kutenga matenda a mtima chifukwa chakuti ena olemera omwewo ali ndi matenda a mtima), njira yamakono. ikukula kwambiri payekha komanso payekha. Pali ambiri zinthu zomwe zimaphatikizana kuti ziwone chiwopsezo cha matenda amtima cha munthu aliyense, monga zakudya, kulimbitsa thupi, cholesterol, kuthamanga kwa magazi, zaka, jenda, mtundu, komanso mbiri yabanja. "Muyenera kuganizira zonse za munthu," akuwonjezera.

"Atapatsidwa mwayi, sindikuganiza kuti kunenepa kwambiri ndi chinthu chabwino," akutero. "Koma mukayerekezera munthu wonenepa kwambiri komanso wathanzi, amene amachita masewera olimbitsa thupi ndikudya bwino, ndi munthu yemwe salemera koma samachita zinthuzo, ndiye kuti munthu wathanzi ndiye amakhala ndi zizolowezi zabwino." Mkhalidwe wabwino, akutero, ungakhale kulemera koyenera ndipo masewera olimbitsa thupi ndipo idyani bwino, koma zenizeni ndi zoyenera sizimagwirizana nthawi zonse.

Chifukwa chake pamapeto pake, zikuwoneka kuti zatsala pang'ono kutcha "mafuta koma oyenera" nthano. Kupatula apo, chiwopsezo cha matenda amtima chimachokera pazifukwa zingapo, osati kuchuluka komwe mumawona pamlingo. Kusamala zakudya zanu komanso zizolowezi zolimbitsa thupi kuli ndi maubwino (mwakuthupi ndi m'maganizo!) Ngakhale mutakhala wonenepa motani.

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