ʻO ka ʻoiaʻiʻo e pili ana i ka BMI (Body Mass Index): He mea nui maoli anei ia no ko mākou olakino?

Ua lohe paha ʻoe i ka huaʻōlelo BMI, ʻeā? Hoʻohana ka poʻe he nui i kēia waiwai BMI e ʻike ai inā he kaumaha kūpono ko lākou no ko lākou kiʻekiʻe, he kaumaha nui, he kaumaha haʻahaʻa, a he maʻamau paha. Akā, inā paha e haʻi mai ana kēia helu wale nō i ka ʻoiaʻiʻo holoʻokoʻa e pili ana i ko kākou olakino, he nīnau nui ia. No ka mea, he nui nā mea ʻaʻole hiki i ka waiwai BMI ke haʻi aku. No laila, e kamaʻilio kākou e pili ana i kēia i kēia lā.

He ana 'pono' akā 'hema' ka BMI

I ka ʻōlelo maʻalahi, ʻo ka BMI, a i ʻole ka helu nui o ke kino, he helu maʻalahi ia e hoʻohana ana i kou kiʻekiʻe a me kou kaumaha. Hoʻokaʻawale ia i ke kanaka i ʻehā mau māhele nui.

I kēia manawa, pehea ka pono o kēia waiwai? ʻO kaʻoiaʻiʻo, aia kahi manaʻo i waena o nā kauka "ʻaʻole he ana kūpono ka BMI." Akā no ka mea he maʻalahi loa ka helu ʻana, he paʻakikī ke noʻonoʻo e pau ana ia i ka hoʻohana ʻia.

E noʻonoʻo i kēia ʻano. Aia paha ka BMI o ke kanaka i ka pae momona, akā i ka nānā ʻia ʻana o ko lākou cholesterol, ke koko , a me nā pae kō, aia paha lākou a pau i ka pae maʻamau. ʻO ke ʻano kēia, ʻoiai ua kaumaha lākou, ʻaʻole lākou i loaʻa i kēia manawa nā pilikia olakino e pili ana me ia.

Akā eia ka mea. Inā ʻoe e nānā i kāu BMI me kahi mīkini helu pūnaewele a hōʻike ia he 'momona nui' a 'momona' paha ʻoe, mai lawe māmā . He hōʻailona ia. ʻOi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i nā mea hiki iā ʻoe ke hana e pale aku iā ʻoe iho mai nā maʻi metabolic e like me ka maʻi diabetes a me nā maʻi puʻuwai i hiki ke hana ʻia e kou kaumaha.

ʻO ka mea a BMI i hōʻike ʻole ai: Ma hea kahi i loaʻa ai nā ʻiʻo a me ka momona

I ka helu ʻana i kāu BMI, ʻaʻole ia e noʻonoʻo i ka nui o ka nui o nā ʻiʻo āu a i ʻole kahi i mālama ʻia ai kou momona. He mea nui loa kēia mau mea ʻelua.

ʻO ka nui o nā ʻiʻo i loko o kou kino

E noʻonoʻo i kahi mea e hoʻoikaika kino maikaʻi ana a olakino. Eia kekahi laʻana, he mea pāʻani. ʻOi aku ko lākou ʻiʻo ma mua o ka momona i loko o ko lākou kino. ʻOi aku ke kaumaha o nā ʻiʻo. No laila, ke helu ʻoe i kā lākou BMI, hōʻike paha ia he 'momona nui' lākou. Akā ʻo ka ʻoiaʻiʻo, he liʻiliʻi loa ko lākou momona o ke kino, a olakino loa lākou.

A ʻo ka ʻaoʻao ʻē aʻe o kēia hiki ke ʻoiaʻiʻo. Hiki i ke kanaka ke loaʻa kahi BMI 'maʻamau', akā hiki ke emi iho ka nui o nā ʻiʻo a ʻoi aku ka momona o ke kino. He ʻoiaʻiʻo loa kēia i waena o ka poʻe ʻelemakule i hoʻoikaika kino ʻole. No laila, inā maʻamau ko lākou BMI, hiki ke loaʻa iā lākou ka momona o ke kino, hiki ke kau iā lākou i ka pilikia like me kekahi mea momona.

Ma hea i mālama ʻia ai ka momona: nā ʻāpala? nā pea?

ʻOkoʻa nā pilikia olakino ma muli o kahi i mālama ʻia ai kou momona kino. I ka ʻōlelo maʻalahi, ua like kou ʻano me ka ʻāpala a i ʻole ka pea?

• ʻAno ʻĀpala: Pili kēia i ka momona i waiho ʻia a puni ka pūhaka, ʻo ia hoʻi, ma ka ʻōpū. Kāhea mākou i ka momona hohonu i waiho ʻia a puni nā ʻōpū o loko ma kēia ʻano he "(momona visceral)". ʻO kēia ka mea weliweli loa. Ke piʻi aʻe ka momona o ka ʻōpū ma kēia ʻano, piʻi nui ka pilikia o ka loaʻa ʻana o nā maʻi puʻuwai a me ka maʻi diabetes type 2.

• ʻAno Pea: Pili kēia i ka momona i mālama ʻia ma nā pūhaka a me nā ʻūhā. ʻOi aku ka liʻiliʻi o ka pōʻino o ke olakino o kēia ʻano momona i mālama ʻia ma lalo o ka ʻili ma mua o ka momona i mālama ʻia i loko o ka ʻōpū.

ʻO ka pilina ma waena o BMI, makahiki, a me ka lāhui

ʻAʻohe 'BMI olakino' hoʻokahi e kūpono i nā kānaka a pau. Hiki ke loli kēia ma muli o kou makahiki a me kou lāhui.

E loli me ka makahiki

ʻO ka BMI haʻahaʻa iki (kaumaha ʻole) i kahi ʻelemakule hiki ke lilo i hōʻailona o ka nāwaliwali. Aia nā pono o ka momona iki ʻana i kou wā ʻelemakule, no ka mea, hoʻemi ia i ka pilikia o ka hāʻule ʻana a me nā maʻi.

ʻOkoʻa ma ka lāhui

He mea nui loa kēia no ko kākou ʻāina. Ua hoʻolauna mua ʻia nā waiwai BMI ma muli o ka ʻikepili no ka poʻe keʻokeʻo. Akā, pono e hoʻololi ʻia kēia mau waiwai no nā lāhui ʻē aʻe.

• ʻO ka pae BMI olakino no nā ʻĀkia he 18.5 a 23.9 (ʻo ka pae maʻamau he 24.9).
• Hiki ke manaʻo ʻia he 'momona' ka ʻĀkia me ka BMI o 27 a ʻoi aku paha (ʻo ka pae maʻamau he 30).
• No laila, inā he ʻĀkia ʻoe a ʻoi aku kou BMI ma mua o 23, he mea naʻauao ke hoʻāʻo ʻia no ka maʻi diabetes. E kūkākūkā me kāu kauka e pili ana i kēia.

ʻO nā ʻano hana ʻē aʻe e hiki ke hoʻohana ʻia ma waho aʻe o ka BMI

ʻOiai ʻaʻole i hōʻike mai ka BMI i ka moʻolelo holoʻokoʻa, he manaʻo maikaʻi e hoʻohana i kahi lipine ana me kāu unahi kaumaha.

1. Ka puni o ka pūhaka

E lawe i ka lipine a e ana a puni kou pūhaka ma ka pae o kou ʻūhā.

2. Laki o ka pūhaka-a-kiʻekiʻe

He ana maikaʻi nō hoʻi kēia. ʻO ka pahuhopu ma ʻaneʻi, ʻo ia ka mālama ʻana i kou anapuni pūhaka ma lalo o ka hapalua o kou kiʻekiʻe .

3. Ka Lākiō o ka Pūhaka-a-Hip

E ana i ke anapuni o kou pūhaka, a laila e ana i kou mau pūhaka. E puʻunaue i ke anapuni o kou pūhaka me kou mau pūhaka. Wahi a ka World Health Organization, pono kēia lakio ma lalo o 0.90 no nā kāne a ma lalo o 0.85 no nā wahine.

Nā ʻano hana ʻē aʻe

Ma waho aʻe o kēia mau mea, hiki i nā hoʻokolohua e like me ka mānoanoa o ka ʻili, ka nānā ʻana o DXA, MRI, a i ʻole ultrasound ke hāʻawi i ka ʻike hohonu e pili ana i ke ʻano o ke kino. Eia naʻe, ʻaʻole pono kēia mau mea no nā mea āpau.