I thau lutuk tur pawh i ngaihtuah em? (Overweight) - Hemi chungchang hi han sawi ila!

Tunlai mi tam takin harsatna an tawh chu thau lutuk hi a ni. Mi thenkhat tan chuan hei hi stressor lian tak a ni. "Ka thau em?", "He rihna hi ka tan harsatna a ni dawn em?" Chuvangin vawiin hian he taksa rihna tihpunna dinhmun, chu chu ‘Overweight’ , hi i hriatthiam theih tur awlsam takin i sawi ang u. Hei hi i ngaihtuah angin a buaithlak lo a, mahse hriat chian a pawimawh hle.

"Overweight" tih hian eng nge a awmzia tak tak?

A awlsam zawngin sawi ila, Body Mass Index (BMI) hi i san zawng nena inmil tura i taksa rihna hrisel takah i awm leh awm loh tehna a ni. Hei hi doctor chuan i rit zawng kilogram-a lain, i san zawng nen meter-a a zat a, chu san zawng square-a a zat chuan a chhut a ni. A vaiin i BMI 25 leh 29.9 (kg/m2) inkar a nih chuan doctor chuan ‘overweight’ a ti mai thei a, chu chu i thau lutuk tihna a ni. Hei hian a awmzia tak chu i taksaah thau tlem, adipose tissue kan tih hi i nei thei tihna a ni.

Hetiang dinhmun ‘Overweight’ an tih hi a takah chuan a hluar hle. Survey-ah chuan America ang ramah pawh puitling pathum zinga pakhat leh naupang paruk zinga pakhat chu hetiang dinhmunah hian an awm tih a lang. Just like obesity , hei pawh hi a buaithlak deuh. Enkawlna leh enkawl dan hrang hrang a mamawh thei bawk. Chuvangin, he ‘Overweight’ chungchang te, a chhan te, leh a chungchanga i tih theih dan te hriat belh chuan he dinhmun hi i thunun theih nan a pui hle ang.

Ngaihtuah teh, i taksaah thau kilo 4-5 chauh i nei a nih pawhin i hriselna a nghawng thei . I taksaah inthlak danglamna chi hrang hrang a thlen a, natna khirh tak tak vei theihna a tipung bawk. Mahni inngaihhlutna a nghawng thei bawk. ‘I thau lutuk’ chuan a hnuaia stage dang, obesity tih hi i pan tam zawk a ni.

Engvangin nge "overweight" tih hi a hlauhawm em em?

Thau lutuk hian hriselna lama harsatna a thlen thei a, chu chuan i taksa hnathawh that a ti harsa thei a ni. Entir nan:

• Hypertension: I thau lutuk a nih chuan i taksa pum puia thisen pump turin i thinlung hian nasa zawkin hna a thawk a ngai a ni. Thau lutuk hian i kal (kidney) a nghawng bawk a, chu chuan thisen sang control-na a pui a ni.
• Hyperlipidemia: Hei hi i thisena thau, a nih loh leh lipids awm zat a pun chuan a ni. Saturated fats emaw trans fats tamna ei hian i thau lutuk a, cholesterol sang i neih theihna a tipung a ni.
• Thisen sugar level sang (Hyperglycemia): Taksa, a bik takin pum chhehvela thau tam lutuk hian i ei tur carbohydrates atanga taksain sugar, a nih loh leh glucose , a lakluh dan a nghawng a ni.
• Joint disorder awm thei te: 1.1.I thau lutuk hian i khup ang chi ruh (joint) ah pressure a pe nasa hle. Osteoarthritis ang chi natna i neih theihna a tipung a, i cartilage pawh a tichhe thei bawk. Ngaihtuah teh, i taksaah hian thau kilo 4.5 chauh i nei a nih pawhin i khup ah hian kilo 7 leh 23 inkar a tipung thei a ni.

‘A thau lutuk’ tih dinhmun hi a awm chhunzawm zel chuan thau lutuk a thlen thei . Thau lutuk hian thinlung natna, Type 2 Diabetes , leh natna dang tam tak a thlen thei a ni.

BMI value en mai mai a tawk em?

Hei hi a ni reng reng lo. Entirnan, taksa thau tha tak leh taksa thau tlem te i nei thei. Tichuan, scale emaw BMI emaw i en pawhin i taksaa thau leh thau inthlauhna chu dik takin a lantir lo. Chutiang a nih chuan i doctor chuan thau tlem, protein tamna ei tur ei la, taksa ruh siam chhunzawm zel turin a hrilh ang che.

Entirna dang pakhat chu ‘overweight’ ni mahse hriselna tha tak nei hi a ni. Chu chu an thisen sang, cholesterol level, leh sugar level zawng zawng chu normal value chhungah a awm vek tihna a ni. Doctor-te chuan chutiang mite chu Metabolically Healthy Obesity (MHO) tiin an classified a. Chutiang mi tan chuan BMI tihhniam tum ai chuan ei leh in thunun a, active taka awm a pawimawh zawk.

"Overweight" tih hian symptom bik a nei em?

‘A thau lutuk’ tihna chiang tak a awm lo, chu chu khuh emaw, lu na emaw a ni. Doctor chuan i BMI chu a chhut ang a, ‘overweight’ i nih leh nih loh a hriat theih ang. A chang chuan i taksa pianzia, a bik takin i rit tam zawk chu i kawr chhungah i phur a nih pawhin ‘overweight’ i nihna chhinchhiahna anga ngaih theih a ni.

"Overweight" nih chhante chu engte nge ni?

I taksain chakna (calorie) a mamawh zat leh i chaw ei atanga chakna i hmuh zat inthlauhna a awm chuan ‘overweight’ tih hi a ni. Hei hian chhan tam tak a nei thei a:

• Ei leh in dan: Taksa mamawh aia tam calorie ei te, sugar tamna ei leh saturated fat tamna ei te hi thau lutuk chhan lian ber a ni.
• Genetic influences: Research atanga a lan dan chuan thau lutuk te hian an ei duhna tichhe thei gene bik (obesity-susceptibility genes) an nei a. Mi thau lutuk pawhin hetiang genetic influence hi an nei ve em tih erawh a la chiang lo.
• Taksa tihchak loh: Phone-a hun hman tam lutuk emaw, TV en emaw hian exercise neih hun a hloh phah thei a ni.
• Mut tlakchham: Ni khata darkar sarih tal mut loh chuan i ei duhna control tu hormone te a nghawng thei a ni.
• Stress: I stress lai hian i thluak leh taksain cortisol a siam chhuak thin.Hetiang hormone hi siam chhuah tam zawk a ni. Heng hormone te hian riltam a thunun a. Chuvangin, stress a san chuan "comfort foods" thau emaw sugar emaw tamna, taksaa extra fat anga dahkhawm, ei tura thlemna i tawk fo thin.
• Hriselna lama harsatna awm thei: Taksa rihna hi damdawi lam thil thenkhat, Polycystic Ovary Syndrome (PCOS) leh Metabolic Syndrome te avanga side effect a ni thei.

Engtin nge doctor chuan "overweight" tih awmzia dik tak a hriat theih ang?

Doctor i pan hunah i san zawng, i rih zawng leh i kawr vel chu a teh ang. I doctor chuan taksa awm dan test pawh a ti thei a, chu chu bone density scan emaw bioelectrical impedance analysis emaw a ni thei bawk. He test hian i taksaah electrical current a thawn a, a kal chak dan a zirin i taksa composition a teh thin.

Mahse, heng zawng zawng aiin a pawimawh zawk chu i hriselna zawng zawng hi a ni. I doctor chuan heng thilte hi a zawt ngei ang che:

• I damdawi lam chanchin: I damdawi lam dinhmun eng pawh, damdawi i ei tawh zawng zawng, leh i chhungte zingah tu emaw chuan thau lutuk emaw, thau lutuk emaw history nei tawh em tih te zawt che a ni ang.
• I taksa rihna chanchin: Entirnan, kum tam tak chhung chu i thau lutuk em tih zawhna i dawng thei a, a nih loh leh he i taksa rihna hi tun hnaia thil thleng a ni em tih zawhna i dawng thei bawk. Tin, i taksa rihna tihtlem programme i neih tawh leh neih loh pawh zawh theih i ni bawk.
• I nunphung: Tuna i ei leh in dan te, i mut dan te, leh nitin i active dan te zawhna i dawng ang.
• I rilru hrisêlna: I ngaihtuahna, i rilru put hmang, leh i nungchang tichhe thei thil dang, stress chungchâng leh thil dangte zâwt i ni thei. Stress ang chi thilte hian ei tam duhna a siam thei bawk.

Chu bâkah, doctor chuan i vital signs , i pulse leh thawk chhuah dân ang chite chu a enfiah thei a, thisen test ṭhenkhat pawh a ti thei bawk. He hriselna chungchang kimchang tak hi a khawlkhawmna hmang hian doctor chuan i thau lutuk em tih leh a kaihhnawih damdawi lam natna dang i neih leh neih loh a hre thei a ni.

"Overweight" tih natna hi enkawl nan eng nge tih theih ang?

A tlangpuiin doctor chuan nunphung thlak danglam turin a rawt ang. Entirnan, i ei leh in leh i active dan thlak danglam turin an hrilh ang che. Mi thenkhat chu stress emaw, emotional issue dang emaw vangin an thau lutuk thei. Chutiang hunah chuan doctor chuan rilru lam hriselna lama puihna , cognitive behavioral therapy (CBT) ang chi chu a rawt thei a ni. He therapy hian i ei leh in tichhe thei stress emaw emotion emaw chu a control thei che a ni.

Rihna tihtlem nana damdawi tam tak an pek hi thau lutuk tan a ni.BMI 30 aia sang nei te tanpui thin ang che. Mahse i thau lutuk a, comorbidities dang i neih chuan damdawi pawh i dawng thei bawk.

Engtin nge i taksa rihna tihtlem hnuah i rihna i tihhniam theih ang?

Mi tam zawk ang bawkin i taksa rihna tihtlem nana puitu nungchang tha tak takte chu i chhunzawm zel a ngai dawn a ni. Weight loss chungchanga zirchianna atanga a lan dan chuan mi tam zawk chuan an target weight an thlen atanga kum hnih chhungin an taksa rihna tihtlem 50% vel chu an nei leh thin. Mithiamte chuan hei hi chhan hrang hrang an sawi a:

• Obesogenic environment: Hei hi thumal buaithlak deuh ni mah se, kan nitin nun tichhe thei thil, processed food leh fast food ei loh te, exercise neih hun hmuh harsat te a kawk mai a ni.
• Set point theory: He theory ang hian i taksa rihna i tihtlem chuan i taksa chuan hlauhawm angin a hmu thin. I taksa rihna i tihtlem chuan chaw atanga chakna i lak zat chu ni khata i hman zat aiin a tlem zawk a ni. Chumi chhanna atan chuan i taksa chuan riltam tirtu hormone tam zawk a tichhuak a, chaw ei tirtu hormone tlem zawk a tichhuak bawk.

‘Tur lutuk’ awm leh tur chuan nitin thawhrim a ngai tih hriat hi a buaithlak deuh thei. Mahse zirchianna chuan heng thil pahnih hian a pui thei tih a tarlang:

• I chaw ei tur chu lean protein, green vegetables, leh thei chi hrang hrang hmangin portion-ah a tlem berah siam rawh. I taksain riltam hormone a chhuah loh nan i riltam tihreh nan chauh ei rawh.
• Strength-training exercise tih hmangin taksa ruh (muscle) siam rawh. Muscle hian thau aiin calorie a hal rang zawk. Calorie tam zawk hal hian i taksa set point i tihhniam thei a ni.

"Thil thau lutuk" kan nih loh nan eng nge kan tih ang?

I tana tha tur taksa rihna hrisel tak i siam fel hnuah, a dawt leh tur chu hun rei tak chhunga i vawn reng theih tur tih dan tha siam hi a ni. Rawtna thenkhat chu hetiang hi a ni:

• I ei leh in ah hian ei tur tha tak tak dah la: Processed foods ai chuan protein tha lo (bean, lentils ang chi), thau hrisel, leh fiber te thlang rawh. Nilengin tui in tam theihnghilh suh.
• Sugar leh processed foods tihtlem: Sugar tam leh processed foods tam lutuk hi thau lutuk chhan lian tak a ni. Thil ei kha i chawlhsan nghal theih nan i chaw ei tur chu ruahman lawk rawh.
• Active zawk rawh: US Centers for Disease Control and Prevention (CDC) chuan puitlingte chu kar khatah minute 150 tal moderate-intensity aerobic exercise , emaw, nangmah leh i fitness level nena inmil thil eng pawh tih a rawt a ni.
• Stress hi enkawl rawh:A chang chuan harsatna leh stress zawng zawng nen hian thil thlum tak ei mai mai i duh thin. Hemi atan hian ngaihtuahna seng te, ei leh in tha te, leh pawn lama hun hman te ang chi thilte hian a pui thei a ni.

Naupang te tak te chu "overweight" a nih chuan engtin nge kan tih ang?

United States ang ramah chuan naupang kum 2 leh 19 inkar zingah thau lutuk hi harsatna lian tak a ni. Naupang paruk zinga pakhat vel chu an thau lutuk. I fa rih zawng i ngaihtuah a nih chuan naupang enkawltu doctor rawn la.

Take-Home Thuchah hnuhnung ber

Thau lutuk hi a chang chuan number game ang maiin a lang thei: scale-a number te, BMI chart-a number te, i thawmhnaw hak zat te. Mahse, i chungah ngilnei rawh. Heng number te hian a define lo che. Mahse, doctor-te chu i thau lutuk em tih ngaihtuah turin an pui thei a ni. BMI hi kaihhruaina mai a ni a, nangmah emaw i doctor emaw pawhin i hriselna chungchang kimchang takin a pe lo. I doctor chuan thil dang, i thisen sang ang chi te chu a en ang a, i thau lutuk tih a hriat theih nan a pui ang che, chubakah i tana tha tur management plan siam turin a pui bawk ang che. A pawimawh ber chu hrisel leh hlim taka awm hi a ni tih hre reng ang che!

` Thau lutuk, taksa rihna tihtlem, BMI, ei leh in hrisel, exercise, thau lutuk, hriselna