Dieta Dla Zdrowia

Otyłość BMI

Otyłość u dorosłych i dzieci stanowi plagę dzisiejszych czasów.

Dane na temat choroby w Wielkiej Brytanii i USA.
Otyłość już w drugiej połowie minionego stulecia stała się wielkim problemem dla służby zdrowia. Udowodniono, że ma wielki wpływ na powstawanie chorób układu sitowonaczyniowego. W ostatnich latach ilość osób z nadwagą gwałtownie wzrosła we wszystkich krajach. Dziś na całym świecie ponad 250 mln choruje na otyłość. W Wielkiej Brytanii otyłość stwierdzono u 20-25% dorosłych osób , gdzie ich wskaźnik BMI przekracza 30 kg/m2. W ciągu ostatnich lat zaobserwowano 2-3-krotny wzrost nadwagi u młodzieży; BMI ich wynosiło w granicach 25,0-29,0 g/m2.

Jednak dane z Wielkiej Brytanii to nic w porównaniu z wynikami badań w USA. W latach 1968-1970 na nadwagę cierpiało 28,4% mieszkańców tego kraju w wieku 25-74 lat. Po upływie ponad 30lat liczba chorych zwiększyła się o prawie 1/3 i wynosi teraz 39%. Statystyki są przerażające; liczba dzieci z nadwagą w wieku 6-11 lat wzrosła do 54%. Przeciętny Amerykanin poczynając od 25 roku życia, co rok podnosi swoja masę ciała o 1 funt (tj.409,5 g), co w wieku 60 lat daje ok 35 zbytecznych funtów .Cztery lata po opublikowaniu tych danych sytuacja związana z otyłością jeszcze bardziej się pogorszyła. Okazało się, że 2/3 Amerykanów ma nadmiar ciała i prawie 1/3 cierpi na otyłość (BMI większe niż 30 g/m2).

Czynniki, które mają wpływ na otyłość:

* czynniki genetyczne
Mogą odgrywać ważną rolę w powstaniu otyłości lub zwiększać podatność na jej rozwój. Geny kodują molekularne składniki uczestniczące w fizjologicznym procesie regulacji masy ciała. U większości ludzi o skłonności do otyłości decydują prawdopodobnie mutacje wielu genów. Mutacje mogą dotyczyć genów związanych z regulacją pobierania energii z pożywieniem, poziomem podstawowej przemiany materii, dojrzewaniem komórek tkanki tłuszczowej, aktywnością enzymów odpowiedzialnych za gospodarkę tłuszczową i węglowodanową. Za genetycznym uwarunkowaniem otyłości przemawia również fakt, że jest ona dwukrotnie częstsza u bliźniąt jednojajowych niż u rodzeństwa nie będących bliźniętami.

* czynniki biologiczne
Otyłość może być wystepować na tle chorobowym, ale zdarza sie to rzadko. Przyczyną wzrostu masy ciała jest nadmiar energii pobranej z pożywienia w stosunku do jej wydatkowania.

*czynniki farmakologiczne
Do leków, których przyjmowanie może prowadzić do zwiększenia masy ciała należą leki przeciwdepresyjne, leki przeciwlękowe, leki psychotropowe, przeciwpadaczkowe i insulina.

Metody oznaczania ilości tkanki tłuszczowej:
Dokładne, stosowane w badaniach naukowych metody oznaczania ilości tkanki tłuszczowej organizmu to:

  • bioimpendancja elektryczna,
  • podwójna absorpcjometria,
  • tomografia komputerowa,
  • jądrowy rezonans magnetyczny,
  • metody sonograficzne USG,
  • metody izotopowe.

W praktyce stosuje się prostsze metody przybliżone:

  • pomiar masy ciała (wagi ciała) i obliczenie wskaźnika masy ciała (BMI),
  • wskaźnik WHR (waist-hip ratio),
  • pomiar grubości fałdu skórnego.


Inne metody pomiaru prawidłowej masy ciała
Rzeczywista masa ciała jest obecnie najczęściej klasyfikowana i mierzona za pomocą wskaźnika masy ciała (BODY MASS INDEKS- BMI), który jest ilorazem masy ciała wyrażonej w kilogramach i wzrostu wyrażonego w metrach podniesionego do kwadratu.
BMI nie jest dobrym wskaźnikiem do oceny masy ciała u kobiet w ciąży, rosnących dzieci, osób w starszym wieku, u których niejednokrotnie trudno dokonać dokładnych pomiarów wzrostu oraz sportowców o rozbudowanej tkance mięśniowej.

Klasyfikacja masy ciała ze względu na BMI według WHO
BMI (kg/m2)
Poniżej 20 Niedowaga
20, 0 - 24,9 Norma
25,0 - 29,9 Nadwaga
30,0 - 34,9 Otyłość średniego stopnia
35,0 - 39,9 Otyłość znacznego stopnia
Powyżej 40 Otyłość bardzo znacznego stopnia

Autor: dorota4513

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