این نوشته شیوع چاقی و اضافه وزن را در ایالات متحده آمریکا توضیح می دهد:

  • اضافه وزن به حجم اضافی از وزن بدن که ممکن است مربوط به ماهیچه، استخوان، چربی و آب باشد برمی گردد.
  • چاقی نیز به مقدار چربی اضافی برمی گردد.

از شاخص حجم بدن (BMI) برای تخمین اضافه وزن و چاقی استفاده کنید:

این شاخص رایجترین وسیله برای تخمین اضافه وزن و چاقی در کودکان و برگسالان می باشد.

برای بزرگسالان میزان و محدوده ی چاقی و اضافه وزن با استفاده از وزن و قد برای محاسبه ی شاخص BMI بکار می رود. این شاخص برای این بکار می رود که در بیشتر افراد با چربی بدنشان ارتباط دارد.

رشد کودکان سرعت و زمانهای متفاوتی را شامل می شود و به همین دلیل بیان این موضوع که کودکی دچار اضافه وزن می باشد کار آسانی نیست. جدول شاخص BMI قد و وزن کودکان را با دیگر کودکان با جنسیت و سن یکسان مقایسه می کند.

جدول زیر امتیازات شاخص BMI و گروههای وزن را برای بزرگسالان و کودکان بطور کلی بیان کرده است. ابزارهای سنجش BMI برای کودکان و بزرگسالان در بخش منابع این خبرنامه ذکر شده است.

اطلاعات از تحقیقات بین المللی سلامت و تغذیه در ۲۰۰۹-۲۰۱۰ گرفته شده است.

  • بیش از دو در سه نفر ازبزرگسالان دچار چاقی یا اضافه وزن هستند.
  • بیش از یک نفر از سه نفر از بزرگسالان بعنوان افراد چاق در نظر گرفته می شوند.
  • بیش از ۱ در ۲۰ نفر از بزرگسالان دارای چاقی مفرط می باشند.
  • تقریبا یک سوم کودکان و نوجوانان ۶ تا ۱۹ سال چاق تلقی می شوند.

BMI بزرگسالان ۲۰ سال و بزرگتر

BMI رده بندی
۱۸٫۵ تا ۲۴٫۹ وزن نرمال
۲۵  تا ۲۹٫۹ اضافه وزن
بالای۳۰ چاقی
بالای ۴۰ چاقی مفرط

BMI کودکان و نوجوانان ۲-۱۹ سال

BMI رده بندی
۹۵ درصد یا بیشتر چاقی یا اضافه وزن
۹۵ درصد یا بیشتر چاقی

خطرات ناشی از چاقی و اضافه وزن بر سلامت

  • دیابت تیپ ۲
  • بیماریهای قلبی
  • فشار خون بالا
  • بیماری های اسید چرب غیر الکلی ( اسید چرب اضافی و التهاب در کبد افرادیکه الکل کم و یا هیچ الکلی مصرف نمی کنند)
  • آرتریت استخوانی ( وضعیتی که سبب ایجاد درد، تورم، سفتی در یک یا بیشتر مفاصل)
  • بعضی از سرطانها مانند سرطان سینه، کولون، اندومتریال ( که به آستر رحم مربوط است)، و کلیه
  • سکته مغزی

دلایل چاقی و اضافه وزن

چاقی و اضافه وزن به دلیل عدم تعادل در انرژی ایجاد می شوند. بدن ما به اندازه ی مشخصی از انرژی یا کالری نیاز دارد که از غذاها بدست می آیند و انرژی بدن را در حد مورد نیاز نگه می دارند. بدن تمایل دارد تا مقدار کالری خودرا در یک رنج ثابت حفظ کند و میزان کالری مصرفی با میزان کالری که می سوزد باید در تعادل باشد، در طول زمان که فرد کالری مصرفی اش از کالری که می سوزاند بالاتر می رود تعادل انرژی به سمت افزایش وزن، اضافه وزن و چاقی سوق می یابد.

کودکان نیز باید میزان کالری شان را در حد تعادل قرار دهند اما باید در نظر داشت که آنها به برای رشد به انرژی نیاز دارند. تعادل انرژی در کودکان زمانی فراهم می شود که مقدار انرژی جذب شده از نوشیدنی ها و غذاها و انرژی استفاده شده بوسیله بدن میزان مورد نیاز برای رشد را فراهم کند بدون اینکه وزن اضافی را بر فرد تحمیل کند.

برخی از فاکتورها سبب می شوند که انرژی در حالت نامتعادل قرار گیرد و اضافه وزن حاصل شود. که این فاکتور ها شامل: ژن ها، عادات غذایی، مکان و نحوه ی زندگی افراد، احساسات و نوع برخورد با مسائل و مشکلات، در آمد و عادات زندگی.

درمان اضافه وزن و چاقی

اضافه وزن و چاقی از عوامل بروز دیابت نوع دو، بیماری های قلبی، فشار خون بالا، و سایر مشکلاتی که می توانند برسلامت فرد تاثیر بگذارند، می باشند. دلیل واحدی برای اضافه وزن و چاقی وجود ندارد، حتی رویکرد و راهکار واحدی نیز برای پیشگیری و درمان اضافه وزن و چاقی نیز وجود ندارد درمان به ترکیبی از درمانهای رفتاری، تغذیه ای، ورزش، و گاهی اوقات داروهای کاهنده ی وزن نیاز دارد. در برخی مواقع نیز که فرد مبتلا به چاقی مفرط می باشد عمل جراحی برای کاهش وزن گزینه ی درمانی می تواند باشد. شبکه ی اطلاعات کنترل وزن (WIN) سرویس موسسه ی بین المللی بیماریهای دیابت و گوارش و کلیه ی موسسه ی بین المللی سلامت (NIH) می باشد.

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