Zakudya zabwino. 2019 Oct 17; 71: 110615. doi: 10.1016 / j.nut.2019.110615.
Ndi Lorenzo A.1, Romano L2, Ndi Renzo L3, Onjezani kungolo yogulira4, Cenname G.5, Gualtieri P1.
Kudalirika
Mu 2013, American Medical Association idazindikira kunenepa kwambiri ngati matenda, a sayansi, chikhalidwe komanso chidwi andale. Mu 2016 ku United States, kuchuluka kwa kuchuluka kwa kunenepa kwambiri komanso kunenepa kwambiri kunaposa 60%. Ku Italy, mitengo iyi idaposa 40%. Mtengo wokwanira kulemera kwambiri unafika pa 9.3% ya zinthu zonse zakunyumba zaku US, pomwe ku Italy mtengo wonse wa matenda a shuga wokha umayesedwa pafupifupi 20.3 biliyoni euro. Kukula kwa minofu ya adipose ndi mafuta a visceral kumayambitsa kukakamira, kupanikizika kwapakati, kusokonezeka kwa metabolic, kusagwira ntchito kwa thupi, komanso kuchuluka kwa kufa. Kuwonjezeka kwa mafuta ochulukirapo komanso pakati pa mafuta ndi njira yovuta komanso yosinthika ndikuzindikira koyenera komanso chithandizo chamankhwala. Momwemonso, kunenepa kumatha kukhala mawonekedwe obwereranso, ophatikizika ndi ma comorbidities komanso zochitika pamtima. Chiwopsezo chowonjezereka cha kufa ndi kuchepa kwa thupi chimathanso kukhudzanso anthu onenepa kwambiri, ngati vutolo silikuperewera, ndi kudwala kwamatenda. Chifukwa cha kusakhazikika kwake, chizindikiritso cha thupi chiyenera m'malo ndi mawonekedwe amthupi kuti adziwe kunenepa kwambiri. Mwayi wotenga kusinthasintha kwa kunenepa kwambiri umalumikizidwa ndikuthandizira kusintha kwa matenda komanso kuthana ndi zakudya zomwe zimachitika panthawi yake. Kusiyanitsa mitundu ndi kusala kumalepheretsa kuchitira anthu onenepa kwambiri. Kuzindikira kunenepa ngati matenda komanso chidwi chabungwe chitha kusintha chidwi chathu kunenepa osati ku onenepa kwambiri, ndikusintha kwamphamvu pakutsata mapulani othandizira. Zinthu za anthropogenic ndi ma gut microbiota zimatha kusokoneza chikhalidwe cha anthu ndi chisankho cha chakudya, monga mankhwala osokoneza bongo. Kunenepa kwambiri kuli ndi zikhalidwe zonse kuti zizindikiridwe ngati matenda. Kuwongolera moyenera zamankhwala kumayambitsa ndalama ndi zovuta zina, monga matenda ashuga. Cholinga cha kubwereza uku chinali kukambirana mwatsatanetsatane njira zofotokozera kunenepa kwambiri ngati matenda mwanjira iliyonse.
MALANGIZO OTHANDIZA: Adiposopathy; Kapangidwe ka thupi; Matenda a shuga; Matenda; Kunenepa kwambiri; Kusala
PMID: 31864969