Kufooka kwa okalamba nthawi zina kumaganiziridwa kuti ndi kuchepa thupi, kuphatikizapo kutayika kwa minofu, ndi zaka, koma kafukufuku watsopano akusonyeza kuti kulemera kungakhalenso ndi gawo pa chikhalidwecho.
Pakafukufuku wofalitsidwa pa Jan. 23 mu nyuzipepala ya BMJ Open, ofufuza ochokera ku Norway adapeza kuti anthu omwe ali onenepa kwambiri azaka zapakati (oyezedwa ndi body mass index (BMI) kapena circumference waist circumference) amakhala ndi chiopsezo chachikulu cha kufooka kapena kufooka poyamba. .Zaka 21 pambuyo pake.
"Fragility ndi chotchinga champhamvu cholepheretsa kukalamba bwino komanso kukalamba pazolinga zanu," adatero Nikhil Satchidanand, Ph.D., physiologist ndi pulofesa wothandizira pa yunivesite ya Buffalo, yemwe sanachite nawo kafukufuku watsopano.
Okalamba ofooka ali pachiwopsezo chachikulu cha kugwa ndi kuvulala, kuchipatala komanso zovuta, adatero.
Kuwonjezera apo, akuti, okalamba ofooka amatha kukumana ndi kuwonongeka komwe kumabweretsa kutaya ufulu wodziimira komanso kufunikira kowaika kumalo osamalira anthu kwa nthawi yaitali.
Zotsatira za kafukufuku watsopano zimagwirizana ndi maphunziro a nthawi yayitali omwe adapeza mgwirizano pakati pa kunenepa kwambiri kwapakati pa moyo ndi kutopa kusanachitike m'moyo.
Ofufuzawa sanatsatirenso kusintha kwa moyo, kadyedwe, zizolowezi, ndi maubwenzi a omwe akutenga nawo mbali pa nthawi yophunzira zomwe zingakhudze chiopsezo chawo chofooka.
Koma olembawo alemba kuti zotsatira za kafukufukuyu zikusonyeza “kufunika kowunika pafupipafupi ndi kusunga BMI yabwino komanso [kuzungulira m’chiuno] muuchikulire wonse kuti muchepetse chiwopsezo cha kufooka muukalamba.”
Kafukufukuyu adatengera kafukufuku wa anthu opitilira 4,500 azaka 45 ndi kupitilira apo ku Tromsø, Norway pakati pa 1994 ndi 2015.
Pa kafukufuku aliyense, kutalika ndi kulemera kwa omwe adatenga nawo gawo adayesedwa.Izi zimagwiritsidwa ntchito powerengera BMI, yomwe ndi chida chowunikira magulu olemera omwe angayambitse matenda.BMI yapamwamba si nthawi zonse imasonyeza kuchuluka kwa mafuta m'thupi.
Kafukufuku wina adayezanso kuchuluka kwa chiuno cha otenga nawo mbali, chomwe chidagwiritsidwa ntchito kuyerekeza mafuta am'mimba.
Kuonjezera apo, ochita kafukufukuwo adalongosola zofooka pogwiritsa ntchito njira zotsatirazi: kutaya thupi mwangozi, kutayika, kufooka kwamphamvu, kuthamanga kwapang'onopang'ono, ndi kuchepa kwa masewera olimbitsa thupi.
Frailty imadziwika ndi kukhalapo kwa osachepera atatu mwa izi, pomwe fragility ili ndi imodzi kapena ziwiri.
Chifukwa 1% yokha ya omwe adatenga nawo mbali anali ofooka paulendo wotsatira wotsatira, ochita kafukufuku adayika anthu awa ndi 28% omwe poyamba anali ofooka.
Kuwunikaku kudapeza kuti anthu omwe anali onenepa kwambiri azaka zapakati (monga momwe BMI yayikulu) idawonetsera anali pafupifupi nthawi za 2.5 zokhala ndi zofooka zaka 21 poyerekeza ndi anthu omwe ali ndi BMI yabwinobwino.
Kuphatikiza apo, anthu omwe ali ndi chiuno chokwera kwambiri kapena chokwera kwambiri anali ndi mwayi wowirikiza kawiri kukhala ndi prefrastylism / kufooka pakuwunika komaliza poyerekeza ndi anthu omwe ali ndi chiuno chokhazikika.
Ofufuzawa adapezanso kuti ngati anthu alemera kapena akuwonjezera chiuno chawo panthawiyi, amatha kukhala ofooka pofika kumapeto kwa nthawi yophunzira.
Satchidanand adati phunziroli limapereka umboni wowonjezera kuti zosankha zamoyo wathanzi zingathandize kuti ukalamba ukhale wabwino.
"Phunziroli liyenera kutikumbutsa kuti zotsatira zoyipa za kunenepa kwambiri kuyambira ali wamkulu ndizowopsa," adatero, "ndipo zidzakhudza kwambiri thanzi, magwiridwe antchito, ndi moyo wa okalamba."
Dr. David Cutler, dokotala wamankhwala a banja ku Providence St. Johns Medical Center ku Santa Monica, California, adanena kuti chimodzi mwa zofooka za phunziroli ndikuti ochita kafukufukuwo adayang'ana pazochitika zakuthupi zofooka.
M’malo mwake, “anthu ambiri adzaona kufooka kukhala kunyonyotsoka kwa ntchito zakuthupi ndi zachidziŵitso,” iye anatero.
Ngakhale kuti njira zakuthupi zomwe ochita kafukufuku adagwiritsa ntchito mu phunziroli zakhala zikugwiritsidwa ntchito mu maphunziro ena, ochita kafukufuku ena ayesa kufotokoza mbali zina za kufooka, monga chidziwitso, chikhalidwe, ndi maganizo.
Kuonjezera apo, ochita nawo kafukufuku watsopano adanenanso zizindikiro zina za zofooka, monga kutopa, kusachita masewera olimbitsa thupi komanso kutaya thupi mosayembekezereka, zomwe zikutanthauza kuti sizingakhale zolondola, adatero Cutler.
Cholepheretsa china chodziwika ndi Cutler chinali chakuti anthu ena adasiya kuphunzira asanafike ulendo wotsatira womaliza.Ofufuzawa adapeza kuti anthuwa amakonda kukhala okalamba, onenepa kwambiri, komanso amakhala ndi zovuta zina zofooka.
Komabe, zotsatira zake zinali zofanana pamene ochita kafukufuku sanaphatikizepo anthu oposa 60 kumayambiriro kwa phunzirolo.
Ngakhale kuti maphunziro oyambirira apeza chiopsezo chowonjezereka cha kufooka kwa amayi omwe ali ochepa thupi, kafukufuku watsopanoyu anaphatikizapo anthu ochepa kwambiri omwe amafufuza kuti ayese ulalowu.
Ngakhale momwe kafukufukuyu amawonera, ochita kafukufukuwa amapereka njira zingapo zomwe zingatheke zamoyo zomwe apeza.
Kuwonjezeka kwa mafuta a thupi kungayambitse kutupa m'thupi, komwe kumagwirizananso ndi kufooka.Iwo analemba kuti kuyika kwa mafuta mu ulusi wa minofu kungayambitsenso kuchepa kwa mphamvu ya minofu.
Dr. Mir Ali, dokotala wa opaleshoni ya bariatric ndi mkulu wa zachipatala wa MemorialCare Bariatric Surgery Center ku Orange Coast Medical Center ku Fountain Valley, Calif., Akuti kunenepa kwambiri kumakhudza kugwira ntchito pambuyo pake m'njira zina.
"Odwala anga onenepa amakhala ndi vuto lolumikizana ndi msana," akutero."Izi zimakhudza mayendedwe awo komanso kuthekera kwawo kukhala ndi moyo wabwino, kuphatikiza akamakalamba."
Ngakhale kufooka kumalumikizidwa ndi ukalamba, Satchidanand adati ndikofunikira kukumbukira kuti simunthu aliyense wokalamba amakhala wofooka.
Kuonjezera apo, "ngakhale kuti njira zochepetsera zofooka zimakhala zovuta kwambiri komanso zambiri, timakhala ndi mphamvu pa zinthu zambiri zomwe zimapangitsa kuti zikhale zofooka," adatero.
Zosankha za moyo, monga kuchita masewera olimbitsa thupi nthawi zonse, kudya zakudya zopatsa thanzi, ukhondo wokwanira wa kugona, komanso kuthetsa kupsinjika maganizo, zimakhudza kunenepa akakula.
“Pali zinthu zambiri zomwe zimapangitsa munthu kunenepa kwambiri,” iye anatero, kuphatikizapo majini, mahomoni, kupeza chakudya chabwino, maphunziro, ndalama, ndi ntchito ya munthu.
Ngakhale Cutler anali ndi nkhawa zokhudzana ndi zofooka za kafukufukuyu, adati kafukufukuyu akuwonetsa kuti madokotala, odwala komanso anthu onse ayenera kudziwa zofooka.
“M’chenicheni, sitidziŵa mmene tingachitire ndi matenda.Sitikudziwa momwe tingapewere.Koma tiyenera kudziwa za izi, "adatero.
Kudziwitsa anthu za chiopsezo ndikofunikira makamaka chifukwa cha ukalamba, Satchidanand adati.
"Pamene gulu lathu lapadziko lonse lapansi likukulirakulira komanso kuchuluka kwa nthawi yomwe timayembekeza kukhala ndi moyo kukukulirakulira, tikufunika kumvetsetsa bwino zomwe zimayambitsa zofooka," adatero, "ndi kupanga njira zogwirira ntchito zopewera ndi kuchiza frailty syndrome."
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