I-PASSPORTSHEALTH.NET - Yiziphi izimbangela ezinkulu zomqedazwe wokukhuluphala?

P^r Angelo Tremblay - Vele, ukudla okungenamsoco nokuntuleka kokuvivinya umzimba kuyabandakanyeka, kepha kukhona nokucindezeleka, ukungalali nokungcola, isibonelo.

Izinto ezingcolisa i-organochlorine, njengezibulala-zinambuzane nezibulala-zinambuzane ezithile, zivinjelwe, kodwa ziphikelela endaweni ezungezile. Sonke singcolile, kodwa abantu abakhuluphele kakhulu. Kungani? Ingabe ukuzuza kwamafutha omzimba kwanikeza umzimba ikhambi lokususa lezi zinto ezingcolisayo endleleni eyingozi? Izinto ezingcolisayo ngempela zinqwabelana ezicubu ze-adipose futhi uma nje “zilele” lapho, aziphazamisi. I-hypothesis.

Ngaphezu kwalokho, lapho umuntu okhuluphele ehla emzimbeni, lezi zingcolisi ziba namandla kakhulu emzimbeni, okungadala ukuzuza kwesisindo kumuntu olahlekelwe kakhulu. Ngempela, ezilwaneni, ukuhlushwa okukhulu kokungcola kuhlotshaniswa nemiphumela eminingana yemethodi ethinta kabi izindlela ezivumela ukushiswa kwamakhalori: ukwehla okuphawulekayo kwamahomoni wegilo nokuhlushwa kwawo, ukwehla kwemali esetshenzisiwe ekuphumuleni, njll.

Ngasohlangothini lokulala, ucwaningo lubonisa ukuthi abantu abancane abangalali bakhuluphale kakhulu. Idatha yokuhlola isisiza ukuthi siqonde ukuthi kungani: lapho ungalali ngokwanele, i-leptin, i-hormone esuthayo, iyancipha; kuyilapho i-grhelin, i-hormone evuselela isifiso sokudla, iyanda.

PASSEPORTSANTÉ.NET - Ngabe indlela yokuphila nje onayo inomthelela?

P^r Angelo Tremblay - Yebo impela. Lapho senza umsebenzi wokunganyakazi, ingabe ukucindezeleka kokuzikhandla kwengqondo okusithena amandla, noma kuwukuntuleka kokunyakaziswa ngokomzimba? Sinedatha yokuqala ekhombisa ukuthi ukusebenza kwengqondo kukhulisa isifiso sokudla. Izihloko ebezifunda futhi zifingqa umbhalo ngokubhala imizuzu engama-45 zidle ama-calories angama-200 ngaphezu kwalabo abathathe imizuzu engu-45 yokuphumula, yize bengasebenzisanga amandla amaningi.

Kwi-kinesiology, besineminyaka ngifunda imithelela ehlukahlukene yokusebenza komzimba ezimpilweni zethu iminyaka. Kwenzeka kanjani ukuthi singagxili kakhulu emiphumeleni yomsebenzi wengqondo, ubukhulu obacelwa kakhulu kunangesikhathi sokhokho bethu?

I-PASSPORTSHEALTH.NET - Kuthiwani ngezici ezingokwengqondo? Ingabe banendima ekukhuluphaleni ngokweqile?

P^r Angelo Tremblay - Yebo. Lezi yizinto esithanda ukuzisho, kepha esingaziniki ukubaluleka kwazo. Ukucindezeleka kobuhlungu obukhulu, ukufa, ukulahleka kwemisebenzi, izinselelo ezinkulu zobungcweti ezingaphezu kwamandla ethu zingadlala indima ekuzuzeni isisindo. Ucwaningo olwenziwe ngabaphenyi eToronto ngo-1985 lwathola ukuthi ama-75% ezimeko zokukhuluphala kubantu abadala zenzeka ngenxa yokuphazamiseka okukhulu endleleni yabo yokuphila. Imiphumela yocwaningo lwezingane zaseSweden neyodwa e-United States zikhomba ohlangothini olufanayo.

Kodwa-ke, ukucindezeleka kwengqondo akwehli, kunalokho! Isimo samanje sokuhwebelana kwembulunga yonke sandisa isidingo sokwenza ngazo zonke izindleko futhi sidala ukuvalwa kwezitshalo eziningi.

Sivame ukucabanga ukuthi isici esingokwengqondo asishintshi ibhalansi yamandla, kepha ngicabanga ukuthi iphutha lelo. Izinto eziningi zihlobene. Ngeke ngimangale uma ukucindezelwa kwengqondo kube nemiphumela elinganisekayo kokuguquguqukayo kwebhayoloji okuthinta ukudla, ukusetshenziswa kwamandla, ukusetshenziswa komzimba kwamandla, njll. Lezi yizici ezingakacwaningisiswa kahle. Vele, abanye abantu bayakhuluphala ngenxa "yenkanuko yempilo yansuku zonke", kepha abanye kungenxa "yobuhlungu benhliziyo yempilo yansuku zonke".

I-PASSPORTSHEALTH.NET - Iyini indima yezakhi zofuzo ekukhuluphaleni?

P^r Angelo Tremblay – Kunzima ukukubala, kodwa ngokwazi kwethu, ukukhuluphala akubangelwa ukushintsha kofuzo. Sine-DNA efanayo ne-"Robin Hood". Kuze kube manje, nokho, umnikelo wezakhi zofuzo zokukhuluphala ugxile kakhulu ezicini zomzimba zomuntu. Isibonelo, i-neuromedin, (i-hormone) etholwe eLaval University, ikwenze kwaba nokwenzeka ukuthola ukuxhumana phakathi kofuzo nokuziphatha kokudla okunomthelela ekukhuluphaleni. Futhi singathola okunye ukuhlukahluka kofuzo ku-DNA okuhlobene nezici ezingokwengqondo eziholela ekudleni ngokweqile.

Ngicabanga ukuthi kucace bha ukuthi kunabantu abathinteka kakhulu kunabanye endaweni yamanje ye-obesogenic, nokuthi ukuthambekela kwabo kuchazwe ngokwengxenye yizici zofuzo esingenazo okwamanje. kuchaziwe. Kuyihlazo, kepha asazi kahle ukuthi senzani. Sibhekana nenkinga esingayazi kahle futhi, ngokwenza njalo, sinobunzima ekutholeni izixazululo ezisebenzayo.

I-PASSPORTSHEALTH.NET - Yiziphi izindlela ezithembisa kakhulu ekwelapheni ukukhuluphala?

P^r Angelo Tremblay - Kubaluleke kakhulu ukuqonda kangcono nokuxilonga kangcono ukuze ungenelele kangcono. Ukukhuluphala njengamanje kuyinkinga esingayiqondi kahle. Futhi kuze kube yilapho umelaphi eqaphela ngokugcwele ukuthi yini ebangela inkinga kumuntu othile, usengozini enkulu yokushaya ilitshe elingalungile.

Vele kuzothuthukisa ibhalansi engemihle yekhalori. Kepha, kuthiwani uma inkinga yami idabukile, futhi ukuphela kokuthokozisa engikushiyile ngukudla ukudla okuthile okungijabulisayo? Uma umelaphi enginika iphilisi lokudla, kuzoba nomphumela wesikhashana, kepha ngeke kuxazulule inkinga yami. Isixazululo akusona ukukhomba ama-beta-adrenergic receptors ami ngomuthi. Isixazululo ukunginikeza injabulo eyengeziwe empilweni.

Lapho umuthi usebenza ngokukhomba uhlobo oluthile lokwamukela, umqondo ungasho ukuthi lolu hlobo lokungajwayelekile lutholakala esigulini ngaphambi kokuba lunikezwe. Kodwa akusikho okwenzekayo. Le mithi isetshenziswa njengezinduku zokukhokhela iqiniso elingabonakali kahle. Ngakho-ke akufanele kusimangaze ukuthi lapho uyeka ukuthatha umuthi, inkinga ibuya futhi. Akufanele futhi kusimangaze ukuthi lapho umuthi usunamandla amakhulu, kungaba ngemuva kwezinyanga ezintathu noma eziyisithupha, izimbangela zokukhuluphala ziphinde zivele. Sinqobe impi encane, kodwa hhayi impi…

Mayelana nendlela yokudla, kufanele uyiphathe ngokucophelela. Kufanele ucabangele lokho umuntu angakwazi ukukunaka ngesikhathi esithile. Ngezikhathi ezithile, ngikhumbuza izazi zokudla engisebenza nazo ukuthi ziqaphele ucelemba: ukusika kakhulu ukudla okuthile kungase kungabi indlela yokwelapha efanelekile, ngisho noma le mikhiqizo ingenempilo. Kubalulekile ukwenza izinguquko eziningi ngangokunokwenzeka, kodwa lezo zinguquko kufanele zihambisane nalokho umuntu angakwazi nakufuna ukukushintsha ekuphileni kwakhe. Ulwazi lwethu alusebenzi ngaso sonke isikhathi njengoba lunjalo ezimeni ezithile.

PASSEPORTSANTÉ.NET - Ngabe ukukhuluphala ngokweqile kuyabuyela ezingeni lomuntu ngamunye nelihlangene?

P^r Angelo Tremblay - Ngokuqinisekile kuyingxenye yezinga lomuntu ngamunye, uma sibheka impumelelo etholwe yizihloko ezi-4 zocwaningo ezibhaliswe kwi-National Weight Control Registry.⁴ I-the united states. Laba bantu balahlekelwe isisindo esiningi base begcina isisindo sabo isikhathi eside. Vele, benze ushintsho olukhulu kakhulu endleleni yabo yokuphila. Lokhu kudinga ukuzibophezela okukhulu komuntu siqu kanye nokwesekwa uchwepheshe wezempilo ozokwazi ukwenza izincomo ezifanele.

Kodwa-ke, ilukuluku lami lihlala lingeneliseki kumaphuzu athile. Isibonelo, kungenzeka ukuthi ukuzuza okukhulu kwesisindo kungadala ukuguquguquka okungaguquguquki kwezinto eziphilayo, noma ngabe sinciphisa isisindo? Ngabe iseli elinamafutha, elidlule emjikelezweni wokuzuza nokulahleka kwesisindo, liphenduka libuye libe yiseli elifanayo, kube sengathi alikaze likhule ngosayizi? Angazi. Iqiniso lokuthi iningi labantu linobunzima obukhulu ekunciphiseni isisindo liqinisekisa umbuzo.

Singazibuza futhi "nge-coefficient of nobunzima" emelwe ngokugcina isisindo ngemuva kokuncipha kwesisindo. Mhlawumbe kuthatha ukuqapha okuningi nokuphila okuphelele kunemizamo okufanele ifakwe ngaphambi kokuthola isisindo. Lolu hlobo lwempikiswano, vele, lusiholela ekutheni sithi ukuvimbela ukwelashwa okungcono kakhulu, ngoba ukwelashwa okuphumelelayo kungenzeka kungabi yindlela ephelele yokukhuluphala. Kuyihlazo, kepha lokhu kungenzeka kunganqatshwa.

Ngokubambisana, masibe nethemba futhi sithandazele ukuthi ubhadane luguquke! Kepha, kusobala ukuthi njengamanje, kunezinto eziningana ezandisa ukwanda kobunzima bokugcina isisindo esinempilo. Ngishilo ingcindezi nokungcola, kepha nobumpofu bungabamba iqhaza. Futhi lezi zinto azinciphi ngokwesimo sokuhwebelana kwembulunga yonke. Ngakolunye uhlangothi, inkolo yobuhle nokuba mncane kunomthelela ekuphazamisekeni ekudleni, okungathi ngokuhamba kwesikhathi kungadala into ebuyile engikhulume ngayo ngaphambili.

I-PASSPORTSHEALTH.NET - Ungakuvimbela kanjani ukukhuluphala?

P^r Angelo Tremblay - Iba nendlela yokuphila enempilo ngangokunokwenzeka. Kunjalo, awukwazi ukushintsha yonke into noma metamorphose ngokuphelele. Umgomo oyinhloko awukona ukulahlekelwa isisindo, kodwa ukuqaliswa kwezinguquko ezikhuthaza ibhalansi yekhalori engalungile:

-Ukuhamba kancane? Vele, kungcono kunokuthile.

-Faka upelepele omncane oshisayo⁵, amahlandla amane ngesonto ekudleni? Ukuzama.

-Thatha ubisi olushelelisiwe esikhundleni sesiphuzo esithambile? Ngokuqinisekile.

-Ukunciphisa amaswidi? Yebo, futhi kuhle kwezinye izizathu.

Lapho senza izinguquko eziningana zalolu hlobo, kwenzeka kancane kulokho esatshelwa khona lapho sifundiswa ikhathekizimu: “Yenza lokhu futhi okunye uzokunikezwa ngokungeziwe. Ukwehla kwesisindo nokugcinwa kwesisindo kuyazizela futhi ngumzimba onquma umkhawulo odlula lapho ongasakwazi ukulahlekelwa ngamafutha. Singahlale siwela lo mkhawulo, kepha kubeka engcupheni yokuba yimpi esiyinqobayo kuphela isikhathi esithile, ngoba imvelo iba sengcupheni yokubuyisa amalungelo ayo.

UFrançoise Ruby - PasseportSanté.net

Umhlaka 26 Septhemba 2005

1. Ukuthola kabanzi ngamaphrojekthi ocwaningo luka-Angelo Tremblay kanye noSihlalo Wocwaningo lwaseCanada ekusebenzeni komzimba, ibhalansi namandla www.vrr.ulaval.ca/bd/projet/fiche/73430.html

Ukuthola okuningi nge-kinesiology: www.usherbrooke.ca

3. Isizindalwazi sikaSihlalo ngokukhuluphala e-Université Laval: www.obesite.chaire.ulaval.ca/menu_e.html

4. IRejista kaZwelonke yokuLawula isisindo: www.nwcr.ws

5. Bheka Izithelo nemifino yethu emisha ithatha amakhilogremu angeziwe.