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You are pear-shaped or apple-shaped obesity?
Obesity in two types: one is “Apple”, the second is “pear”
obesity can be broadly divided into two types: one is the central obesity or central obesity, namely abdominal obesity mainly in the abdominal fat, i.e. the aforesaid “boss belly”, the shape such as apples, also known as “apple” obesity Another type of obesity is the body including legs, hips are obese, shaped like a pear, also known as “pear” obesity. pear-shaped obese body fat accumulation in the main part of the abdomen, buttocks, thighs, etc., the body goes to the narrow width. Such patients are mostly fat or childhood obesity onset of puberty, while postpartum weight gain, the obese older women are mostly belong to this type.
apple-shaped obesity is the waist fat hypertrophy, upper body (torso) disappear relatively thick waistline, abdominal distension simple way to determine obesity is to calculate the Apple waist hip ratio (W / H), waist circumference represents the midpoint of the size of the xiphoid to the umbilicus, hip hip refers to the size of most uplifts If men W / H in 1.0 above, more women called Apple 0.8 obesity. these two types of obesity, a risk factor for diabetes are suffering.
two types of obesity on the health risks are different. equally obese weight, if the relative concentration of fat in the abdomen, Compliance greater than the distribution of the body because “apple” obesity represent the accumulation of visceral fat, such as the liver, pancreas, intestines, etc. have fatty infiltration, and these parts of the fat prone to several cytokines, resulting in insulin resistance and other hazards.
“boss belly” and metabolic syndrome
metabolic syndrome, also known as insulin resistance syndrome, and “apple” type “boss belly” is the insulin resistance syndrome One of the important signs of International Diabetes Federation (1DF) in April 2005 invited the world of diabetes, heart disease, hyperlipidemia disease, public health, epidemiology, genetics, metabolism, nutrition science and dozens of other professional experts together to discuss in Berlin, Germany, has launched a global definition of metabolic syndrome applied diagnostic criteria are as follows:
one. There must be conditions: central obesity, or “belly boss” here not in body weight or body mass index as an indicator, but in waist circumference as an indicator, taking into account the world of all races and gender differences, and therefore its waist are also different. central obesity is a standard IDF: European men (waist) ≥ 94 cm in women (waist) ≥ 80 cm, otherwise the standards of other countries or regions and Chinas standard male obesity (waist) ≥ 90 cm in women (waist. ) ≥ 80 Li Mi
two, four elected two conditions: there must be conditions plus two of the following four, can be diagnosed as metabolic syndrome
1. Blood triglyceride (TG) ≥ 1.7mmol / L;
2. Serum high-density lipoprotein cholesterol R purpose (FDL-C): Men <1.03mmoI / L, women <1.29mmol / L;
3. Blood pressure ≥ 1 30/85 mm Hg;
4. Fasting plasma glucose ≥ 5,6 mmolL.
if the original has been exceeded more than four, after treatment, although not excessive, it should be regarded as an exception, also be used as diagnostic indicators. This definition of the standard IDF 2005 international meeting and hoped that the global uniform application of this clinical definition, so that you can compare with each other in various studies. original World Health Organization has a working definition, and this is indeed the new standard IDF various definitions than the original simple, clear, and easy to do, because it does not require the determination of a variety of complex insulin resistance index. Compared with the standard set by our standards last year, there are quite a few different as our given BMI, central obesity as good as the more prominent , waist circumference is also more easily measured, and IDF targets it as necessary. Generally speaking, IDF2005 than ever in the new standard diagnostic criteria for metabolic syndrome, “threshold” low, therefore, will be higher prevalence statistics
metabolic syndrome weight loss drug problem not the solution.
why the diagnosis of metabolic syndrome in this “threshold” than before reducing it? According to IDF experts say is to “rule out heart and brain This disease time bomb. “syndrome and died because of suffering from cardiovascular disease is two times the normal human, myocardial infarction and stroke by three times normal, type 2 diabetes is normal 5 times.
For patients, the blood sugar because it already has an excessive, then the waist is greater than if the above criteria, plus any blood pressure or blood lipids in a superscalar, can be diagnosed as metabolic syndrome .
how to treat diabetic patients with metabolic syndrome The first is to control blood sugar, high blood pressure and dyslipidemia if, appropriate treatment should be done as for the key issues -?. central obesity treatment, simply said to be losing weight, specific practices are not so simple.
various slimming teas, health care products are not the exact effect, we do not have to buy weight loss products and waste of money. regular hospital diet pills is varied We believe that in addition to fat absorption as well as two types of central appetite suppressant drug approved by the state to reduce the outside through the intestinal tract, the other does not need to because some laxatives or central nervous system stimulant, etc. There are many adverse reactions, while liposuction is not simply suck lost visceral fat, not to mention the adverse reactions are very serious. Ultimately, minus the “boss belly” Do not look to what diet pills, can not rely on some kind of health care products, you should hope to change unhealthy lifestyle.
lifestyle change is the only way to treat metabolic syndrome
saying goes: “untie end it.” Since the “boss belly” is caused by lifestyle, then, the solution The fundamental way is to change unhealthy lifestyle. mainly two ways to start, first movement, the second is the control diet.
campaign for the elimination of the importance of central obesity increasingly clear recently has science Studies have shown that diet alone can reduce the amount is not less abdominal fat, diet can reduce body fat. And to reduce abdominal and visceral fat, we must strengthen the sport. “Boss” of their way of life is often a car to go out, to work with a computer, eating dinner, go home Yi Zuo, virtually no physical activity. Therefore, the stomach was growing. Should be determined to increase physical activity at least three times a week, every half hour to reduce abdominal fat.
in the control diet, some people mistakenly think that as long as the ban on sweets be actual fact, diet is mainly to reduce the amount of dietary calories, but overall a very complex calculation of calories, can be understood as a simple number can eat Qi Bafen In addition, to reduce fat intake, intake does not more than 30% of total calories, especially the content of saturated fatty acids should be less than 10%. specific approach is to eat less fried, fried foods, do not eat lard (including fat, lard, butter, cream, etc.) , do not eat butter or margarine containing pastries and other foods, drink milk should drink skim milk. Additionally, eat more vegetables and fruits, eat more whole grains.
To test whether exercise and diet control effect, whether the narrow waist should prevail if the waist remain unchanged, exercise and diet control should be strengthened, as long as the “boss belly” eliminated, dyslipidemia and glucose levels will be a corresponding improvement, of course, change over the years formed life is not easy, especially in the surrounding environment, the work pressure has not changed, to increase the amount of exercise, diet is not easy, but if the thought of “the boss belly” is likely a decade or two after the “explosion” of cardiovascular and cerebrovascular disease “time bomb”, we must resolve to eat a little “bitter”, and strive to eliminate it!
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