Ngokutsho kwamaziko e-US for Control and Prevention (CDC), ngaphezulu kweyesithathu yabantu abadala baseUnited States banzima. Ezi zigidi ezingama-78.6 zamalungu abantu abadala besizwe.
Ukugqithisa ukugqithisa kufikelele kwiindleko ezinkulu kumntu ngamnye kunye noluntu lwempilo, kunye nokuqokelela iindleko zonyango ezongeza kwiindleko zenyukayo kwinkqubo yethu yokhathalelo lwempilo. Ngo-2008, i-CDC iqikelela, iindleko zonyango zonyango yokunyamezeka e-US yayingama-147 eebhiliyoni ngonyaka wama-dollar ka-2008. Ukongezelela, iindleko zonyango kulabo abanesisindo bezinga eliphakathi kwama-1,429 aphezulu kunezo zinto zinobunzima obuqhelekileyo.
Ngoku kwiwebhusayithi yezezimali zeWalletHub uye wakhupha uludwe lwayo lwezona ndawo zikhulu kunabo bonke eMelika. Ngokutsho kweWalletHub, abahlalutyi balo baqhathanisa iindawo ezili-100 zeendawo eziphantsi kweemitha ze-US, ngokuqwalasela uluhlu lwee-metriki ezili-14, ukuze zichonge izixeko "apho iingxaki ezinxulumene nesisindo zifuna ukunyuselwa ngakumbi."
Le mimandla yeemitha elandelayo yenza uluhlu:
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Memphis, eTennesseeUMemfis ubeka kuqala njengowona mhlaba ogqithiseleyo kakhulu, ufumana amanqaku apheleleyo ukusuka kwi-WalletHub ka-76.97. UMemphis ube nepesenti ephakamileyo yabantu abadala kakhulu kunye nepesenti ephezulu yabantu abadala abangasebenzi.
UMemphis uboshwe kwindawo yesibini (kunye no-El Paso, TX) kwipesenti ephezulu yabantu abanesifo sikashukela. Ukunyanyiswa kukubangela isizathu esaziwayo sohlobo lwesifo sikashukela sohlobo lwe-2 , ngoko-ke ukulungiswa akufanele kumangaliswe. Njengoko iirhafu zokuxhaphaka ziye zanyuka kwiUnited States nakwihlabathi lonke, ngoko ke unamazinga e- Type 2 yeswekile.
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Shreveport-Bossier City, eLouisanaIndawo yaseMexico yaseStreveport-Bossier iLouanaana ifumene amanqaku angama-75.24 ukusuka kwiWalletHub, ibeka kwindawo yesibini "uluhlu olunezixeko".
Ummandla weedrosi ubeka kwisiqingatha sesihlanu ngokwepesenti yabantu abadala kakhulu, kwaye zibophelelwe kwindawo yokuqala kwipesenti yabantu abadala abondla ngaphantsi kweziqhamo ezifanayo kunye / okanye imifuno ngosuku.
Ukusetyenziswa kweziqhamo kunye nemifuno kubalulekile, kuba uphando lubonisile ukuba ukuphakama kwezityalo kunye nemifuno ephakamileyo, iyancipha iqondo lokunyameka kunye nezinye izifo ezingapheliyo njengesifo senhliziyo kunye nomhlaza.
Iintlobo kunye nemifuno (ngokugxininisa "ngokubanzi" -ukuthi asinakuthetha ngeepeya apha) ziqukethe imithwalo yefiber, iivithamini, i-antioxidants, kunye nezinye izondlo ezifunekayo umzimba wakho. Ucwaningo luye lwabonisa ukuba, ngenxa yezi ndawo ezininzi ezinomsoco, ukutya iziqhamo kunye nemifuno yonke kunokunciphisa ukuvuvukala emzimbeni wakho. Iintlobo kunye nokutya kwemifuno kuye kwaboniswa ukuba kuphuculwe umsebenzi wemithambo yegazi (eyaziwa ngokuba ngumsebenzi wokugqibela).
Iintlobo kunye nokutya kwemifuno akuyona nje into encinci; Enyanisweni, kubalulekile ebomini. I-World Health Organisation (WHO) ilinganisela ukuba malunga nezigidi ezi-1.7, okanye i-2.8%, yokufa emhlabeni wonke kunokubanjelwa ekudleni izithelo kunye nemifuno embalwa kakhulu!
Ngubani u-WHO oqikelela ukuba ukungabikho okwaneleyo kwezithelo kunye nemifuno kubangela malunga ne-14% yokufa ngenxa yomhlaza wesisu, i-11% yesifo senhliziyo esiswelekayo, kunye ne-9% yokufa kwesifo.
Ukongezelela, uphando lubonisile ukuba ukutya ezintathu ukuya ezintlanu kwizityalo kunye nemifuno ngemini kuya kunciphisa umngcipheko wokuba nesifo, kwaye ukutya ukutya okungaphezu kwamahlanu ngosuku kuya kunciphisa ingozi ngakumbi. Ngendlela elandayo, izityalo kunye nemifuno oyidlayo, umngcipheko ophantsi. Ukubuya okulungileyo kakhulu kutyalo-mali.
Iintyatyambo kunye nemifuno kwakha ukutya okuphantsi kweekhalori. Ingxelo ye-WHO ibonise ukuba kukho ubungqina obuvakalayo bokuthi ukutya izityalo kunye nemifuno kunciphisa umngcipheko wokunyanyisa. Ukuthelekiswa nokutya okuphezulu kweekhalori ezifana nokutya okucwangcisiweyo okuphezulu kwiswekile kunye namafutha, iziqhamo kunye nemifuno akunakuncinci ukufaka isandla ekukhulupheni okanye ngokukhululeka. Kwaye, ngenxa yokuba ziqulethe ixabiso eliphezulu lokutya kwefiber kunye nezinye izondlo, zidibene nomngcipheko omncinci wesifo sikashukela kunye nokuxhathisa i-insulin . Ngezizathu ezifanayo, zenza abantu bazive bezele ngeekhalori ezimbalwa, ngaloo ndlela bancedisa ukuthintela ukuzuza ubunzima.
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I-Indianapolis-eKarmeli-Anderson, e-IndianaNgokudibanisa imiba, ummandla we-metro ophakamileyo wesithathu kwi-list ye-WalletHub yezona ndawo zininzi kakhulu zakwa-Indianapolis-eKarmeli-Anderson, kunye namanqaku angama-73.88. Uhlalutyo lukaWalletHub lwaluquka imilinganiselo enomlinganiselo kwiimetrikhi ezinjenge-"ukunyuka kwamafutha," "iingxaki zempilo ezinxulumene nesisindo" kunye "nommandla ophilileyo," ukubiza nje ezimbalwa.
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Jackson, MississippiUJackson ubeka okwesine kwiluhlu lweWalletHub, kunye namanqaku angama-73.75. Ummandla weedrosi ubeka okwesithathu kwipesenteji yabantu abadala kakhulu kunye nepesenti yabantu abadala abangasebenzi.
UJackson ubeka kwisiqingatha sesihlanu kwipesenti yabantu abadala abondla ngaphantsi kwesinye seziqhamo kunye kunye / okanye imifuno ngosuku.
Ukuqhagamshelana phakathi kokungasebenzi kunye nokukhuluphala kusemgangathweni. Iinqununu ezininzi zelizwe kunye nezizwe zincoma ukufumana okungenani imizuzu eyi-150 yokusebenza ngokulinganisela kwiveki nganye. Oku kunokuguqulela kwimitha engama-30 yovavanyo olunomlinganiselo ophindwe kathathu ngeveki, umzekelo. Kwaye uphando luye lwafaka iingeniso zempilo yemizuzu engama-30 yokuhamba: kwi-Nurses 'Health Study, ngokomzekelo, abo bahamba ngokukhawuleza okanye bafumana ukuvavanya umzimba ngokulinganayo imizuzu engama-30 imihla ngemihla babe nomngcipheko omncinci wokukhawuleza ukufa komzimba kwiminyaka eyi-26 yokulandelelana.
Yintoni ebalulekileyo njengendlela yokulinganisela okunamandla? Imisebenzi yemvelo efana negadi jikelele , ukuhamba ngokukhawuleza, ukudansa kwebhola, kunye nokulingana kufakwa kwisigaba sokwenza umlinganiselo osisiseko.
Ukongezelela, ngokwemiSebenzi yeZingqinisiso zeMisebenzi yaseMelika evela kwiSebe lezeMpilo kunye neNkonzo zoLuntu (i-HHS) yase-United States, ukufumana ubuncinane iyure kunye nemizuzu eyi-15 yokusebenza ngamandla kwiveki nganye inokuhlangabezana nomlinganiselo omncinci wesenzo esicetywayo. Umzimba onamandla wokuzibandakanya uquka imisebenzi yezinto eziphathekayo ezifana nokuhamba emanqeni, ibhayisiki okanye ngaphezulu kweekhilomitha ezili-10 ngeyure, ukubhukuda okukhawulezayo, ukuqhuba, i-aerobics yendabuko, kunye nefosholo emininzi okanye ukutsalwa kwetongo, phakathi kwabanye.
Inqaku le-HHS inqaku lokuba uncedo olongezelelweyo lwezempilo lunokufumaneka ngokunyusa umlinganiselo wokusebenza okwenzakalayo ngokomzimba ukuya kwiiyure ezintlanu ngeveki, okanye ukwandisa ukuzivocavoca ngamandla okungenani ii-2/2 iiyure ngeveki.
Ezi zikhokelo zincoma nokubandakanyeka ekusebenziseni ukuqinisa imisipha ubuncinane iintsuku ezimbini ngeveki. Oku kubalulekile ekwakheni nasekugcineni amathambo anamandla, ngenxa yokuqina komzimba, kunye nokunyuka kwenani le-muscle-elinceda ukulwa nokukhuluphala.
Izikhokelo ziyabona ukuba "nayiphi na into eyenziwa ngumsebenzi ongcono kunokuba ungenzi nto ... nokuba usebenzise imizuzu engama-10." Oku kwafika ekugqibeleni ukuba ukwenza injongo yokuqhubeka ishukumisekayo kangangoko kunokwenzeka ngalo lonke usuku ngundoqo impilo kunye nokuphila kakuhle kwixesha elide.
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ENew Orleans-Metairie, eLouisanaUkugqitywa kwezi zintlanu eziphezulu kwakuyiNew Orleans-Metairie metro yendawo yaseLouisana, kunye namanqaku angama-72.94. Abahlalutyi baseWalletHub bafumene le ndawo ukuba ibe kwindawo yokuqala ngokubhekiselele kwipesenteji yabantu abadala abondla ngaphantsi kweziqhamo ezilodwa kunye / okanye imifuno ngosuku.
Njengoko kubonakaliswe izikhundla ezingentla, ngelixa isizwe sonke (kwaye, ngokwenene, ihlabathi) silwa nesifo esiyingozi, asikho zonke iindawo ezichaphazelekayo ngokulinganayo. Ngokucacileyo, ngokweengxelo ekhethekileyo yeTrust for the Health of America kunye neRobert Wood Johnson Foundation, ngelixa ixabiso lokunyamezela liye landa phakathi kwazo zonke iintlanga kunye namahlanga, amanye amaqela achaphazeleka ngakumbi kunabanye.
Ngokomzekelo, phakathi kwabantu abadala base-US, abo bachazwa ngxelo njengabantu abaMnyama nabaseLatino bafunyenwe ukuba banamazinga aphezulu kakhulu okugqithisa kunokuba abo bantu bahlelwa njengoMhlophe. Oku kwakuyinyaniso kubabhinqa nabasetyhini kula maqela kunye nohlanga.
Ngokukodwa, kwixesha le-2011 ukuya ku-2012, izinga lokunyamezela kwabo bonke abantu abadala base-US babe ngama-34.9%. Nangona kunjalo, izinga labadala abamnyama lilingama-47.8%, kwaye abantu abadala baseLatino babengu-42.5%. Phakathi kwabantu abadala abamhlophe, izinga lalingama-32.6%.
Ezi zintlukwano zaze zafikelela kwizinga lokunyamezela kwabantwana, eziphezulu phakathi kwabantwana abamnyama nabaseLatino kunabantwana abaMhlophe.
Ingxelo ichaza uhlalutyo kunye nezicwangciso zokuthintela ukukhuluphala okunxulumene nolunye uhlanga noluntu. Kwiindawo eziMnyama, ingxelo yabalobi bathi "ukungafani nokufikelela kokutya okunempilo kunye nezindawo ezikhuselekileyo ukuba kube negalelo ekuziphatheni ngokomzimba kumazinga aphakamileyo ekutyepheni kunye nezifo ezinxulumene nabantu baseMnyama eMelika."
Kwiindawo zaseLatino, ingxelo ithi "iindleko eziphezulu zokulamba nokukhuseleka kokutya" kwakunye "nokufikelela okukhawulelwe kwindawo ekhuselekileyo yomsebenzi wokwenyama." Iindawo zaseLatinino nazo zifumana "ukungalingani ekufikeleleni kwezempilo."
Ingxelo eqhubekayo ithi "ukungalingani kwimiba yeengeniso, izindlu ezizinzileyo nezithengiweyo, ukufikelela kwimfundo esemgangathweni kunye nabanye-zonke zichaphazela ithuba lomntu lokuhlala ubomi obude, obuphilileyo."
Ngaloo ndlela, ukujongana nolwahlulo olubanzi kunye nokudibanisa kwezinto kuza kubaluleka ukuba siyakunqoba lo mkhuhlane.
Imithombo :
Amacandelo okuLawula nokuKhuselwa kwezifo. Ulwahlulo lweZondlo, umsebenzi woMzimba kunye nokunyanya. Ubungqina be-obesity adults. Ukufumaneka kwi-Intanethi kwi-http: //www.cdc.gov/obesity/data/adult.html
I-Bernardo R. 2016 Iidolophu ezinamandla eMelika. WalletHub. Ukufumaneka kwi-Intanethi kwi-https: //wallethub.com/edu/fattest-cities-in-america/10532/
Seaquist ER. Ukujongana nomthwalo wesifo sikashukela. JAMA 2014; 311: 2267-68.
Iphepha leenkcukacha: ukukhuthaza izityalo kunye nokusetyenziswa kwemifuno kwihlabathi jikelele. Umbutho WezeMpilo Wehlabathi.
I-Ottawa (ON): I-Arhente yaseKhanada yeZiyobisi kunye nezobuGcisa kwiMpilo. Ukungenelela kokunyamezela kunikezelwa ngononophelo olusisiseko kwizigulane ezineesifo seswekile: ukuhlaziywa kwempumelelo yekliniki. 2014 Juni 25.
I-Swedish Council kwi-Healthmanship Assessment. Utyando lwezonyango lokunyanya ukugqithisa: ukuhlolwa okucwangcisiweyo. I-Stockholm: IBhunga leSweden kwi-Assessment Technology Assessment (SBU); 2013 Sept.
UDoucet E, uKumkani uN, u-Levine JA, uRoss R. Uhlaziyo ngokuzivocavoca kunye nokulawula ukulawula. J Obes 2011; 2011: 358205. Epub 2011 ngoDisemba 18.
Izikhokelo zoMsebenzi woMzimba kumaMerika. I-United States Isebe Lempilo Neenkonzo Zoluntu. Ifumaneka kwi-Intanethi kwi-http: //www.health.gov/PAGuidelines/ ngoJuni 12, 2014.
Chiuve SE, Fung TT, Rexrode KM, Spiegelman D, et al. Ukumelana nomngcipheko ophantsi, ukuphila ngendlela enempilweni kunye nomngcipheko wokufa kwegazi ngokukhawuleza phakathi kwabasetyhini. JAMA 2011; 306: 62-69.
Umbuso wobutyebi: Iipolisi ezingcono zeMerika eziPheleleyo. Ingxelo ekhethekileyo: ukungafani ngokobuzwe kunye nobuhlanga ekunyanyeni. Ukufumaneka kwi-intanethi kwi-http: //stateofobesity.org/disparities/.