Kev Ntsuas Qhov Hnyav thiab Kev Qhia Txog Kev Noj Haus thiab Kev Ua Si rau Cov Menyuam Yaus/Cov Hluas
Ntsuas txhais
Daim Ntawv Ntsuas Qhov Hnyav thiab Kev Qhia Txog Kev Noj Haus thiab Kev Ua Si rau Cov Menyuam Yaus/Cov Hluas suav cov feem pua ntawm cov tswv cuab uas muaj hnub nyoog ntawm 3 thiab 17 xyoo uas tau mus ntsib kws kho mob sab nraud nrog PCP lossis OB/GYN thiab cov uas muaj pov thawj ntawm cov ntaub ntawv qhia txog qhov hnyav ntawm lub cev (BMI), kev qhia txog kev noj haus, thiab kev qhia txog kev ua si thaum lub xyoo ntsuas.
Qhov tseem ceeb
Qhov tshwm sim ntawm kev rog dhau ntawm cov menyuam yaus thiab cov tub ntxhais hluas yog ib qho ntawm cov kev loj hlob tseem ceeb tshaj plaws hauv kev kho mob menyuam yaus, thiab nws qhov kev nce qib sai sai yog ib qho ntawm cov teeb meem nyuaj tshaj plaws uas cov kws kho mob menyuam yaus ntsib niaj hnub no hauv Tebchaws Meskas. Xyoo 1980, kwv yees tias 6.9 feem pua ntawm cov menyuam yaus hnub nyoog 6 txog 11 thiab 5 feem pua ntawm cov tub ntxhais hluas hnub nyoog 12 txog 19 yog rog dhau. Txawm li cas los xij, nyob rau hauv 30 xyoo dhau los no qhov kev rog dhau ntawm cov menyuam yaus thiab cov tub ntxhais hluas tau nce ntxiv ntau heev. Lub Chaw Tswj thiab Tiv Thaiv Kab Mob (CDC) kwv yees tias txij li xyoo 2008, 17 feem pua (lossis 12.5 lab) ntawm cov menyuam yaus hnub nyoog 2 txog 19 xyoos rog dhau. Txij li xyoo 1980 los, qhov kev rog dhau ntawm cov menyuam yaus thiab cov hluas tau yuav luag peb npaug raws li xyoo 2007-2008 National Health and Nutrition Examination Survey (NHANES). Tsis tas li ntawd, qhov txhawj xeeb loj yog cov menyuam yaus uas rog dhau thiab muaj feem yuav rog dhau. Cov menyuam yaus thiab cov hluas uas rog dhau yuav muaj feem rog dhau thaum lawv laus.
Tsis tas li ntawd xwb, raws li kev tshawb fawb los ntawm CDC, nws tau tshaj tawm tias yuav luag 25 feem pua ntawm cov menyuam yaus hnub nyoog 9 txog 13 xyoo tsis koom nrog kev ua ub ua no thaum lub sijhawm dawb. Rau cov tub ntxhais hluas nyob rau qib 9 txog 12, qib kev ua ub ua no ntawm lub cev txo qis heev. Yuav luag ob feem peb ntawm cov tub ntxhais hluas hauv qib 9 txog 12 tsis ua tau raws li cov qib kev tawm dag zog uas pom zoo thiab tsuas yog 54 feem pua ntawm cov neeg koom nrog hauv chav kawm kev tawm dag zog tsawg kawg ib zaug hauv ib lub lim tiam. Cov pov thawj kuj tau qhia tias kev koom tes txhua hnub hauv cov chav kawm kev kawm lub cev ntawm cov tub ntxhais kawm theem siab tau poob qis los ntawm 42 feem pua hauv xyoo 1991 mus rau 33 feem pua hauv xyoo 2005.
Vim yog cov laj thawj no, nws yog ib qho tseem ceeb uas cov menyuam yaus thiab cov tub ntxhais hluas hauv Tebchaws Meskas tau txais kev ntsuas qhov hnyav thiab kev qhia tswv yim kom txaus rau kev noj zaub mov zoo thiab kev tawm dag zog lub cev. Kauj ruam thawj zaug suav nrog kev kuaj mob rog dhau thiab rog dhau hauv chaw ua haujlwm ntawm tus kws kho mob nrog kev suav cov ntsuas qhov hnyav ntawm lub cev (BMI). Nrog cov cuab yeej no cov kws kho mob tuaj yeem kwv yees tus menyuam qhov BMI feem pua ntawm hnub nyoog thiab poj niam txiv neej. Ntxiv rau qhov ntawd, nws tau pom tias BMI yog ib qho cuab yeej siv tau los ntsuam xyuas thiab taug qab qib kev rog dhau ntawm cov tub ntxhais hluas. Yuav kom daws tau qhov teeb meem tsis muaj kev tawm dag zog thiab kev kawm txog kev noj haus zoo ntawm cov menyuam yaus thiab cov tub ntxhais hluas hauv Tebchaws Meskas niaj hnub no, cov kws kho mob yuav tsum txhawb kom muaj kev tawm dag zog tsis tu ncua thiab kev noj zaub mov zoo thiab pab cov niam txiv tsim kom muaj ib puag ncig uas txhawb nqa cov cwj pwm noj qab haus huv no.
Yog xav saib seb Managed Care tau tshaj tawm li cas txog Kev Ntsuas Qhov Hnyav, Kev Noj Haus thiab Kev Ua Si rau Cov Menyuam Yaus/Cov Hluas, nyem qhov no.