ʻO ka hana maʻamau ka mea noiʻi noiʻiʻana i ka maʻi no ka maʻiʻehā. Nā mea e kālaiʻia ana ma lalo o nāʻano ola.
Hoʻopiʻi nā kānakaʻepekema i nā haʻawina hoʻolālā e huli ai i nā pilina pili i waena o nā wehewehe a me nā hopena. Hoʻohanaʻia lākou no nāʻano olakino, a he nui nā haʻawina i loheʻia eʻoe ma ka TV a heluhelu paha ma nā pūnaewele, nā makuka, a me nā nūpepa he mau mākaʻikaʻi hoʻomalu.
ʻO ka 'hopena' ka maʻi a iʻole ka pilikia kino o kekahiʻano.
Hiki i nāʻepekema ke hoʻohana i kaʻikepili mai nā mea e like me nā noiʻi a me nā moʻolelo olakino eʻike i kekahi mau mea i loaʻa kekahi mea a iʻole nā mea like. Ua kapaʻia kēia mau meaʻo 'nā hōʻike.' Keʻikeʻia ka nui o ka noiʻi e hōʻike ana i ka hoʻonuiʻana i ka hopena o ka hopena, a laila,ʻikeʻia kaʻikeʻana heʻano pilikia. ʻO kahi hōʻailona o ka hoʻouluʻana he mea pilikia keʻaiʻana i nā meaʻai nui i hoʻoponoponoʻia , a he kūpono ia e hoʻonui i kekahiʻano o ka maʻi kanesa. I kekahi manawaʻikeʻia ka palekana, e like me kaʻaiʻana i ka meaʻai i nā huaʻai a me nā mea kanu, kahi e hoʻemiʻia ai ka hopena o ka maʻi maʻi.
Nāʻano
ʻO ka hapanui o nā papa hanaʻike i hāʻule i loko o kahi oʻekolu mau kāwai, nā hihia / hihia aʻo, nā haumāna aʻo / a me nā haʻawina kūhele.
Ke hoʻomaka nei nā papahana / nā papa hana e hoʻohui i kahi hui o nā kumuhana i loaʻa ka hopena e aʻoʻia (nā hihia) a me kahi hui'ē aʻe o ka poʻe iʻole e loaʻa (nā mana).
E nānā ana nā kānakaʻepekema i ka manawa eʻike ai inā he mau kiʻi kēlā me kēia kūlana i nā mea likeʻole iʻole nā mana e hana. Ke aʻoʻia / kālaiʻia nā papahana i kapaʻia he nānā hope loa no ka mea hoʻomaka lākou me ka hopena a nānā i hope i hope.
Ke aʻoʻo Cohorna e lawe i nā kumuhana nui a hui pū iā lākou ma nā hōʻike, a laila e hahai iā lākou no kekahi manawa (pinepine i nā makahiki a me nā makahiki) eʻike i ka mea nāna e hoʻokumu i ka hopena o kā lākou aʻo.
Eia hou, ke nānā nei nā meaʻepekema eʻike inā he mau kiʻi likeʻole nā lālā o kēlā me kēia o nā hui.
Ke kākoʻoʻo Cohor i mua o ka loaʻaʻana o kekahi i ka hopena a nānā i mua i ka manawa, no laila ua kapaʻia lākou he mea hiki. Hiki paha i nā kepekema ke kali i nā makahiki no nā hualoaʻa keʻole lākou e hoʻonui i ka noiʻana, e like me ka National Health and Nutrition Examinations Survey (NHANES). E hele ana nā tausani o ka poʻe i kēlā me kēia makahiki ma ka paneʻana i nā nīnau a me nā hōʻailona. Huli nā kānakaʻepekema i nāʻike i hōʻiliʻiliʻia mai NHANES e nānā i nāʻano likeʻole o nā meaʻai, nā meaʻai, a me ke olakino. ʻO kekahi laʻana, hoʻohanaʻia ka'ōlelo NHANES e hoʻoholo i kēlā kumukū (kahi B-complex vitamin) hemahema hiki ke alakaʻi i nā pōpilikia hānau.
ʻO nā haʻawina o ke keʻekeʻekeʻaʻole e nānā i mua aʻaʻole hoʻi i hope; nānā wale lākou i nā mea e hana nei i ka manawa hoʻokahi. Hiki i nā kānakaʻepekema ke hoʻoholo i ka nui o nā kānaka e loaʻa i ka hopena o ka hoihoi a ho'āʻo e nānā i nā hōʻike, akā me ka lōʻihi o ka manawa, ua paʻakikī ke maopopo.
Nā ikaika a me nā nāwaliwali
He nui ka nānāʻana i nā haʻawinaʻike pinepine, pinepine me ka lehulehu o nā mea i komo, e hāʻawi ana i ka ikaika i nā hopena, akāʻaʻole hiki iā lākou ke hoʻoholo i kekahi kumu. Ma muli o ka nohoʻana o nā poʻe, maʻamau ka nui o nā hōʻike i hiki ke hōʻino i nā hopena.
No ka laʻana ma nā haʻawina hoʻonaʻauao maʻamau,ʻo ka poʻe eʻai ana i nā meaʻulaʻula nui e'āleʻaleʻa, eʻai i nā mea liʻiliʻi, a hoʻolālā i ka liʻiliʻi. ʻO nā mea eʻai i ka mea liʻiliʻi o kaʻiʻoʻulaʻula e hana hou i kaʻoihana, eʻai i nā hua a me nā meaʻai aʻoi aʻe ma mua o kaʻawelike, aʻaʻohe iki.
Hoʻokumu nā kānakaʻepekema i nāʻano kelepona kūikawā e wehe i nā kumu hana pilikia, akā i kekahi manawa naʻe, heʻano liʻiliʻi nā hopena. I kekahi manawaʻo nā hopena o ka nānāʻana i nā haʻawina e alakaʻi i nā hoʻokolohua i ke kaulike (RCT), he hanaʻole, a hoʻokolohua paha, nā noiʻi a manaʻoʻia e hāʻawi i nā hōʻike noiʻi maikaʻi loa.
ʻO ia ke kumu no ka hoʻomohalaʻiaʻana o nā haumāna i nā hui a me nā pūʻulu mālama, e ho'ēmi ana i ka hopena o nā mea hōʻeha.
Nā kumuhana:
Nā Pūnaewele no ka Manaʻo a me ka Puʻiʻana i ka maʻi. "E pili ana i ka National Health and Nutrition Examination Survey." http://www.cdc.gov/nchs/nhanes/about_nhanes.htm.
ʻO Jepsen P, Johnsen P, Gillman MW, Sørensen HT. "Ka weheweheʻana i nā haʻawina hoʻolālā." Puʻuwai. 2004ʻAukake; 90 (8): 956-960. http://heart.bmj.com/content/90/8/956