Béo Phì Và Bệnh Lý Tiềm Ẩn
Theo số liệu của ngành
dinh dưỡng, tỷ lệ người thừa cân ở Việt Nam là 18,6% dân số trong độ tuổi từ
25- 64.
Nguyên nhân béo phì ở Việt Nam được đánh giá là do hút
thuốc lá, ít vận động, phần trăm mỡ cơ thể cao, tiêu thụ nhiều thịt, đồ ăn nhiều
dầu mỡ, lạm dụng rượu bia. Ngoài xu hướng sử dụng bơ sữa, các loại thịt rượu,
bia, các loại thức uống có ga và sử
dụng đồ ăn đông lạnh dài ngày.
Nhiều người nghĩ rằng béo chỉ gây mất thẩm mỹ về ngoại hình, nhưng trên thực tế còn nghiêm trọng hơn nhiều bởi nó gây ra những ảnh hưởng đến sức khỏe thậm chí là tính mạng của người bệnh. Vậy béo phì có nguy cơ mắc những bệnh lý nào?
Bệnh tim mạch
Những
người béo phì ở cấp độ nặng thường có lớp mỡ bao quanh cơ tim, làm tim co bóp
khó khăn hơn, chịu áp lực co bóp nhiều hơn. Ngoài ra lượng mỡ bao quanh tim
cũng có thể chèn ép làm hẹp động mạch vành gây cản trở máu lưu thông đến tim.
Tim thiếu máu trong một thời gian dài gây nên nhồi máu cơ tim hoặc suy tim gây nguy
hiểm đến tính mạng.
Hầu hết
những người béo phì có mức độ HDL- cholesterol tốt thấp và LDL-cholesterol xấu
cao đồng nghĩa với mỡ máu tăng có khả năng hình thành các mảng xơ vữa động mạch
làm hẹp hoặc tắc nghẽn hoàn toàn máu lưu thông đến não, tim và các cơ quan khác
gây nhồi máu cơ tim, thậm chí là đột quỵ gây nguy hiểm đến tính mạng.
Ngoài
ra, béo phì gây cao huyết áp, theo các nghiên cứu, người ta thấy rằng nguy cơ mắc
bệnh cao huyết áp tăng lên 12 lần ở người thừa cân béo phì. Khi trọng lượng cơ
thể tăng bắt buộc mạch máu phải dùng nhiều áp lực co bóp đàn hồi đưa máu đi đến
các cơ quan trong cơ thể nên làm tăng huyết áp.
Bệnh tiểu đường
Béo phì thừa cân là một
trong những nguyên nhân chính gây ra bệnh tiểu đường tuýp 2 do hàm lượng
insulin ở người béo phì thường thấp hơn người bình thường. Điều này khiến cho
những người thừa cân béo phì có nguy cơ dư thừa lượng đường huyết cao dẫn
đến bệnh tiểu đường.
Khi bệnh tiểu đường không
được kiểm soát sẽ dẫn đến các biến chứng nghiêm trọng như huyết áp cao, đột quỵ
não, đau tim, mù lòa.
Bệnh lí về xương khớp
Những người thừa cân béo phì có nguy cơ mắc các bệnh
liên quan đến xương khớp cao gấp 4-5 lần so với những người bình thường. Điều
này xảy do yếu tố cơ học khi trọng lượng của cơ thể nặng đã tạo áp lực lớn lên
sụn khớp làm nứt, rách hoặc nghiền nát sụn gây nên các bệnh về xương khớp như
thoái tổn thương sụn khớp, hóa khớp, loãng xương, dây chằng, cơ cạnh khớp.
Trong đó cột sống và khớp gối là những vị trí bị tổn thương đầu tiên.
Ngoài ra, người thừa cân béo phì có nguy cơ mắc bệnh
gout cao gấp 4 lần so với người bình thường. Nguyên nhân là do khả năng đào thải
axit uric ở người béo phì giảm và khả năng tổng hợp axit uric lại tăng lên nên dẫ
đến bệnh gout.
Chứng ngưng thở khi ngủ
Béo phì thừa cân là yếu tố có thể gây ngưng thở khi đang
ngủ. Một người béo phì hoặc thừa cân có nhiều chất béo được lưu trữ quanh cổ
hơn những người bình thường, nên đường thở ở nhóm đối tượng này có thể nhỏ hơn.
Một đường thở nhỏ hơn có thể làm cho cho người béo phì có các triệu chứng như khó
thở, ngáy to hoặc nghiêm trọng hơn là ngừng hoàn toàn trong thời gian ngắn.
Ngoài ra, chất béo được tích trữ ở cổ và khắp cơ thể
có nguy cơ tạo ra các chất gây viêm. Trong đó, viêm ở cổ là một yếu tố gây
ngưng thở khi ngủ.
Bệnh lí về tiêu hóa
Thừa cân béo phì có thể làm lượng mỡ dư thừa bám vào
quai ruột gây ảnh hưởng đến quá trình tiêu hóa gây táo bón và dễ mắc bệnh trĩ.
Ngoài ra ở những người thừa cân béo phì, chất béo và cholesterol cứng lại trong
túi mật gây ra một số triệu chứng đau dễ dẫn đến sỏi mật.
Hơn nữa, béo phì cũng làm lượng mỡ dư thừa tích tụ
trong gan có thể gây gan nhiễm mỡ, nếu không được điều trị kịp thời có thể dẫn
đến xơ gan hoặc tăng nguy cơ mắc các bệnh về gan.
Vô sinh
Ở nữ giới, béo phì gây suy giả chức năng buồng trứng dẫn
đến vô sinh. Thông thường, những người phụ nữ từ 45 tuổi trở nên thường gặp tình
trạng suy giảm chức năng buồng trứng. Tuy nhiên, hiện tượng này xảy ra sớm hơn,
chỉ ở tầm 30-40 tuổi đối với những người béo phì. Nhóm đối tượng này có các biểu
hiện rối loạn kinh nguyệt, trứng không rụng, không còn khả năng ham muốn hoặc khó
thụ thai dẫn tới vô sinh ở nữ giới.
Ở nam giới, người béo phì có mức testosterone (là yếu tố quyết định tới khả năng tình dục của nam giới) thấp hơn 50% so với
người bình thường khiến họ mất ham muốn dẫn tới hiện tượng rối loạn cương dương,
bất lực và vô sinh.
Bệnh ung thư
Béo phì có nguy cơ mắc bệnh ung thư như: ung thư trực tràng và tuyến tiền liệt ở nam giới, ung thư ruột kết
ở nam và nữ ung thư túi mật, ung thư tử cung ở phụ nữ. Béo phì cũng có thể liên
quan đến ung thư vú, đặc biệt là đối với phụ nữ mãn kinh. Mô mỡ rất quan trọng trong
việc tiếp xúc lâu dài với nồng độ estrogen cao hoặc sản xuất estrogen làm tăng
nguy cơ ung thư vú.
Vì vậy, chúng ta cần giữ
thói quen ăn uống lành mạnh, ngủ nghỉ hợp lý để đảm bảo có sức khỏe tốt. Hạn chế
ăn uống quá mức hoặc ăn nhều loại thực phẩm không tốt có nguy cơ gây béo phì. Ngoài
ra, chúng ta cần thường xuyên tập thể dục, chơi thể thao để tăng cường sức khỏe.
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