Ukwandisa Isikhathi Sesikrini Kungakhipha Izingozi Ze-Diabetes Ezinganeni

Siphila ezweni le-tech-y, lapho kusetshenziswa khona isikhathi esiningi usebenzisa ubuchwepheshe ukuthenga izimpahla, ukuxhuma nabangani nokuhambisa ama-movie. Ngaphezu kwezinzuzo, noma kunjalo, ubuchwepheshe bungaba nezinkinga, ikakhulukazi ezinganeni zethu. Ucwaningo luye lwabonisa ukuthi isikhathi sesikrini esiningi kakhulu sihlotshaniswa nokukhuluphala, inkulumo ephuzile, nokucindezeleka kwengqondo.

Isikhathi sesikrini nesifo sikashukela

Ngaphezu kwalokho, ucwaningo olusha luye lwaphakamisa ukuphakamisa ubudlelwane phakathi kokukhula kwesikrini, (ngaphezu kwehora elilodwa ngosuku) kanye nobungozi bezinto ezibangelwa isifo sikashukela sohlobo lwe-2, ikakhulukazi ukumelana nesifo se-insulin kanye nesifo (i-belly fat). Abacwaningi bathole ukuthi lezo zingane ezibika isikhathi esibucayi kakhulu, amahora angaba ngu-3, ​​uma kuqhathaniswa nalabo ababukele ihora elilodwa noma ngaphansi, babe nekhanda eliphakeme lesikhumba, inkomba ye-fat mass, kanye ne-insulin ukumelana, ukubiza amagama ambalwa. Ukuphikiswa kwe-insulin ukungakwazi komzimba ukusebenzisa i- insulini, i-hormone enezindima eziningi . Enye yezindima ezivelele kakhulu ze-insulin kusiza umzimba ukuthi usebenzise i-glucose noma ushukela njengophethiloli. Ukuphikiswa kwe-insulini kuye kwaboniswa ukuthi kuyimakethe noma ingozi yokuthuthukisa isifo sikashukela sohlobo lwe-2 .

Ucwaningo olwanyatheliswa ku- Archives of Disease in Childhood, lusetshenziselwa isampula esithathwe kwabantwana abangu-4495 (amantombazane angu-2337 nabafana abangu-2158), abaneminyaka engu-9-10 ubudala.

Ababambiqhaza baboshwa emadolobheni amathathu ase-UK (eLondon, eBirmingham, naseLeicester), okuhlangene ndawonye kubandakanya izingxenye ezimbili kwezintathu zamaShayina aseNingizimu kanye nama-black-Caribbean ase-UK. Ngaphansi kwengxenye eyodwa kwezintathu kwabahlanganyeli kwakungu-white-Caucasian. Izingane ozibikezelayo zibikezela isikhathi se-screen yesikrini zisebenzisa nge-survey. Ngesikhathi sokutadisha, phakathi kuka-2004 no-2007, abantwana babuzwa ngokuthi 'isikhathi sokubuka' esichazwa njengesikhathi esichitha ukubukela ithelevishini kanye nokudlalwa kwevidiyo noma ikhompiyutha.

Lolu cwaningo aluzange lucabangele ukusetshenziswa kwefoni smart kanye nethebhulethi, okusetshenziselwa kakhulu kakhulu izingane futhi kungabangela ekuziphatheni kokuhlala phansi. Ababambiqhaza nabo babalinganiswa-ukuphakama, isisindo, ukuqina kwesikhumba, njll, futhi kwakunezingubo zokuhlola i-glucose, i-cholesterol, i-insulin, i-hemoglobin A1c (isilinganiso sezinyanga ezintathu eshukela egazini) , nezinye izinto ezibangelwa ingozi ye-cardiometabolic. Nakuba kwakukhona ubudlelwane obalulekile ekuphikeleni kwe-insulin, abacwaningi abazange bathole ubudlelwane phakathi kweshukela egazini (i-glucose) ne-hemoglobin A1c, okuyinto lapho ephakanyisiwe nayo ibhekwa njengenye ingozi ye-type 2 yesifo sikashukela.

Yini Esingayithola Kulesi Sifundo?

Ngenkathi lolu cwaningo luthola inhlangano phakathi kokwanda kwesikrini kanye nohlobo lwesifo sikashukela e-2 ezinganeni, kubalulekile ukuqaphela ukuthi akuzange kubonise ukuthi ukwanda kwesikrini isikhathi kubangela ukumelana kwe-insulin kanye nesimo. Ucwaningo olwengeziwe kanye nohlobo oluthile lwemiklamo yocwaningo luzofanele luqhutshwe ukuze lubone uma kunjalo.

Ngakolunye uhlangothi, kusabalulekile ukuqaphela le nhlangano, njengoba ingasiza ukusiza isinyathelo esisebenzayo. Mhlawumbe lolu lwazi lungabangela ukuqwashisa kwabazali nezingane zabo, kubakhuthaza ukwandisa umsebenzi wokuzivocavoca nokunciphisa ukuziphatha okuzenzekelayo, njengokubuka ithelevishini nokudlala umdlalo wevidiyo.

Lolu lwazi lungasiza ekwandiseni uhlobo lokuvikela isifo sikashukela ezinganeni ezinganeni.

Ucwaningo lwesikhathi esizayo luzozuza ngokuhlola ukuziphatha kokuziphatha ngokuhambisana nokusetshenziswa kwesikrini isikhathi eside njengoba lokhu kungabamba iqhaza ekwandiseni ingozi yesifo sikashukela sohlobo lwe-2.

Yiziphi Iziqondiso Zesikhathi Sesikrini?

I-American Academy of Pediatrics ikhuthaza ukusetshenziswa kwemikhawulo yabezindaba engaguquguquki. Ukubambisana kubalulekile njengoba kungasiza ekuthuthukiseni imizila bese udala imiraro elula ukulandela. Basikisela ukuthi izingane ezineminyaka engaphezu kwengu-2 ubudala kufanele zilinganise isikhathi sokubuka isikrini esingaphezu kwehora elilodwa ngosuku, futhi uma kungenzeka, zikhuthaza abazali ukuba bahlanganyele noma bahlanganyele nezingane.

Lokhu kusiza ukusiza ukufunda nokukhuthaza umsebenzi ohilelekile.

Ngaphezu kwalokho, i-AAP idikibala ukusetshenziswa kwesikhathi sesikrini ezinganeni ezineminyaka engaphansi kwengu-2, kodwa-ke, ziphakamisa lokho kulabo bazali abafuna ukwethula abezindaba ezinganeni ezineminyaka engama-18-24, ukusebenzisa izinhlelo zekhwalithi eliphezulu izicelo nabo futhi hhayi yedwa. Ukuthola izinhlelo zokusebenza ezifanelekile, batusa ukucwaninga nge-Media Sense Media.

Ngaphezu kwalokho, batusa ukuthi babe nezindawo ezingenayo isikrini-izindawo ekhaya lapho kunoma yiluphi uhlobo lwedivayisi ye-tech engavunyelwe. Isibonelo, izindlu zokulala zingaba indawo engavinjelwe-indawo lapho ingane yakho ingakwazi ukubukela ithelevishini, ukudlala imidlalo yamavidiyo, noma ukusebenzisa ifoni ehlakaniphile.

Isikrini sesikhathi sesikhathi samahhala lapho usuku lapho ukusetshenziswa kwezikrini kungavumelekile, njengesikhathi sokudla nangaphambi kokulala-kukhuthazwa. I-curfew yabezindaba nayo iyindlela engasetshenziswa, ikakhulukazi ezinganeni ezindala. Isibonelo, uma iwashi lishaya 9 pm, amadivaysi avaliwe, anikwe abazali, futhi alahleke kuze kube usuku olulandelayo.

Ukwenza isikhathi esincane sokusetshenziswa kobuchwepheshe kuveza isikhathi esiningi sokwenza umsebenzi ongokwenyama nokudlala kokudlala. Uma unesithakazelo ekuvuseleleni ukusetshenziswa kwemidiya yemindeni yakho, ungathola imihlahlandlela yokuthi ungayenza kanjani uhlelo lwezemidiya yomndeni lapha: I-Family Media Plan.

Singawunciphisa Kanjani Ingozi Yesibili Soshukela Ezinganeni?

Ngokusho kwamaCenter for Disease Control, phakathi kweminyaka ka-2008 kuya ku-9, kwakukhona abantu abangu-5,089 abaxilongwa nge-type 2 yesifo sikashukela abaneminyaka engu-20 ubudala noma encane. Kubonakala sengathi iqembu elisengozini kakhulu liyizingane ezineminyaka engu-10-19, nezinga eliphakeme emaqenjini amancane ase-US, ngokumelene nabamhlophe abangewona amaSpanishi.

Inombolo eyodwa engozini yokwelapha isifo sikashukela ebuntwaneni ibonakala iyindlala. Isisindo somzimba esingeqile singavimbela i-insulin ekwenzeni umsebenzi wayo, okuwukuthi ushukela egazini ukuya emaseli okusebenzisa amandla. Ngenxa yalokho, ushukela noma i-glucose iqoqa ekusakazweni kwegazi. Lapho ushukela wegazi ungaphezu kwemingcele evamile, ukuxilongwa kwesifo sikashukela kwenziwa . Ungesabi, lokhu akuyona into eyenzeka nje ebusuku. Lokhu kungathatha iminyaka ukuthuthukisa.

Uma ingane yakho isengozini enkulu ye-type 2 yesifo sikashukela-inomlando womndeni, i-African American, i-Alaska yomdabu, i-American Indian, i-Asian American, i-Hispanic / Latino, noma i-Pacific Islander yaseMelika, ikhuluphele, futhi ingenzi lutho lokushintsha izinguquko ukusiza ukuvimbela noma ukubambezela ukuthuthukisa isifo sikashukela ebuntwaneni futhi kamuva ekuphileni.

Yenza Izinguquko Ezilula Zesidlo

Kuye lapho ingane yakho ikhona eshadini lokukhula, bangase bazuze ngokulahlekelwa isisindo esincane noma ukugcina isisindo sabo ukuze sikhule kuyo. Uma ungaqiniseki ngesimo sesisindo somntanakho, thintana nodokotela wezingane zakho ukuthuthukisa uhlelo lokusebenza. Angase ancome ukuthi uhlangane ne-dietitian obhalisiwe ukukusiza ukuthi udale uhlelo olulinganiselayo lokudla olunomsoco.

Ukudla okunomthelela nokuvivinya ngokweqile akudingekile, futhi kungaba yingozi empilweni yakho nentuthuko yengane yakho. Esikhundleni salokho, yenza uhlelo olulinganiselayo lokudla oluqukethe izithelo eziningi, imifino, okusanhlamvu okuphelele kanye namaprotheni aphilile (inkukhu, inhlanzi, i-turkey, inyama yenkomo ephilile, ushizi ophansi, ubisi oluphansi noma ubisi ). Lolu hlelo kufanele lube nokunciphisa ukudla okusetshenziselwa ukudla okulula njengokufana nama-chips nama-cookies, okusanhlamvu okuhlanjululwe njengama-pasta amhlophe nesinkwa esimhlophe, ukudla okuthosiwe-njengezinkukhu zezinkukhu kanye namafrimu aseFrance-namafutha aphezulu anjengezinja ezishisayo, izimbambo kanye ne-bacon.

Enye yezindlela ezilula futhi eziphumelelayo kakhulu zokusiza izingane ukuba zibe nesisindo esinempilo ukugqugquzela ukuphuza kuphela iziphuzo ezingenasiphuzo-zama ukuqeda indlu yeziphuzo eziphuzayo ezifana ne-soda, ijusi, iziphuzo zamandla neziphuzo zekhofi ezicolile. Lezi zinhlobo zokuphuza zifaka uketshezi oluningi noshukela futhi zingabangela ukwanda kwesisindo kanye nokwanda kwezishukela zegazi.

Indlela enhle yokwenza uhlelo lokudla okunempilo enempilo enesibindi ukufundisa izingane zakho mayelana nokuhamba, ukuphuza, nokudla okune- Whoa . Lokhu kungukudla okumelwe kudliwe ngaso sonke isikhathi, kaningi kangako, futhi njengokwelashwa. Nansi itafula elikhulu ukufanekisa lo mqondo: Hamba, wehlisa, no-Whoa.

Amanye amawebhusayithi amahle okudla ahloselwe izingane kanye nemindeni zihlanganisa: Izingane Zidla Ilungelo, I-Super Kids Nutrition, ne-ChopChop: Umagazini Wokuzijabulisa.

Ukwandisa Umsebenzi Wokwenyama

Ngaphezu kokuhlelwa okunempilo, izingane kufanele zisebenze ngokwanele futhi zithole ubuthongo obufanele (lezi ziphakamiso zokulala zezingane nezingane). Ngokusho kwamaCentral for Disease Control, izingane kufanele zithole okungenani imizuzu engama-60 yomzimba nsuku zonke. Lo msebenzi womzimba kufanele uhlanganise ukuzivocavoca kwe-aerobic, ukuqeqeshwa kwemisipha, nokuvivinya amathambo. Ufuna izindlela zokwenza lokhu kwenziwe? Hlola Masithathe, umkhankaso oholwa ngu-former Lady of the First Lady Michelle Obama.

Uma ingane yakho ingasebenzi kakhulu futhi ikunika isikhathi esinzima mayelana nokuhlanganyela emsebenzini wokuzivocavoca, zama ukwenza kube mnandi kubo. Mema abangaphezu kokudlala i-jump rope, basketball, umdlalo wekhasi endala wesikole, uhlangabezane echibini noma epaki, noma ngezinsuku lapho ungenakukwazi ukuphuma ngaphandle, zama umdlalo wevidiyo ohlanganyele njengo Wii Fit Plus , oye waba kuboniswe ukusiza ukunciphisa ushukela wegazi.

Izwi elivela

Nakuba uhlobo lwe-2 lwesifo sikashukela ebuntwaneni luvame ukwedlula esikhathini esidlulile, izindaba ezinhle ukuthi kunezinto izinguquko zokuphila ezinganciphisa ingozi yakho. Ukunciphisa isikhathi sesikrini kungase kube esinye sezixazululo. Yenza iphuzu ukubeka imingcele yesikhathi semidiya engaguquguquki futhi ucabange ukwenza uhlelo lwezemidiya yomndeni. Ukwenza ukuphila okulula okuguqukayo, ukuphuza utshwala obushukela, nokwandisa imifino nezithelo kungenza umthelela omkhulu. Okokugcina, ukugqugquzela umsebenzi womzimba kubaluleke kakhulu. Ngaphandle kokudlala kwamahhala, hlela umsebenzi owenziwe ngokomzimba nezingane zakho nomndeni wakho. Hamba uhambe emva kokudla, udlale i-mini-igalofu, ugibele amabhayisikili, uhambe ngezinyawo, uthathe inhlanzi enobungane, noma uhlanganise umculo futhi ube nomcimbi wokudansa kuma-pajama wakho-khumbula ukuthi yonke imisebenzi ibalwa. Ngeke nje uzuze impilo yakho kuphela, uzobophelana.

> Imithombo:

> I-American Academy of Pediatrics. I-screentime ephathekayo ehlanganiswe nokubambezeleka kwenkulumo ezinganeni ezincane. https://www.healthychildren.org/English/news/Pages/Handheld-Screen-Time-Linked-with-Speech-Delays-in-Young-Children.aspx

> I-American Academy of Pediatrics. Isikhathi esingaphezulu seskrini nomsebenzi omncane ungasho ukucindezeleka okukhulu. https://www.aap.org/en-us/about-the-aap/aap-press-room/Pages/More-Screen-Time-and-Less-Activity-Can-mean-More-Distress.aspx

> I-American Academy of Pediatrics. Lapho simi khona: isikhathi sesikrini. https://healthychildren.org/English/family-life/Media/Pages/Where-We-Stand-TV-Viewing-Time.aspx

> Izikhungo zokuLawula izifo. I-National Diabetes Statistics Report, 2014. https://www.cdc.gov/diabetes/pubs/statsreport14/national-diabetes-report-web.pdf

> Nightingale CM, uRudnicka AR, uDonin AS , et al. Isikhathi sesikrini sihlotshaniswa nokuphikisana nokuphikiswa kwe-insulin ezinganeni. Ukugcinwa Kwezifo Ezinganeni Ekunyathelisiwe Kuqala Ngo-Mashi: 13 Mashi 2017. ini: 10.1136 / archdischild-2016-312016