Page 24 - Phòng Và Điều Trị Bệnh Đái Tháo Đường

Practice, 451 - 465)]. Theo nghien ciiu Nurses Health
Study tren 100.000 y ta trong vong 14 nam lien tuc
thay ngUdng tang ty le mac DTD vdi chi so BMI

22kg/m2, va neu BMI tang them lkg/m2 se lam nguy
cd mic DTD tang them 25%, neu BMI > 28kg/m2
nguy cd mSc DTD va cac benh tim mach tang gap
3 - 4 lan.
[BMI= can nang (kg) : chieu cao2 (m*)]

Beo bung (Obesite abdominale)

Beo bung con dUdc goi la beo dang nam la mot thuat
ngii chi nhiing ngUdi ma phan bo" md d bung, noi tang
va phan tren cd the chiem ty trong dang ke. Beo bung,
ngay ca vdi nhiing ngUdi can nang khong thUc sii xep
vao loai beo phi hoac chi beo vvfa phai (BMI < 25kg/m2)
la mot yeu to nguy cd doc lap gay ra roi loan md mau, tang
huyet ap va roi loan chuyen hoa dudng [BASDEVANT
Arnaud, (1998), “Guide pratique pour le diagnostic, la
prevention, le traitement des obesite en France”,

Diabetes & Metabolism, Vol 24, 10-21 ]. Sd di beo dang
nam dUdc coi la mot trong nhiing nguyen nhan lam
gia tang ty le benh DTD va benh tim-mach vi mo md
nhieu d bung lam gia tang nong do axit beo tit do, tang

triglyceride, tang hien tUdng viem va gay doc v6i te
bao beta cua tuy (lipotoxicity).
Mot ngifdi dUdc coi la beo bung khi vong bung >90cm
doi vdi nam; >80cm doi vdi nii.

24 ♦