LONDON (The Thursday Times) — Budh ko science jareede Nature mein shaya hone wali ek bari bain-ul-aqwami tehqeeq ke mutabiq sirf Body Mass Index (BMI) karoron afraad ke motape ka ghalat andaza lagata hai. Tehqeeq tashkhees ke ek naye tareeqe ki himayat karti hai jo jismani charbi aur aaza ki sehat ko bhi dekhta hai.
Muhaqqiqeen ne Britain, America, China, aur Spain ke taqriban sarhe aath lakh baligh afraad ke tibbi record istemal kiye aur kuch ko 15 baras tak dekha. Unhon ne motape ki woh tareef aazmai jo 2025 mein bain-ul-aqwami mahireen aur tibbi tanzeemon ke ek group ne tajweez ki thi.
Is tareef ke tehat jo log is waqt sirf BMI ki bunyad par mote qarar diye jate hain un mein se ek se teen feesad motape ke zumre mein nahin ayenge, jabke mazeed panch se nau feesad, jin ke jism mein BMI ke andaze se zyada charbi hai, pehli baar motape ke shikar qarar payenge.
Naya tareeqa kaise kaam karta hai
BMI kisi shakhs ke kilogram mein wazan ko meter mein qad ke murabba se taqseem kar ke nikala jata hai. Mujawwaza tareeqe ke tehat 40 se zyada BMI wale har shakhs ko mota samjha jata hai. Is se kam BMI par doctor kamar ki paimaish aur kamar aur qad ke tanasub se yeh bhi dekhte hain ke charbi jism mein kahan jama hai.
30 ya is se zyada BMI ke sath kamar ki barhi hui paimaish motapa shumar hoti hai, aur 25 se 29.9 tak ka BMI bhi, agar kamar ki paimaish aur kamar aur qad ka tanasub donon zyada hon. Zyada tar mumalik mein mardon ke liye 102 centimeter aur khawateen ke liye 88 centimeter se zyada kamar barhi hui samjhi jati hai, taham yeh hadein mukhtalif ho sakti hain.
Phir doctor “clinical motape” ko, jis mein izafi charbi dil, jigar, ya doosre aaza ko nuqsan pohancha rahi ho, “pre-clinical motape” se alag karte hain, jis mein charbi khatra to hai magar abhi beemari ka sabab nahin bani.
Zyada tar abhi beemar nahin
Charon mumalik mein motape ke shikar afraad mein se sirf 27 feesad ke qareeb ko clinical motapa tha, jo tamam balighon ka taqriban sarhe aath feesad banta hai. Pre-clinical motape wale taqriban 82 feesad afraad agle barson mein clinical motape ka shikar nahin hue, taham China aur Spain mein yeh sharah zyada rahi.
Zyada BMI wale kuch afraad nayi tareef ke tehat motape ke zumre mein aate hi nahin thay, aur un mein maut ka khatra sehatmand samjhe jane wale doosre afraad se bhi kam tha.
King's College London mein metabolic aur bariatric surgery ke professor aur tehqeeq ke senior musannif Francesco Rubino ne kaha, “Yeh ghalat darja bandi karoron afraad ko mutasir kar sakti hai, is liye BMI ki ghalati bare paimane par bhi ek bara masla hai aur infiradi satah par bhi.” Un ka kehna tha ke yeh naya dhancha “motape ki aisi bamaani tibbi tashkhees faraham kar sakta hai jo ilaj aur policy ki rehnumai kare”.
Aalmi Idara-e-Sehat ke andaze ke mutabiq duniya bhar mein ek arab se zyada afraad motape ka shikar hain, jo type 2 ziabetes, dil ki beemari, jigar aur gurdon ki beemariyon, aur baaz aqsam ke cancer ka khatra barhata hai.
