内分泌医生:卖力减肥却瘦不下来,需警惕胰岛素抵抗|1000部毛片A片免费观看

  中新网广州7月22日电(记者 蔡敏婕)不少人减肥减得很卖力,平时少吃多动,严格打卡,怎么身体的质量和外形就是没有什么变化呢?中山大学附属第六医院内分泌科副主任徐芸表示,一直瘦不下来有可能是得了胰岛素抵抗。

  徐芸解释,胰岛素是唯一的降血糖激素,就像一把钥匙,打开葡萄糖进入细胞的大门。如果得了胰岛素抵抗,就相当于这把钥匙不好用了,打不开这个门,葡萄糖就会滞留在血液里,没有办法顺利地进入细胞,血糖就会偏高。

  这时,身体就会自动多“配”一些“钥匙”,产生更多的胰岛素,希望从中可以得到一把钥匙把门打开,过多的胰岛素就会促进脂肪的合成。而且停留在血液里面过多的血糖,也会转化成脂肪堆积起来,尤其容易堆积在腹部,导致体重增加,减重困难。

  哪些人要警惕胰岛素抵抗?徐芸解释,有以下症状请需警惕胰岛素抵抗:黑棘皮症(颈部、腋窝等褶皱处出现色素沉着,像没洗干净一样);腹型肥胖(男性腰围≥90厘米,女性腰围≥85厘米)、超重/肥胖或减重困难;合并代谢综合征(血糖升高、高血压、血脂升高)等。

  “其实,肥胖(尤其腹型肥胖)是胰岛素抵抗最常见的原因之一,久坐少动、高糖高脂饮食等不良习惯也会加重胰岛素抵抗。”徐芸称,此外,部分疾病(如多囊卵巢综合征、库欣综合征)、部分药物(糖皮质激素、抗精神病药物、避孕药等)、遗传因素也可导致胰岛素抵抗。

  如何预防胰岛素抵抗?徐芸介绍:“预防和改善胰岛素抵抗的核心在生活方式:管住嘴、迈开腿、控制体重。”

  她建议每周至少150分钟进行中等强度运动,有氧运动及阻抗训练相结合;减少高热卡食物摄入(如精制高糖、高脂食物),多吃全谷物、蔬果;维持健康体重。

  若生活行为干预无效,必要时可在医生指导下,考虑给予二甲双胍、GLP-1受体激动剂等,其可帮助提高胰岛素敏感性。(完)

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