Lafiya a Kowani Mataki

**Lafiya a Kowani Mataki** (**HAES**) tsarin kiwon lafiya ne na jama'a wanda ke jaddada cewa dukkan jiki suna da damar neman kiwon lafiya, ba tare da la'akari da girman ba, ba tare tare da nuna bambanci ba, da kuma rage wulakanci ga mutanen da ke rayuwa da kiba. Masu goyon baya suna jayayya cewa tsoma baki na gargajiya da aka mayar da hankali kan asarar nauyi, kamar cin abinci, ba su samar da sakamako mai kyau na kiwon lafiya ba, kuma cewa kiwon lafiya shine sakamakon salon rayuwa wanda za'a iya yi shi ba tare da nauyin jiki ba. Koyaya, mutane da yawa suna sukar hanyar kuma suna jayayya cewa asarar nauyi ya kamata a wasu lokuta ya zama bayyananne burin shiga tsakani na kiwon lafiya, saboda mummunan sakamako na kiwon lafiyar da ke da alaƙa da kiba.

## Tarihi
Kiyaye Lafiya a Kowane Girma" (Health at Every Size) ya fara ne a shekarun 1960s, inda ya bayyana cewa canjin al'ada zuwa kyakkyawar kamanni da kyawawan dabi'u yana da mummunan tasiri ga lafiya da tunanin mutane masu kiba. Sun yi imanin cewa, saboda jikin siriri da jajirtacce ya zama mafi kyawun ma'aunin kyan gani, mutane masu kiba suna yin kokari sosai don rage kiba, kuma hakan ba koyaushe yake da lafiya ga mutum ba. Sun ce wasu mutane suna da girma ta dabi'a, kuma a wasu lokuta rage nauyi mai yawa na iya zama mara lafiya ga wasu. A ranar 4 ga Nuwamba, 1967, Lew Louderback ya rubuta wata makala mai suna "Mutane da yawa yakamata su kasance masu kiba!" wanda ya bayyana a cikin mujallar US mai shahara, The Saturday Evening Post. A cikin ra'ayin da ya bayar, Louderback ya yi jayayya cewa:

# "Mutane masu kitse" suna fama da jiki da motsin rai daga cin abinci zuwa ƙasa da nauyin jikinsu na halitta.
# Canje-canje na tilasta a cikin nauyi ba kawai na wucin gadi ba ne, har ma da haifar da lalacewar jiki da motsin rai.
# Cin abinci yana da alama yana haifar da lalacewa da kuma halin motsin rai.
# Cin abinci ba tare da cin abinci ba ya ba Louderback da matarsa damar shakatawa da jin daɗi yayin da suke riƙe da nauyin iri ɗaya.

Bill Fabrey, wani matashi injiniya a lokacin, ya karanta labarin kuma ya tuntubi Louderback bayan 'yan watanni a shekarar 1968. Fabrey ya taimaka wa Louderback yayi bincike kan littafinsa na gaba, Fat Power, kuma Louderback ya goyi bayan Fabrey wajen kafa National Association to Aid Fat Americans (NAAFA) a shekarar 1969, kungiyar kare hakkin dan adam mai zaman kanta. NAAFA daga baya za ta canza sunanta a tsakiyar shekarun 1980 zuwa Ƙungiyar Ƙasa don Ci gaba da Amincewa da Fetur.

A farkon shekarun 1980s, littattafai huɗu gaba ɗaya sun gabatar da ra'ayoyin da suka shafi Lafiya A Kowane Girma. A cikin Diets Don't Work (1982), Bob Schwartz ya karfafa "cin abinci na fahimta",  kamar yadda Molly Groger ya yi a cikin Eating Awareness Training (1986). Wadannan marubutan sun yi imanin cewa wannan zai haifar da asarar nauyi a matsayin sakamako mai illa. William Bennett da Joel Gurin's The Dieter's Dilemma (1982), da Janet Polivy da C. Peter Herman's Breaking The Diet Habit (1983) sun yi jayayya cewa kowa yana da nauyin halitta da saiti, kuma cewa cin abinci don asarar nauyi ba ya aiki. [mafi kyawun tushe da ake buƙata] &#x5B;**&#x5D;

According to Lindo Bacon, in *Health at Every Size* (2008), the basic premise of HAES is that "well-being and healthy habits are more important than any number on the scale." Emily Nagoski, in her book *Come as You Are* (2015)*,* promoted the idea of Health at Every Size for improving women's self-confidence and sexual well-being.&#x5B;*nbsp;needed*&#x5D;

## Tabbacin

Masu goyon baya sun yi iƙirarin cewa shaidar daga wasu binciken kimiyya sun ba da wasu dalilai don sauyawa a cikin kula da kiwon lafiya daga asarar nauyi zuwa tsarin tsaka-tsaki a cikin mutanen da ke da babban haɗarin ciwon sukari na nau'in 2 da / ko alamun cututtukan zuciya, kuma cewa tsarin da ya haɗa da nauyi yana mai da hankali kan masu nuna alamar kiwon lafiya, maimakon hanyoyin da ke mai da hankali ga asarar nauyi kadai, yana ba da ingantaccen kiwon lafiya.

Ka'idodin HAES ba su ba da shawarar cewa mutane suna da lafiya ta atomatik a kowane girman ba, amma sun ba da shawarar gore ya kamata mutane su nemi karɓar halaye masu kyau ba tare da la'akari da nauyin jikinsu ba.

Amanda Sainsbury-Salis, mai binciken kiwon lafiya na Australiya, ta yi kira ga sake tunani game da manufar HAES,  tana jayayya cewa ba zai yiwu a kasance kuma ya kasance da lafiya da gaske a kowane girman ba, kuma ya ba da shawarar cewa mayar da hankali ga HAES na iya ƙarfafa mutane su yi watsi da karuwar nauyi, wanda bincikenta ya fi sauƙi ya rasa jim kadan bayan samun. Ta yi, duk da haka, lura cewa yana yiwuwa a sami halayyar lafiya wanda ke ba da fa'idodin kiwon lafiya a nau'ikan jiki iri-iri. Wasu kuma suna jayayya cewa HAES mayar da hankali na iya ƙarfafa mutane su jinkirta yunkurin rage nauyi har abada.

Akwai wasu shaidu HAES tsoma baki na iya haifar da sakamako mai kyau na tunani, jiki, da halayyar, gami da rage nauyin jiki na ɗan gajeren lokaci, BMI da kitsen jiki. Har ila yau, akwai wasu binciken da ba daidai ba wanda ke nuna tasirin Hawan jini, azumi glucose, da matakan triglycerides.