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What is sibutramine? Brand Names: Meridiaداروی ضد چاقی

What is the most important information I should know about sibutramine?

Sibutramine has been reported to cause increased blood pressure in some patients. It is important to have your blood pressure and pulse monitored regularly while taking sibutramine.

Use caution when driving, operating machinery, or performing other hazardous activities. Sibutramine may cause dizziness, difficulty concentrating, or restlessness. If you experience these effects, avoid hazardous activities.
Do not take any other prescription or over-the-counter medicines without first talking to your doctor, especially weight-loss products, tryptophan (L-tryptophan, 5-HTP), decongestants, antidepressants, cough suppressants, lithium (Eskalith, Lithobid, Lithonate, others), and migraine medicines.

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What is sibutramine?

Sibutramine affects chemicals in the body that are related to weight maintenance.

Sibutramine is used as a short-term supplement to diet and exercise in the treatment of obesity.

Sibutramine may also be used for purposes other than those listed in this medication guide.

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What should I discuss with my healthcare provider before taking sibutramine?

Do not take sibutramine without first talking to your doctor if you
  • have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), tranylcypromine (Parnate), or phenelzine (Nardil) in the last 14 days;
  • are or have been depressed;
  • have bleeding problems;
  • have anorexia nervosa;
  • are taking an appetite suppressant;
  • have high blood pressure;
  • have heart disease, irregular heartbeats, congestive heart failure, or a history of stroke;
  • have epilepsy or another seizure disorder;
  • have gallstones;
  • have glaucoma;
  • have liver disease; or
  • have kidney disease.

You may not be able to take sibutramine, or you may require a dosage adjustment or special monitoring if you have any of the conditions listed above.

Sibutramine may interact with other medicines and cause a condition called Serotonin Syndrome. This syndrome requires immediate medical attention and may include one or more of the following symptoms: anxiety, restlessness, loss of consciousness, confusion, weakness, tremor, poor coordination, fever, shivering, sweating, vomiting, a fast heartbeat, and others. Do not take any other prescription or over-the-counter medicines without first talking to your doctor, especially weight-loss products, tryptophan (L-tryptophan, 5-HTP), decongestants, antidepressants, cough suppressants, lithium (Eskalith, Lithobid, Lithonate, others), or migraine medicines.
Sibutramine is in the FDA pregnancy category C. This means that it is not known whether sibutramine will harm an unborn baby. Do not take sibutramine without first talking to your doctor if you are pregnant or could become pregnant during treatment.
It is not known whether sibutramine passes into breast milk. Do not take sibutramine without first talking to your doctor if you are breast-feeding a baby.
The safety and effectiveness of sibutramine have not been studied in children younger than 16 years of age.

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How should I take sibutramine?

Take sibutramine exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Take each dose with a full glass of water.

Sibutramine is usually taken once a day. Follow your doctor's instructions.

Sibutramine can be taken with or without food.

Never take more of this medication than is prescribed for you. Too much sibutramine could be dangerous.

Sibutramine has been reported to cause increased blood pressure in some patients. It is important to have your blood pressure and pulse monitored regularly while taking sibutramine.

Store sibutramine at room temperature away from moisture and heat.

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What happens if I miss a dose?

Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication.

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What happens if I overdose?

Seek emergency medical attention.

Symptoms of a sibutramine overdose are not known.

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What should I avoid while taking sibutramine?

Use caution when driving, operating machinery, or performing other hazardous activities. Sibutramine may cause dizziness, difficulty concentrating, or restlessness. If you experience these effects, avoid hazardous activities.
Do not take any other prescription or over-the-counter medicines without first talking to your doctor, especially weight-loss products, tryptophan (L-tryptophan, 5-HTP), decongestants, antidepressants, cough suppressants, lithium (Eskalith, Lithobid, Lithonate, others), and migraine medicines.

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What are the possible side effects of sibutramine?

If you experience any of the following serious side effects, stop taking sibutramine and seek emergency medical attention or contact your doctor immediately:
  • an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);
  • easy bleeding, bruising under the skin , bloody gums, or blood in your urine or stool;
  • new or worsening shortness of breath;
  • an irregular heartbeat;
  • high blood pressure (severe headache, blurred vision); or
  • seizures.

Other, less serious side effects may be more likely to occur. Continue to take sibutramine and talk to your doctor if you experience

  • restlessness or tremor,
  • nervousness or anxiety,
  • mild headache or dizziness,
  • insomnia,
  • dry mouth or an unpleasant taste in your mouth, or
  • constipation.
Sibutramine may interact with other medicines and cause a condition called Serotonin Syndrome. This syndrome requires immediate medical attention and may include one or more of the following symptoms: anxiety, restlessness, loss of consciousness, confusion, weakness, tremor, poor coordination, fever, shivering, sweating, vomiting, a fast heartbeat, and others. Do not take any other prescription or over-the-counter medicines without first talking to your doctor, especially weight-loss products, tryptophan (L-tryptophan, 5-HTP), decongestants, antidepressants, cough suppressants, lithium (Eskalith, Lithobid, Lithonate, others), or migraine medicines.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

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What other drugs will affect sibutramine?

Do not take sibutramine if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), tranylcypromine (Parnate), or phenelzine (Nardil) in the last 14 days. A dangerous drug interaction may occur.

Before taking this medication, tell your doctor if you are taking

  • lithium (Lithobid, Eskalith, Lithonate, others);
  • almotriptan (Axert), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), eletriptan (Relpax), frovatriptan (Frova), or zolmitriptan (Zomig);
  • venlafaxine (Effexor), duloxetine (Cymbalta), nefazodone (Serzone), mirtazapine (Remeron), or thioridazine (Mellaril);
  • citalopram (Celexa), fluoxetine (Prozac), sertraline (Zoloft), paroxetine (Paxil), or fluvoxamine (Luvox);
  • amitriptyline (Elavil, Endep), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Sinequan), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), or trimipramine (Surmontil);
  • dihydroergotamine (D.H.E.);
  • an oral anticoagulant or drugs that may increase bleeding such as warfarin (Coumadin), ticlopidine (Ticlid), clopidogrel (Plavix), pentoxifylline (Trental) , aspirin, and others;
  • dextromethorphan (in many cough medicines);
  • meperidine (Demerol);
  • fentanyl (Duragesic); or
  • pentazocine (Talacen, Talwin).
Sibutramine may interact with the medicines listed above and cause a condition called Serotonin Syndrome. This syndrome requires immediate medical attention and may include one or more of the following symptoms: anxiety, restlessness, loss of consciousness, confusion, weakness, tremor, poor coordination, fever, shivering, sweating, vomiting, a fast heartbeat, and others. Do not take any other prescription or over-the-counter medicines without first talking to your doctor, especially weight-loss products, tryptophan (L-tryptophan, 5-HTP), decongestants, antidepressants, cough suppressants, lithium (Eskalith, Lithobid, Lithonate, others), or migraine medicines.

Drugs other than those listed here may also interact with sibutramine. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines including vitamins, minerals, and herbal products.

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Where can I get more information?

Your pharmacist has more information about sibutramine written for health professionals that you may read.

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What does my medication look like?

Sibutramine is available with a prescription under the brand name Meridia. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

  • Meridia 5 mg--blue/yellow capsules
  • Meridia 10 mg--blue/white capsules
  • Meridia 15 mg--yellow/white capsules

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Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist


برچسب‌ها:
What is the most important information I should know about orlistat?داروی لاغری

What is the most important information I should know about orlistat?

Orlistat may decrease your body's absorption of some fat-soluble vitamins. To ensure adequate nutrition, your doctor may recommend taking a multivitamin that contains vitamins D, E, K, and beta-carotene. Take your vitamin supplement once a day, at least 2 hours before or after a dose of orlistat.

donot Do not take more of this medication than has been prescribed for you. Doses greater than 120 mg three times a day have not been shown to provide any additional weight-loss benefit.

What is orlistat?

Orlistat blocks some of the fat that you eat from being absorbed by your body.

Orlistat is used in the management of obesity including weight loss and weight maintenance when used with a reduced-calorie diet.

Orlistat may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking orlistat?

donot Do not take orlistat without first talking to your doctor if you have
  • chronic malabsorption syndrome (an inability to absorb food and nutrients properly), or
  • gallbladder problems.

You may not be able to take orlistat if you have any of the conditions listed above.

Before taking orlistat, talk to your doctor if you

  • have a history of kidney stones,
  • have diabetes,
  • have anorexia or bulimia,
  • take any other weight-loss medicine, or
  • take cyclosporine (Sandimmune, Neoral).

You may not be able to take orlistat, or you may require a dosage adjustment or special monitoring during your treatment if you have any of the conditions listed above.

Orlistat is in the FDA pregnancy category B. This means that it is not expected to harm an unborn baby. Do not take orlistat without first talking to your doctor if you are pregnant.

nobrfeed It is not known whether orlistat passes into breast milk. Do not take orlistat without first talking to your doctor if you are breast-feeding a baby.

How should I take orlistat?

Take orlistat exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

water Take each dose with a full glass of water.

Orlistat is usually taken with each main meal that contains fat. Orlistat can be taken during meals or up to one hour after a meal.

Each time you take orlistat, your meal should contain no more than about 30% of calories from fat. Evenly divide your daily intake of fat, carbohydrates, and protein over three main meals a day. Talk to your doctor about following a healthy eating plan.

If you miss a meal, or if you have a meal without fat, you can skip your dose of orlistat for that meal also.

If orlistat is taken with any one meal that is very high in fat, there is an increased chance of digestive side effects.

donot Do not take more of this medication than has been prescribed for you. Doses greater than 120 mg three times a day have not been shown to provide an additional weight-loss benefit.

Orlistat may decrease your body's absorption of some fat-soluble vitamins. To ensure adequate nutrition, your doctor may recommend taking a multivitamin that contains vitamins D, E, K, and beta-carotene. Take your vitamin supplement once a day, at least 2 hours before or after a dose of orlistat.

rt Store orlistat at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose up to one hour after a meal. If more than one hour has passed since your last meal, skip the dose you missed and take only your next regularly scheduled dose as directed. Do not take a double dose of this medication.

If you miss a meal, or if you have a meal without fat, you can skip your dose of orlistat for that meal also.

What happens if I overdose?

emt Seek emergency medical attention.

Symptoms of an orlistat overdose are not known.

What should I avoid while taking orlistat?

Each time you take orlistat, your meal should contain no more than about 30% of calories from fat. Evenly divide your daily intake of fat, carbohydrates, and protein over three main meals a day. Talk to your doctor about following a healthy eating plan.

What are the possible side effects of orlistat?

emt Stop taking orlistat and seek emergency medical attention if you experience a rare allergic reaction including shortness of breath; closing of your throat; swelling of your lips, tongue, or face; or hives.

Other, less serious side effects are more likely to occur. Continue to take orlistat and talk to your doctor if you experience

  • oily spotting;
  • oily or fatty stools;
  • orange or brown colored oil in your stool;
  • gas with discharge, an oily discharge;
  • an urgent need to go to the bathroom;
  • an inability to control bowel movements, or;
  • an increased number of bowel movements.

The bowel changes listed above are a natural effect of blocking fat and indicate that orlistat is working. They generally occur early in treatment, particularly after meals containing higher amounts of fat than are recommended. These symptoms are usually temporary and lessen or disappear as you continue treatment and keep to your recommended diet of meals containing 30% fat.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect orlistat?

donot Do not take orlistat without first talking to your doctor if you are taking any of the following medicines:
  • cyclosporine (Neoral, Sandimmune), or
  • warfarin (Coumadin).

You may not be able to take orlistat, or you may require a dosage adjustment or special monitoring during your treatment if you are taking any of the medicines listed above.

Orlistat may decrease your body's absorption of some fat-soluble vitamins. To ensure adequate nutrition, your doctor may recommend taking a multivitamin that contains vitamins D, E, K, and beta-carotene. Take your vitamin supplement once a day, at least 2 hours before or after a dose of orlistat.

Drugs other than those listed here may also interact with orlistat. Talk to your doctor and pharmacist before taking or using any other prescription or over-the-counter medicines including vitamins, minerals, and herbal products.

Where can I get more information?

Your pharmacist has more information about orlistat written for health professionals that you may read.

What does my medication look like?

Orlistat is available with a prescription under the brand name Xenical. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

  • Xenical 120 mg-dark-blue, hard-gelatin capsules


Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.


برچسب‌ها:
What is obesity?

What is obesity?

Obesity is an ongoing disease, not a cosmetic problem. It means that you have excess body fat that is putting your health at risk.

Having too much body fat affects you in many ways. It influences how you look and feel. But it also is linked to many health problems, including type 2 diabetes, heart disease, high blood pressure, arthritis, sleep apnea, and stroke.

Although obesity is a complicated disease, there are many ways to treat it. Work with your doctor and other health professionals to find a treatment plan that works best for you.

How do I know if I am obese?

People who have a body mass index (BMI) of 30 or higher are considered obese. The body mass index compares your height and weight. Along with your waist size, it is used to check whether your weight increases your risk for disease. The higher your BMI is, the greater your risk for disease is.

Use this interactive tool to check your body mass index:

Interactive Tool: Weight and Health Risks

Where you carry your body fat may be as important as how many extra pounds you have. People who carry too much fat around the middle, rather than the hips, are more likely to have weight-related health problems. In women, a waist size of 35 or more inches increases the chance for disease. In men, a waist size of 40 inches or more increases risk. 1

What causes obesity?

When you take in more calories than you burn off, you gain weight. How you eat, how active you are, and other things affect how your body uses calories and whether you gain weight.

Family: If your family members are obese, you may have a genetic tendency to gain weight. But genetics alone do not determine your weight. Your family also influences diet and lifestyle habits that can lead to obesity.

Environment: Our busy lifestyles make it harder to plan and cook nutritious meals. It is easier to reach for prepared foods, go out to eat, or go to the drive-through. But these foods are often high-fat and high-calorie. Portion sizes are often too large. One fast-food or restaurant meal can contain all of the calories you need for an entire day. And work schedules, long commutes, and other commitments cut into the time people can schedule for physical activity.

I've tried diets, but I always gain the weight back. What can I do?

Most people regain weight when they stop dieting and return to how they ate before. After many cycles of this, it is easy to become frustrated and to give up and maybe even turn to food for emotional comfort.

Diets are hard to maintain and are often counterproductive. Extremely low-calorie diets and restrictive eating patterns are very hard to stick with for a long time. Without making permanent lifestyle changes to achieve the right balance of calories and activity, most people cannot keep weight off. The key is to make balanced and realistic choices that work for you.

Make a plan for change. Work with your doctor to develop a reasonable plan for change. Ask family members and friends for help in sticking with your plan.

Ask your doctor to recommend a dietitian to help with meal planning and ideas for finding filling, low-calorie foods that you enjoy. For more information, see the topic Healthy Eating.

Do not focus on a particular diet; focus on lifestyle changes to improve your health and achieve the right balance of energy and calories. To lose weight, you need to consistently burn more calories than you take in.

Research shows that people who keep track of what they eat and drink each day are more successful at losing weight. Start a food journal, and record everything you eat and drink. Pay attention to portion sizes, and use a calorie counter to check calories. You can find a calorie counter at a bookstore or online (see http://www.caloriecontrol.org, http://www.nutritiondata.com, or http://www.calorieking.com). People often convince themselves that they don't overeat. Documenting your daily food intake can be eye-opening.

As you keep track of calories, look at whether you skip meals, when you eat, how often you eat out, and how many fruits and vegetables you eat. This will help you identify patterns that you may want to change.

You may want to write down the amount of physical activity you've had each day and compare the calories you've burned to those you've taken in. Use this interactive tool to see how many calories you burn through daily activities and exercise.

Interactive Tool: Calories Burned

Focus on health, not diets. A lifestyle of healthy eating and regular physical activity will improve your health and quality of life, no matter what you weigh. For more information, see the topic Healthy Weight.

How can I stick with all the changes?

Losing weight and maintaining your new healthier weight is hard. Moving from a lifestyle that has led to obesity to one that promotes weight loss and better health can seem monumental. To make such significant changes in your life, you have to be ready. Make sure this is the right time for you. Are you ready to make a plan and stick to it? Do you have the support of your family and friends? Have you talked with your doctor, and do you know what your first steps will be?

If you are ready, start by making small changes one step at a time. Anything you can do today that was healthier than yesterday is a step in the right direction. Don't expect immediate results, and try not to get discouraged.

Base your success on setting and meeting small daily goals. Eat an extra piece of fruit, walk 10 minutes more, or add more vegetables to meals.

Think about a time that you were successful in making a change, and remember what motivated you. Try to draw on a similar motivation. Experiencing success, no matter how small, is important. And each time you meet one of your goals, set another one.

Can I take medicines or have surgery?

Because the causes of obesity are complex, there is no single cure or quick fix. Neither surgery nor medicines alone will work. For most people, a significant lifestyle change is also needed.

Before your doctor will prescribe medicines or surgery for weight loss, he or she will probably want you to work on diet and lifestyle changes for at least 6 months. Even if your doctor gives you medicines or recommends surgery, you will need to stick with these changes permanently.

  • Medicines: The medicines used most often for obesity work in two ways. Sibutramine (Meridia) works on the part of your brain that makes you feel full after a meal. Taking this medicine should make you feel fuller sooner. Orlistat (Xenical) blocks some of the fat that the body absorbs from food.
  • Surgery: Your doctor may recommend surgery if your BMI is 40 or above or if it is 35 or above and you have diabetes or another serious weight-related problem. Surgery has risks, is expensive, and may not be covered by insurance. However, for some severely obese people, it can be a lifesaving option and a very effective way to lose weight.

Even if you have surgery, you will need to make lifestyle changes, especially in how you eat. Surgery makes your stomach smaller and forces you to eat less.

Because you can only eat very small amounts of food after surgery, you may have problems getting enough nutrients from food. You will need to work with your doctor or a dietitian to avoid nutrition problems.


برچسب‌ها:
نقش ورزش در تنظيم وزن

نقش فعاليت بدني در تنظيم وزن

 دو نوع فعاليت بدني
• فعاليت هاي هوازي: به فعاليت هايي گفته مي شود كه ميزان ضربان قلب و تنفس را افزايش دهد.
• فعاليت قدرتي وانعطاف پذير: اين فعاليت ها مي تواند باعث حفظ استحكام استخوان ها شود. اين ورزش ها وزن بدن را تحمل مي نمايد مانند يوگا، حركات موزون،
* بخشي از فعاليت هاي بدني روزمره:
• پياده روي
• دوچرخه سواري
• شنا با ورزش هاي آبي هوازي
• بدمينتون
• بسكتبال
• حركات موزون
• شركت در انجام كارهاي منزل
• استفاده از پله بجاي آسانسور
* مزاياي فعاليت بدني منظم
- كمك به ساخت و حفظ استخوان ها، ماهيچه ها و مفاصل
- كنترل وزن بدن
- كاهش عوامل خطرساز بيماري هاي قلبي، ديابت نوع دوم و برخي سرطان ها مانند سرطان كولون كمك به كنترل فشار خون و كاهش افسردگي و اضطراب.
* فعاليت بدني و تغذيه
فعاليت بدني و تغذيه در كنار هم براي سلامت كامل لازم است. به عنوان نمونه فعاليت بدني مقدار كالري مصرفي شما را افزايش مي دهد. ورزش رسيدن به وزن مطلوب و از دست دادن وزن اضافي را آسان تر مي نمايد. ممكن است براي كاهش وزن يا برقراري و نگهداشتن وزن در حد ايده آل 30 دقيقه ورزش كافي نباشد.
فعاليت بدني و تغذيه با هم به رويش هاي مختلف براي كنترل وزن بكار مي روند.
افزايش نياز به انرژي ناشي از ورزشي به شما اين امكان را مي دهد كه غذاي بيشتري مصرف نماييد كه خود اين مسئله باعث مي شود مواد مغذي مورد نياز بيشتر به بدن برسد.
* چگونه به فرزندان خود كمك نماييم تا فعال باشند؟
كودكان نيز مي توانند از مزاياي فعاليت هاي بدني به روش هاي مختلف سود ببرند. حداقل 60 دقيقه فعاليت بدني روزانه مي تواند مفيد واقع شود.
* والدين مي توانند:
• الگوي مناسب براي فرزندان شوند به عنوان مثال: هر كدام از اعضاي خانواده در فعاليت هاي دسته جمعي شركت نموده و فرزندان را نيز شركت دهند.
• فرزندان خود را تشويق نمايند تا در منزل و مدرسه پرتحرك باشند و با دوستان خود بازي كنند.
• بازي هاي كامپيوتري و تماشاي تلويزيون و ديگر بازي هاي غيرفعال را محدود نمايند.
* فعاليت هاي فيزيكي براي كودكان
- روزانه 1 ساعت فعاليت هاي زير را انجام دهيد:
- طناب بازي
- دوچرخه سواري
- پياده روي
- بازي هاي توأم با دو در مدرسه
- شركت در برنامه هاي ورزشي خارج از مدرسه
 با رعايت يك الگوي غذايي صحيح و فعاليت بدني مناسب مي توان به وزن مطلوب رسيد.


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