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"Why are you here again? This is the third time this week, right?" Dr. Li looked at the 56-year-old Ms. Zhang in front of him, with a bit of helplessness and concern on his face.
Ms. Zhang is an optimistic primary school teacher who is usually busy with work but has a very regular life, insisting on getting up early and running in the morning every day, and regular yoga time in the evening.
Her life seems to be full of energy, with every rhythm so precise, but lately her face has gradually turned pale and her fatigue has become more and more intense. Her health problems began to bother her, and frequent visits to the hospital became her daily routine these days.
Dr. Li carefully reviewed Ms. Zhang's medical records, from the flawless initial physical examination to the current diagnosis of uremia, this series of changes is unbelievable. After detailed questioning and several re-examinations, Dr. Li found that although Ms. Zhang had a regular routine and exercised regularly, she ignored the warning signs sent by her body because of her excessive pursuit of certain things.
"Did you know that many people have a misconception that 'healthy' means exercising constantly and strictly controlling their diet. Dr. Li began to explain to Ms. Zhang, "But it is too much, for example, in your case, that excessive exercise and a high-protein diet have put a great burden on the kidneys. ”
In fact, in middle-aged people, chronic excessive exercise and a high-protein diet are a common cause of kidney function problems. The high-protein diet leads to an increase in the burden on the kidneys, thereby accelerating the process of kidney failure.
Although Ms. Zhang exercises regularly, she runs for more than an hour every morning at high intensity, and her evening yoga classes often last late into the night. Such an amount of exercise is obviously excessive for a middle-aged woman.
At the same time, in order to pursue health, her daily diet has a very high proportion of protein, and there is almost no enough carbohydrate and fat intake, which is a great challenge for the kidneys.
After hearing this, Ms. Zhang's face showed a thoughtful look. She did begin to realize that the so-called healthy life was not something that could be achieved once and for all by simply exercising and controlling your diet.
"So, how do we balance that?" Ms. Zhang asked, a big doubt in her mind.
"For middle-aged people like you, suitability, not coercion, is the main issue. For example, a daily range of aerobic exercise between 30 and 45 minutes and a moderate or slightly higher intensity can effectively promote cardiorespiratory fitness while reducing stress on the joints and kidneys. ”
"And when it comes to diet, a balanced diet and nutrients are key. You can reduce the consumption of animal protein and switch to plant-based protein, and the focus of the whole diet is on variety, balance, not excessive food in one group. ”
Excessive exercise and a single high-protein diet are prevalent in middle-aged and older people, often due to misunderstandings or one-sided interpretations of health information. It is recommended that middle-aged and elderly people should make a personalized health plan through reasonable lifestyle adjustments, especially under the guidance of doctors.
Ms. Zhang listened carefully, and a relieved expression gradually appeared on her face. She began to understand that healthy living is not an extreme choice of black and white, but a comprehensive process that involves many aspects and requires careful adjustment.
"I see, so how do I adjust my exercise and diet now to help my kidneys recover or at least not get worse?" Ms. Zhang asked, her most immediate and critical question about her condition.
"First of all, I recommend that you reduce the frequency and duration of your morning runs, to no more than 30 minutes three to four times a week, and reduce the speed and intensity of your running as appropriate.
Secondly, yoga in the evening can be reserved, but be careful not to overexert yourself and make sure you have enough time to rest. Dr. Li made specific suggestions, and at the same time, he took out Ms. Zhang's previous medical records from the folder, "Look here, your previous kidney function indicators show obvious signs of overburden, which are related to your excessive exercise and unbalanced diet. ”
Ms. Zhang nodded earnestly, understanding that this was a path that required sustained effort. Dr. Li's explanation is not only based on medical knowledge, but also close to life, which makes her feel that this change is feasible and necessary.
What do you think about the prevention of uremia?