severe obesity
Introduction
Introduction When the body weight exceeds 50% of the standard weight, it is called severe obesity. Obesity, also known as obesity, is named "obesity" in English. At present, obesity has become a public health problem all over the world. The International Obesity Task Force (TOTF) pointed out that obesity will become the biggest killer threatening human health and life satisfaction in the new century. The harm of obesity to the human body: increase the risk of cardiovascular disease, obesity affects the function of the digestive system, obesity affects the function of the endocrine system, obesity increases the risk of cancer, in addition to joint soft tissue damage, reproductive decline and psychological disorders.
Cause
Cause
(1) Genetic and environmental factors.
(2) Changes in substance metabolism and endocrine function.
(3) Excessive energy intake and reduced consumption.
(4) Increase in the number of fat cells and hypertrophy.
(5) Neuropsychiatric factors.
(6) Living and eating habits.
Examine
an examination
Related inspection
Body mass index blood lipid test blood pressure creole index
Normal person weight calculation method:
1. Adult standard weight: (height cm-100cm) × 90% = standard weight (kg). When the body weight exceeds 10% of the standard weight, it is called overweight; 20% of the standard weight is called mild obesity; when it exceeds 30% of the standard weight, it is called moderate obesity; when it exceeds 50%, it is called severe obesity. .
2. Standard weight of children: (age × 2) + 8 = standard weight (kg). When the body weight exceeds 10% of the standard weight, it is called overweight; 20% of the standard weight is called mild obesity; when it exceeds 30% of the standard weight, it is called moderate obesity; when it exceeds 50%, it is called severe obesity. .
Diagnosis
Differential diagnosis
1. Simple obesity: It is the most common type of obesity, accounting for about 95% of obese people. In short, it is obesity caused by non-disease. These patients have a uniform distribution of systemic fat, no endocrine disruption, and no metabolic disorders, and their families often have a history of obesity. Simple obesity is divided into two types: constitutional obesity and overeating obesity.
2, physical obesity: both parents obesity, due to genetic and increased number of fat cells in the body, but also related to over-nutrition before the age of 25. The metabolism of these people is relatively slow, relatively low, and anabolism exceeds catabolism.
3, overeating obesity: also known as acquired obesity, is because people consciously or unconsciously overeating after adulthood, so that the intake of calories greatly exceeds the needs of body growth and activity, excess calories are converted into fat, promote fat cell hypertrophy With the increase in the number of cells, fat accumulates and causes obesity.
4. Secondary obesity: Unlike simple obesity, secondary obesity is obesity caused by disease. Recurrent obesity is a type of disease caused by endocrine disorders or metabolic disorders, accounting for about 2% to 5% of obese people. Although it also has the characteristics of excessive fat deposition in the body, it still has the clinical symptoms of primary diseases. For the main performance, obesity is only one of the important symptoms of this type of patient. These patients also have a variety of other clinical manifestations, mostly manifested as increased corticosteroids, hypothyroidism, hypogonadism and other diseases.
5, drug-induced obesity: this type of obese patients accounted for about 2% of obese patients. Some drugs are effective in treating certain diseases, as well as side effects that cause obesity in the body. For example, the use of adrenocortical drugs (such as dexamethasone) in the treatment of allergic diseases, rheumatism, rheumatoid diseases, asthma, etc., can also cause patients to form secondary obesity; estrogen and contraceptives containing estrogen sometimes It can make women fat, or it can easily make women fat.
Secondary obesity is divided into the following seven categories:
(a) hypothalamic obesity;
(2) Pituitary obesity;
(3) Cortisol (also known as Cushing's syndrome);
(4) Islet disease obesity;
(5) Hypothyroidism obesity;
(6) hypogonadal obesity;
(7) Drug-induced obesity.
