obesity
Introduction
Introduction Obesity refers to a certain degree of overweight and a thick layer of fat, which is a state caused by excessive accumulation of body fat, especially triglycerides. Excessive accumulation of fat in the body due to excessive food intake or changes in body metabolism causes excessive weight gain and causes pathological, physiological changes or latency in the human body. Evaluation criteria: obesity = (actual weight - standard weight) ÷ standard body weight × ± 100%. Weight loss methods include: enema weight loss method, osmotic weight loss method, sauna weight loss method, milk powder weight loss method, skipping rope weight loss method, Pu'er tea weight loss method, and the like.
Cause
Cause
Genetic factor
Most of them are identified as multi-factor inheritance. When parents' physique is passed on to children, it is not a genetic factor, but a variety of genetic factors to determine the child's constitution, so it is called multi-factor inheritance, such as non-insulin-dependent diabetes, obesity. It belongs to this kind of inheritance. One of the parents is obese, and the child has a 40% chance of obesity. If both parents are obese, the chance of the child becoming obese increases to 70% to 80%.
2. Factors of social environment
Many people have the idea that they can eat and be blessed. In today's society, there are many kinds of foods, and all kinds of foods are often tempting you. Adding a big meal has almost become a kind of universal entertainment, which of course becomes obesity. main reason.
3. Psychological factors
In order to relieve the emotional troubles and emotional instability, many people also use food to vent. This is the cause of obesity caused by overeating.
4. Sports related factors
Exercise helps to consume fat. In daily life, with the development of transportation, the mechanization of work, and the reduction of household chores, the body has less chance of consuming calories. On the other hand, because the energy intake is not reduced, it forms. obesity. The daily activities are slower and lazy, and the calorie consumption is reduced again, leading to a vicious circle and contributing to the occurrence of obesity.
Examine
an examination
Related inspection
Determination of serum phospholipid urinary C peptide by very low density lipoprotein-cholesterol growth hormone serum high sensitivity CRP
Laboratory tests for obese patients are mainly for the exclusion of secondary obesity secondary to other diseases and examination of obesity-related diseases. Cushing's syndrome can be excluded by cortisol rhythm combined with low-dose dexamethasone suppression test, and thyroid function tests can help to eliminate hypothyroidism. MRI helps to detect obesity due to central lesions in the hypothalamus. The 3-hour glucose tolerance test helps to determine the glucose tolerance status of obese patients. Blood lipids, liver and kidney function, gonadal axis function, respiratory sleep monitoring, cardiac function evaluation, liver and vascular ultrasonography are helpful in screening for complications associated with obesity. Fatty liver, respiratory sleep apnea hypopnea syndrome and atherosclerosis.
Diagnosis
Differential diagnosis
Fertilization and thinness assessment
Obesity can be calculated with standard weight.
Obesity = (actual weight - standard weight) ÷ standard body weight × ± 100%.
The degree of obesity is within ±10%, which is called normal moderate.
Obesity is more than 10% and is called overweight.
Obesity is more than 20%-30%, which is called mild obesity.
Obesity is more than 30%-50% and is called moderate obesity.
Obesity is more than 50%, and it is called severe obesity.
Obesity is less than 10%, which is called lean.
Obesity is less than 20%, which is called weight loss.
