Obesity weight loss methods

Written by Tang Zhuo
Endocrinology
Updated on September 13, 2024
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The treatment of obesity involves two main components. One is reducing calorie intake and the other is increasing calorie consumption, mainly emphasizing a comprehensive treatment based primarily on diet and exercise.

Secondly, medications or surgical treatments can be utilized. In the case of secondary obesity, it is important to treat the underlying cause. So, what is behavioral therapy? It involves educating patients and their families about obesity and its risks, enabling them to cooperate with the treatment, adopt a healthy lifestyle, change dietary and exercise habits, and maintain these changes consciently in the long term as the foremost and most important measures in the treatment of obesity.

Thirdly, controlling diet and increasing physical activity are crucial. Individuals with mild obesity can control their total food intake with a low-calorie, low-fat diet. For those with moderate to severe obesity, total calorie intake should be strictly controlled, with women limited to 1200-1500 kcal per day and men to 1500-1800 kcal per day. Following this standard, a weight loss of 1-2 pounds per week can be achieved.

Furthermore, for severe obesity, medications can be used to reduce weight, which can then be maintained. If necessary, surgical procedures such as jejunoileal bypass or biliopancreatic diversion surgery can be considered.

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Can obesity get pregnant?

Obesity firstly needs to be differentiated, whether it is a type of physiological obesity or a pathological obesity, such as diseases of the growth gland, Cushing's syndrome, etc., which cause pathological obesity. In this case, some corresponding examinations are required for differentiation. If it is simple obesity, further tests for insulin resistance, blood glucose, blood lipids, and other metabolic indicators are necessary to determine if they are normal, as well as liver and kidney functions. If these conditions are all acceptable, pregnancy is possible. However, it is still important to monitor these indicators during pregnancy. Obesity is not an absolute contraindication for pregnancy, but of course, it is best to control the weight before getting pregnant.

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Can people with obesity do yoga?

Overall, individuals with obesity can still practice yoga, as obesity is a condition of nutritional excess and yoga is an aerobic exercise that can increase metabolic rate in the body, achieving a weight loss effect. However, there are many causes of obesity. Primarily, there is simple obesity, for which yoga can be helpful and can reduce body weight. If obesity is secondary, particularly induced by excessive use of steroids and conditions like Cushing's syndrome, yoga can be an appropriate form of exercise, but it is crucial to address the root cause. If the obesity is due to nodules on the adrenal gland, further surgical treatment might be necessary. Therefore, whether individuals with obesity can practice yoga also depends on their physical strength and other personal health conditions, including heart, liver, and kidney functions.

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Written by Luo Juan
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What department should I register for obesity?

For obesity, one should register for an appointment in the endocrinology department. Obesity is a chronic metabolic disease caused by excessive accumulation or abnormal distribution of body fat. Obesity often occurs due to a higher calorie intake than expenditure in the body, resulting in excessive fat accumulation and thus overweight and bulky physique. An actual weight measurement exceeding 20% of the standard weight, and a fat percentage exceeding 30% can be classified as obesity. In endocrinology, obesity is generally divided into primary and secondary types. Some secondary factors, such as hypothalamic-pituitary disorders, hypercortisolism, hypothyroidism, hypogonadism, insulinomas, etc., can cause secondary obesity, therefore, it is appropriate to consult the endocrinology department for obesity.

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What tests are needed for obesity?

Obesity is divided into simple obesity and secondary obesity. Simple obesity refers simply to being overweight without any other primary diseases. Secondary obesity requires examination of certain conditions, such as hypothyroidism, which can lead to obesity, thus necessitating thyroid function tests; or Cushing's syndrome, which involves increased body weight due to excessive corticosteroid hormones produced by various causes, necessitating an examination of the cortisol rhythm and sometimes a dexamethasone suppression test, magnetic resonance imaging (MRI) of the pituitary, and CT scan of the adrenal glands; also conditions such as depression or psychiatric illnesses that can lead to weight gain, requiring corresponding psychiatric scales, among others. In addition to these tests, it is also necessary to consider the patient's clinical symptoms and then conduct targeted examinations based on these symptoms.

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Will obesity be inherited?

The primary cause of simple obesity, where the reason for being overweight is unclear, is an energy intake that exceeds energy expenditure. There are also certain genetic factors involved. Generally, it is believed that susceptibility to obesity varies among human races, along with the presence of obesity genes and variations in genes related to obesity. Additionally, an individual’s metabolic type, appetite, digestive absorption functions, sleep quality, and metabolic efficiency form the basis for the development of simple obesity. Poor lifestyle habits, such as insufficient physical activity and excessive energy intake, are necessary conditions for its occurrence. Epidemiological surveys have shown that most people with simple obesity have a familial tendency towards the condition. Children born to obese parents are 5-8 times more likely to develop simple obesity than those born to parents who both have a normal weight. However, the majority of cases of simple obesity are not caused by obesity genes or mutations in genes related to obesity.