What department do you see for obesity?

Written by Li Lang Bo
Endocrinology
Updated on November 04, 2024
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The preferred specialty is endocrinology and metabolism because obesity itself is a metabolic disease. Besides the commonly known simple obesity, there is also a type called secondary obesity. The distinction between the two is that in simple obesity, the body does not suffer from any other disease; weight gain is merely caused by unscientific diet, irregular lifestyle, and lack of exercise, which can be resolved through some scientific methods.

Another type is called secondary obesity, such as a common disease in endocrinology called Cushing's syndrome. It is caused by a tumor or hyperplasia in the pituitary or adrenal glands, or other reasons that lead to an excessive secretion of cortisol in the blood, consequently causing a redistribution of body fat, leading to moon face, buffalo hump, and accumulation of subcutaneous fat in the abdomen.

Common in endocrinology, hypothyroidism can also lead to weight gain. This requires endocrinology specialists to diagnose and identify the specific condition in order to provide appropriate treatment.

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Written by Luo Han Ying
Endocrinology
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What department should obesity be treated in?

Obesity should be considered based on the specific situation. If the patient has uniform obesity, meaning that the limbs and torso are equally fat, then they should visit the nutrition department for guidance on dietary control, diet adjustments, and increased exercise. However, if the patient's obesity appears different, for example, if they have a very thick back, a larger belly, a red face, and acne, then I suggest they consult the endocrinology department because it might be related to Cushing's syndrome, which involves centripetal obesity.

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Written by Luo Juan
Endocrinology
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How is obesity treated?

Regarding the treatment of obesity, the cause of obesity must first be identified. For patients with simple obesity, the primary approach involves lifestyle interventions, including exercise and diet. The diet should involve a calculation of caloric intake based on activity levels, generally focusing on a low-calorie or very low-calorie intake. Additionally, it is recommended to engage in suitable aerobic exercises. Currently, there are products available such as fat enzyme inhibitors that reduce weight by inhibiting the absorption of fats in the intestines. Also, in the United States, GLP-1 agonists are available for the treatment of simple obesity. If obesity is caused by certain medical conditions, such as an endocrine disorder known as Cushing's syndrome, which can also lead to obesity, treatment should first address the primary disease, which would also resolve the obesity.

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Written by Tang Zhuo
Endocrinology
1min 29sec home-news-image

Obesity is formed in what way?

Obesity, also known as adiposity, is a chronic metabolic disorder caused by an excessive accumulation of fat in the body or abnormal fat distribution. The exact causes of obesity are not clear, but it is generally believed to be the result of the interaction of multiple factors including environmental and genetic factors. In terms of environmental factors, there is a tendency for obesity to cluster in families; individuals with one or both parents who are obese have a significantly increased likelihood of being obese themselves. The second factor is environmental influences. Consuming more calories than are expended is the primary cause of obesity. Additionally, sedentary lifestyles, lack of physical exercise, and insufficient physical activity all contribute to reduced energy expenditure, leading to obesity. Poor dietary habits, such as eating large portions, a preference for sweets, or oily foods, also increase calorie intake and contribute to the occurrence of obesity. Furthermore, genetic mutations can also lead to obesity. Another viewpoint suggests that childhood obesity can increase the incidence of adult obesity, with people who were obese after the age of six having a more than 50% chance of being obese in adulthood.

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Written by Li Lang Bo
Endocrinology
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What are the dietary restrictions for obesity?

If it's obesity, it means a body mass index (BMI) greater than 28. In terms of dietary restrictions for obesity, the general principles are low salt and low fat. First and foremost, intake of fats should be limited, including both the cooking oils and foods consumed. Preference should be given to vegetable oils, and consumption of animal fats should be minimized. Even with vegetable oils, there is a limit to how much should be used, as excessive amounts can also exceed health standards. Furthermore, one should eat less fast food and junk food, such as various fried foods or those containing excessive seasonings, and these foods should be consumed minimally. There are also "invisible" fats to consider, such as those found in nut snacks and various small packaged snacks like peanuts and fried beans, which are very high in calories and should be consumed less. Additionally, sugary drinks like iced tea and pear syrup drinks should be avoided. The overall principle is a low-calorie diet, avoiding high-calorie foods.

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Written by Li Lang Bo
Endocrinology
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Which department does obesity belong to?

Obesity is defined by calculating the Body Mass Index (BMI), where one's weight in kilograms is divided by their height in meters squared to obtain a numeric value. If the BMI is 28 or higher, it is defined as obesity. There are two types of obesity based on BMI excess: simple obesity and secondary obesity. Simple obesity occurs without any other internal medical conditions, purely due to weight gain. Secondary obesity may be due to other psychosomatic diseases that lead to an increase in BMI. Therefore, it is recommended to consult the endocrinology department for physical examinations and laboratory tests to determine whether the obesity is simple or secondary. Hence, a consultation in the endocrinology department is advised.