Obesity weight loss methods

Written by Tang Zhuo
Endocrinology
Updated on September 13, 2024
00:00
00:00

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.

Other Voices

doctor image
home-news-image
Written by Luo Juan
Endocrinology
51sec home-news-image

Can people with obesity eat pork?

Obesity can include pork in the diet, but it is important to limit the amount consumed. A primary method in managing obesity is to restrict calorie intake. Generally, this involves adopting a diet that is low in calories or fat, with fat content less than 25%, regular physical exercise, monitoring food portions and physical activity, and keeping an eye on weight. Generally, it's essential to reduce energy intake by consuming low-calorie or very low-calorie diets, and eating lean meats and poultry, as these foods also have a higher proportion of protein but lower fat content. Therefore, those with obesity can consume pork, but it is advisable to focus on lean cuts to minimize fat intake.

doctor image
home-news-image
Written by Luo Juan
Endocrinology
1min 28sec home-news-image

Can obesity be treated?

Obesity is treatable. Generally, the treatment of obesity mainly includes several aspects: First, dietary intervention; second, increased physical activity; third, correcting bad behavioral habits; some cases may require medication and surgery. Dietary treatment mainly involves reducing calorie intake and recommending a low-sugar diet. Physical exercise generally requires three to five days of activity per week, with 30-40 minutes each day being appropriate. It also includes correcting some poor dietary habits and enhancing self-monitoring, including records of food intake and daily physical activity. Medication treatment is an option for individuals with a body mass index (BMI) of 30 or higher, or a BMI of 27 or higher who also have obesity-related comorbidities. This treatment can be combined with exercise and dietary behavioral corrections. Furthermore, for those with a BMI of 40 or higher, or a BMI between 35-39.9 with one or more severe obesity-related complications such as hypertension, heart failure, type 2 diabetes, or sleep apnea, surgical treatment may be considered.

doctor image
home-news-image
Written by Yang Li
Endocrinology
48sec home-news-image

Surgical treatment of obesity

Surgical treatment for obesity is applicable under certain conditions. This requires the obesity to reach a specific level, defined by indicators such as a BMI of over 35, and in the absence of severe diabetes or complications associated with diabetes. Considering surgical interventions for weight loss, these primarily involve bariatric surgeries like gastric bypass or gastroenterostomy which reduce food intake and absorption, thereby decreasing calorie absorption to achieve weight loss. While the effects of surgical weight loss are generally quite good, it can lead to some long-term postoperative complications, so careful consideration is required.

doctor image
home-news-image
Written by Luo Juan
Endocrinology
1min 45sec home-news-image

symptoms of obesity

Regarding the symptoms of obesity, they vary with the type of disease. For example, in secondary cases, there are clinical manifestations of the primary disease. For instance, obesity caused by hypothyroidism may also present with fatigue, poor appetite, dry skin, etc. Some people have obesity due to insulinoma or recurrent hypoglycemia, leading to repeated eating. The clinical manifestations also include symptoms of hypoglycemia such as palpitations, trembling hands, sweating, and a sense of hunger. If it is a case of simple obesity, generally, men primarily show an apple-shaped obesity, with fat accumulated mainly above the waist. In contrast, women exhibit a pear-shaped obesity, with fat accumulation below the waist, such as in the lower abdomen, buttocks, and thighs. Of course, related to obesity, there are also manifestations of cardiovascular diseases, high blood pressure, diabetes, etc. Some people with obesity may also experience sleep apnea syndrome, venous thrombosis, and so on. Studies suggest that the incidence of malignant tumors is also higher in patients with obesity. Because patients with long-term obesity carry excess weight for a long period, they may experience lower back pain, joint pain, swelling, and are more prone to abrasion or combined fungal or purulent infections in the folds of the skin. Therefore, the clinical manifestations of obesity vary according to the cause of the disease.

doctor image
home-news-image
Written by Tang Zhuo
Endocrinology
1min 59sec home-news-image

The Harms of Obesity

Mild to moderate primary obesity might not present with noticeable symptoms. However, individuals with severe obesity may experience heat intolerance, reduced physical activity capability, mild shortness of breath during activities, and snoring during sleep. The likelihood of developing coronary heart disease and hypertension is significantly higher in obese individuals compared to those who are not obese. Obesity leads to reduced lung capacity and decreased pulmonary compliance, which can cause various pulmonary functional abnormalities. For instance, obese hypoventilation syndrome, clinically characterized by sleepiness, obesity, and alveolar hypoventilation, often accompanies obstructive sleep apnea. Severe cases of obesity may lead to pulmonary heart syndrome. Obese individuals often experience metabolic disorders of lipids and carbohydrates; lipid metabolism disorders can lead to hypertriglyceridemia and hypercholesterolemia, while carbohydrate metabolism disorders are marked by glucose intolerance and diabetes. Moreover, obese individuals are more prone to arthritis, gout, and osteoporosis. Sexual dysfunction is common in obese individuals, with some obese men developing gynecomastia; obese girls tend to have an earlier onset of menstruation, while adult women with obesity often experience menstrual disorders, and in severe cases, amenorrhea. The incidence of polycystic ovary syndrome is also significantly higher in obese women compared to non-obese women.