Can obesity get pregnant?

Written by Yang Li
Endocrinology
Updated on September 05, 2024
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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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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.

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Written by Tang Zhuo
Endocrinology
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Obesity can cause which diseases

Firstly, obesity, also known as adiposity, is a chronic metabolic disease caused by excessive accumulation or abnormal distribution of body fat. Diseases closely related to obesity include cardiovascular diseases, hypertension, diabetes, etc. Complications of obesity also include sleep apnea syndrome, venous thrombosis, and others. Moreover, the occurrence of malignant tumors increases with obesity, as prolonged obesity can lead to skin folds that are prone to abrasions and subsequent fungal or purulent infections.

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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.

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Written by Luo Juan
Endocrinology
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The causes of obesity

Obesity can be classified into primary and secondary obesity according to its causes. Primary obesity, also known as simple obesity, is the most common type among various forms of obesity. It is mainly caused by poor dietary habits such as overeating, especially excessive intake of fatty foods, and a sedentary lifestyle, rather than being secondary to other diseases. Secondary obesity, on the other hand, is often due to diseases of the hypothalamic-pituitary axis, hypercortisolism, hypofunction of the thyroid or gonads, insulinomas, and other diseases. Secondary obesity is mainly due to diseases, and it can show some symptoms of the underlying disease.

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Written by Zhang Jun Jun
Endocrinology
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Obesity is a disease.

Obesity is related to an excessive accumulation of fat in the body, or abnormal distribution of fat, leading to weight gain. The causes include environmental factors, genetic factors, and other elements interacting to trigger this metabolic disease. Nowadays, dietary patterns have resulted in an increasing population of overweight and obese individuals. Therefore, it is crucial to understand the causes of obesity. If it is a case of simple obesity, it can be managed through diet and exercise. If it is pathological obesity, such as Cushing's syndrome, this type of obesity primarily causes abdominal obesity, thin limbs, abdominal purple streaks, and may also include increased facial acne. In such cases, medical or even surgical interventions might be necessary.