Obesity is classified as a disease.

Written by Luo Juan
Endocrinology
Updated on October 30, 2024
00:00
00:00

Obesity is a clinical syndrome characterized by a body mass index (BMI) exceeding normal levels. Generally, obesity with an unclear cause is called simple obesity, or primary obesity, while obesity with a known cause is called secondary obesity. In China, the standards for BMI are as follows: a normal BMI is below 24 kg/m². Being overweight is defined as having a BMI greater than 24 kg/m², mild obesity is greater than 26 kg/m², moderate obesity is greater than 28 kg/m², and severe obesity is greater than 30 kg/m². Therefore, obesity is a metabolic clinical syndrome.

Other Voices

doctor image
home-news-image
Written by Li Lang Bo
Endocrinology
1min 27sec home-news-image

Causes of Obesity

In the medical field, obesity is categorized into two types: primary (simple) obesity and secondary obesity. Primary obesity occurs without any other physical diseases and is solely due to irregular lifestyle, unscientific eating habits, and lack of exercise, leading to weight gain. This type can be managed with lifestyle adjustments and proper dietary guidance to reduce weight. Secondary obesity, which is less common, often involves endocrine disorders such as Cushing's syndrome. This condition can arise from issues with the pituitary or adrenal glands, or other parts of the body such as tumors, leading to excessive secretion of cortisol. This in turn causes redistribution of body fat, leading to characteristic signs like moon face, buffalo hump, and accumulation of subcutaneous fat which are manifestations of obesity. Additionally, conditions like hypothyroidism can lead to myxedema, contributing to obesity, as well as drug-induced obesity. Examples include patients with nephrotic syndrome or lupus who experience weight gain from prolonged use of corticosteroids. Therefore, the causes are diverse and require differential diagnosis by a specialist based on the individual's condition.

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

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.

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 Zhao Xin Lan
Endocrinology
38sec home-news-image

What should people with obesity eat?

Patients with obesity, due to excessive caloric intake, experience accumulation of fat in the body, leading to overweight. Obesity can cause many dangers, such as diabetes, hyperlipidemia, hypertension, etc., so it is important to control your diet. The correct way for diabetic patients to eat is to avoid high-calorie, high-fat foods, such as fat-rich animal products and animal viscera, avoid high-calorie sugary drinks and high-sugar fruits, and try to eat low-calorie, high-fiber vegetables.

doctor image
home-news-image
Written by Tang Zhuo
Endocrinology
1min 14sec home-news-image

What causes obesity?

Obesity, also known as adiposis, is a chronic metabolic disease caused by excessive accumulation of fat in the body or abnormal distribution of fat. The causes of obesity are numerous and complex. The exact cause is not clear, but it is believed to include a variety of factors such as genetics and environment, which interact with each other. From the perspective of genetic factors, the probability of developing obesity significantly increases. The second factor, the environment, mainly includes diet and physical activity. Long periods of sitting or lack of sports, and insufficient physical activity can lead to reduced energy expenditure. Poor dietary habits, such as overeating, a preference for sweets or greasy foods, can easily lead to obesity. Thirdly, it can be due to some genetic abnormalities. Fourth, obesity in childhood is also more likely to progress to adult obesity, with more than 50% of individuals who are obese after the age of six developing obesity in adulthood.