Obesity.

Written by Luo Juan
Endocrinology
Updated on March 30, 2025
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Obesity is a metabolic disease that occurs when the caloric intake of the human body exceeds the calories burned. The surplus calories are stored in the body as fat. When the amount of accumulated fat exceeds the normal physiological needs and reaches a certain level, it develops into obesity. Therefore, obesity is the manifestation of excess calories stored as fat in the body. There are many methods to assess obesity, with the Body Mass Index (BMI) being one of the most common. The formula for calculating BMI is weight divided by height squared. In China, a BMI of 28 or greater is generally considered obese.

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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.

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Written by Luo Juan
Endocrinology
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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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Written by Tang Zhuo
Endocrinology
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Causes of Obesity

Obesity, also known as adiposis, is a chronic metabolic disease caused by excessive accumulation or abnormal distribution of fat in the body. It results from the interaction of multiple factors including genetic and environmental factors that cause fat accumulation. Primary obesity, also known as simple obesity, is the most common type and is mainly caused by poor dietary habits, such as excessive food intake, particularly excessive fats, and a sedentary lifestyle. There is also secondary obesity, which is generally caused by diseases of the endocrine system. Hormonal treatments for allergic diseases and rheumatic diseases can also lead to secondary obesity.

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Written by Zhang Jun Jun
Endocrinology
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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 Li Lang Bo
Endocrinology
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What department do you see for obesity?

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.