How Do I Choose the Best Obesity Treatment Center?

Investigations in recent years show that the incidence of benign and malignant diseases caused by obesity has increased significantly in urban and rural populations that are rapidly becoming rich in China, such as: diabetes, hypertension, coronary heart disease, hyperlipidemia, fatty liver, gallbladder stones , Hyperuricemia, sleep apnea syndrome, depression, osteoarthropathy, lumbar disc herniation, esophageal reflux, irregular menstruation and infertility, breast cancer, colorectal cancer, pancreatic cancer, endometrial cancer, etc., As a result, more new medical and social problems have been brought about, which has obviously increased the economic burden on the country and families. At present, weight loss or diabetes surgery has been promoted in Europe, America and Asia, and has become an effective treatment option for morbid obesity and diabetes. It is worth mentioning that the comprehensive treatment model constructed by many disciplines such as nutrition, exercise, endocrine therapy, weight loss or diabetes surgery will become the best treatment option and safety guarantee for obesity and diabetes. Against this background, Peking Union Medical College Hospital organized experts from various disciplines to jointly complete "How to do 218 multidisciplinary comprehensive treatment of obesity", which covers endocrinology, nutrition, sports, general surgery, plastic surgery, obstetrics and gynecology, respiratory department, heart Department, orthopedics, psychology and nursing. "How to do 218 multidisciplinary comprehensive treatments for obesity" is one of the "Doctors' Answers" series. The book is rich in content and easy to understand. It hopes to provide useful reference for medical workers, obese people, relatives and friends. This book is edited by Doctors of Medicine Yu Jianchun, Yu Kang, and Zhu Huijuan.

How to do 218 multidisciplinary comprehensive treatment of obesity

Book title: How to do 218 multidisciplinary comprehensive treatment of obesity
Publishing house: China Union Medical College Press
Pages: 154 pages
Open: 16

Author: Yu Jianchun Yu Kang
Publication date: February 1, 2012
Language: Simplified Chinese
ISBN: 9787811366457, 7811366452

Definition and diagnosis of obesity 1. What is obesity?
2. Classification of obesity?
3. What is simple obesity?
4. What is secondary obesity?
5. What is the standard weight and ideal weight range?
6. How to determine a person's standard weight?
7. What are the criteria for judging obesity?
8. How to accurately measure weight?
9. What are the precautions for measuring weight?
10. How to evaluate body weight objectively and scientifically?
11. How to identify infant and child obesity early?
12. How to distinguish between normal puberty and obesity?
The health hazards of obesity 13. What is the incidence of obesity and its common complications?
14. Is there a relationship between obesity and cardiovascular disease?
15. What is the relationship between obesity and hypertension?
16. What is the relationship between obesity and dyslipidemia?
17. What is the relationship between obesity and coronary heart disease?
18. Does obesity directly affect the structure of the heart?
19. Does obesity affect heart function?
20. What are the warning signs of coronary heart disease in obese patients?
21. What is the relationship between obesity and fatty liver?
22. What is the relationship between obesity and diabetes?
23. Are obese people susceptible to cancer?
24. Is it true that obese patients snore well?
25. Is obese patient snoring obstructive sleep apnea?
26. What is the relationship between obesity and obstructive sleep apnea?
27. What are the dangers of obstructive sleep apnea in obese patients?
28. What symptoms of obese patients may be combined with obstructive sleep apnea?
29. How should an obese patient seek medical attention if he or she has obstructive sleep apnea?
30. What are the treatments for obesity combined with obstructive sleep apnea?
31. Are obese patients treated with obstructive sleep apnea?
32. Can weight loss treatment cure obstructive sleep apnea?
33. Why is it not easy for obese patients with obstructive sleep apnea to lose weight?
34. Will treating obstructive sleep apnea help to lose weight?
35. What is the difference between obesity hypoventilation syndrome and obstructive sleep apnea?
36. Are obesity hypopnea syndrome and obstructive sleep apnea patients with the same respiratory support treatment?
37. What harm is obesity to young children?
38. Does obesity affect growth and development?
39. Does obesity affect intellectual development?
40. Does childhood obesity and cardiovascular disease affect adulthood?
41. What are the adverse effects of childhood obesity on the lower limb bones and joints?
42. Why is knee valgus more common in obese children?
43. Why is there a greater proportion of obese children in children with ischemic necrosis of the femoral head?
44. Why are obese children prone to lumbar disc herniation?
45. Is weight loss just for beauty for women?
46. Does obesity affect women's menstruation?
47. Is there a relationship between obesity and infertility?
48. Which female cancers are associated with obesity?
49. What psychological problems are prone for obese women?
50. How can obese women get a harmonious sex life?
51. Why should obese women be screened for gestational diabetes after pregnancy?
52. Why should obese women be tested for gestational diabetes when necessary?
5B. What are the risks of obese pregnant women during pregnancy?
54. What kind of self-monitoring do obese pregnant women need during pregnancy?
55. How do obese pregnant women exercise during pregnancy?
56. What are the special conditions that need to be paid attention to during the treatment of obese pregnant women during the same period?
57. How do obese pregnant women choose delivery methods?
58. What should you pay attention to for postpartum rehabilitation of obese pregnant women?
59. Which orthopedic diseases are easy for obese patients?
60. Is osteoporosis related to obesity?
61. Why does obesity increase the risk of fractures?
62. Does obesity cause osteoarthritis?
63. Is there a relationship between obesity and femoral head necrosis?
64. What are the effects of obesity on spinal health?
65. Does obesity cause lumbar muscle strain?
66. Why can obesity cause low back pain?
67. Why are most patients with lumbar instability or spondylolisthesis obese?
68. Can lumbar spinal stenosis be caused by obesity?
69. Does obesity cause and aggravate cervical spondylosis?
70. What is the relationship between foot gangrene and obesity?
71. Is flat foot related to obesity?
72. Is obesity related to pain?
73. Are obese patients at increased risk for orthopedic surgery?
74. What is the relationship between obesity and deep vein thrombosis after orthopedic surgery?
75. What should I pay attention to after fracture in obese patients?
Causes and clinical manifestations of obesity 76. Will obesity be inherited?
77. Where is the "setting point" for obesity in the body?
78. What are the neuroendocrine diseases that cause obesity?
79. What are the causes of obesity in children?
80. What impact does social and environmental factors have on the occurrence of obesity?
81. What are the clinical manifestations of obesity?
Prevention of obesity 82. What should be paid attention to in preventing obesity?
83. When is the best time to prevent obesity?
84. How to prevent obesity in children?
85. How to prevent adolescent obesity?
86. How to prevent obesity after middle age?
Treatment of Obesity I. Nutrition and Exercise Therapy 87. How to take human cholesterol reasonably?
88. What are the main contents of the Dietary Guidelines for Chinese Residents?
89. What are the main contents of the "Balanced Diet Pagoda"?
90. What are the core contents of the dietary guide for Chinese residents?
91. What is the relationship between energy metabolism and obesity?
92. Why do you say "fat comes from the mouth"?
93. What is the relationship between bad lifestyle and obesity?
94. "Drinking cold water will grow meat", right?
95. What is the relationship between drinking and obesity?
96. What are the essential items for dieters?
97. What are the basic principles of a weight loss diet?
98. What are the main points of dieting?
99. What should be paid attention to during dieting?
100. What is the relationship between weight loss and drinking water?
101. What is the relationship between weight loss and tea drinking?
102. What is the relationship between weight loss and alcohol consumption?
103. What is the relationship between early and weight loss?
104. What is the relationship between eating sugar and losing weight?
105. How do obese patients choose food?
106. What is the relationship between vegetables and fruits and weight loss?
107. What is the relationship between winter melon and weight loss?
108. What is the relationship between potatoes and weight loss?
109. What is the relationship between sweet potatoes and weight loss?
110. Can I lose weight by eating fruit alone?
111. What is the role of dietary fiber in weight loss?
112. Which foods are high in dietary fiber?
113. The relationship between the number of meals and weight loss?
114. Chew slowly and lose weight?
115. How to scientifically eliminate hunger?
116. How to control the speed of weight loss?
117. How to cultivate good eating habits?
118. Do I need to add nutrients during weight loss?
119. What is the "full hunger weight loss method"?
120. What are the common reasons why dieting is easy to fail?
121. Why is it easy to "rebound" by dieting alone?
122. How do fat puppies reasonably lose weight?
123. How can a woman lose weight reasonably?
124. How to practice postpartum weight loss exercises?
125. What does reasonable exercise mean for weight loss?
126. What are the benefits of reasonable exercise?
127. How many weight loss exercises can be divided into?
128. How to choose the right exercise for obesity?
129. What are aerobic and anaerobic exercises?
130. What are the benefits of aerobic exercise?
131. How to master quantity and degree in weight loss exercise?
132. How should exercise intensity be measured during weight loss exercises?
133. What is the energy consumption of common activities?
134. How should children exercise to lose weight?
135. What should the middle-aged people pay attention to when exercising to lose weight?
136. What should I pay attention to when exercising for the elderly obese?
137. What should be paid attention to in obese patients with diabetes?
138. Under what circumstances can obese patients with diabetes not or should not exercise weight loss?
139. What should I pay attention to when exercising for obese patients with hypertension and coronary heart disease?
140. How can obese patients reduce the risk of cardiovascular diseases?
141. Why can aerobic exercise reduce the incidence of cardiovascular disease in obese patients?
142. At what time of day is the most suitable for weight loss exercise?
143. Can housework replace exercise?
144. Why is swimming the best weight loss exercise?
145. How to lose weight in water?
146. Which weight loss effect is better for walking and running?
147. Is skipping effective for weight loss?
148. Does sit-ups reduce belly fat?
149. How to practice leg exercises?
150. What are the requirements for weight loss exercise?
151. What are the common reasons for poor exercise weight loss?
152. Do muscles fat fat if they suddenly stop exercising?
153.Why does it cause irregular menstruation after a lot of exercise?
154. What is behavior therapy during weight loss treatment?
155. In the process of losing weight and maintaining weight, what behavioral treatment techniques will be thrown away?
156. How to set the right goals at the beginning of weight loss treatment?
157. In the process of weight loss treatment, how to understand "one hundred percent, one hundred percent"?
158. How to self-monitor diet and exercise during weight loss treatment?
159. How to reward yourself during weight loss treatment?
160. How to manage stress during weight loss?
161. In the process of weight loss, how to manage "high-risk places" and stimuli so as to avoid a series of chain reactions?
162. How can I get "satisfaction information" during eating?
163. In the process of losing weight, how to use the problem-solving method?
164. How to manage emergencies during weight loss?
165. How to perform cognitive reconstruction during weight loss?
Second, drug treatment 166. How to treat weight loss health products on the market?
167. What are the commonly used weight loss drugs?
168. What are the side effects of weight loss drugs?
169. What should pay attention to drug weight loss?
III. Surgical treatment 170. What is the need for a multidisciplinary comprehensive treatment of obesity?
171. Indications for bariatric surgery in Chinese obese patients?
192. What are the methods of weight loss surgery for obesity?
193. Why should we adopt laparoscopic surgery for weight loss surgery?
194. How to choose the right bariatric surgery method?
195. What is the preoperative procedure for obese patients?
196. What preparations should be made before bariatric surgery?
197. Why should we prepare mentally before weight loss surgery?
198. What are the routine preoperative examinations for menopausal patients?
179. Why do obese patients have to undergo sleep breathing tests before surgery?
180. Do patients with obstructive sleep apnea or obese hypoventilation syndrome need respiratory support before and after surgical bariatric surgery?
181. Is adjustable gastric band surgery a mature surgical technique?
i82. What is the principle of adjustable gastric band surgery for weight loss?
183. When can I be discharged after an adjustable gastric band operation?
184. How effective is the weight reduction effect of adjustable gastric band surgery?
185. How to adjust the adjustable gastric band after surgery?
186. What are the common complications of adjustable gastric band surgery?
187. How to follow up with adjustable gastric band surgery?
188. What does the follow-up content of adjustable gastric band surgery mainly include?
189. What is the status and common complications of gastric bypass surgery?
190. What are the common complications of gastric bypass surgery?
191. How effective is the weight loss of gastric bypass surgery?
192. What are the main postoperative management during hospitalization after bariatric surgery?
193. What are the factors that affect the effectiveness of bariatric surgery?
194. Why is it important to get support from family and friends before, during and after weight loss surgery?
195. What can obese patients do to achieve better results after surgery?
196. Is liposuction a bariatric surgery?
197. What are the effects of bariatric surgery on digestion and absorption?
198. What are the principles of nutrition treatment after weight loss surgery?
199. What are the main points of nutrition management after weight loss surgery?
Fourth, other comprehensive treatment 200. How to create a good weight loss environment?
201. What are the more popular weight loss methods in the world?
202. How to seek social support in the process of losing weight?
203. What is binge eating disorder? What are its treatment principles?
204. What kind of exercise can obese people avoid or reduce osteoarthritis?
205. How do obese patients protect weight-bearing joints?
206. What kind of fitness method is suitable for obese people?
207. What orthopedic diseases can cause or aggravate during weight loss?
208. How can obese people prevent bone and joint degeneration?
209. Can weight loss improve osteoarthritis?
210. What should obese people pay attention to after artificial joint replacement?
211. How does obese patients perform spinal health care?
212. What should obese people pay attention to after spinal surgery?
213. Why do we still need plastic surgery after weight loss?
214. What are the aspects of plastic surgery after obesity and weight loss surgery?
215. Can I choose liposuction after weight loss surgery?
216. When do you choose plastic surgery after obesity weight loss surgery?
217. Are there scars in plastic surgery?
218. How many plastic surgery is needed after obesity weight loss surgery?

Some people equate obesity with weight. In fact, these two terms are meaningfully different. Generally speaking, obese people must be heavier, but heavier people are not necessarily obese. Sometimes weight is caused by thick bones, muscular muscles, or edema. This weight is not obesity. So what does obesity mean? Obesity is a condition caused by excessive accumulation of body fat, especially triglycerides (triacylglycerols). Usually due to excessive food intake or changes in body metabolism, excessive fat accumulation in the body results in excessive weight gain and causes changes in human pathology and physiology.
2. Classification of obesity?
According to the different causes of obesity, obesity can be divided into two categories: simple obesity and secondary obesity. Simple obesity is a type of obesity for which no obvious cause can be found. It can also be referred to as primary obesity in medicine, which may be related to factors such as genetics, diet and exercise habits. The so-called secondary obesity refers to obesity caused by other health problems, that is, secondary obesity can be investigated for a cause. Secondary obesity accounts for only 1% of obesity. According to the causes of obesity, secondary obesity can be divided into hypothalamic obesity, pituitary obesity, hypothyroidism, obesity caused by Cushing's syndrome, hypogonadism, and other obesity. Caused by pituitary, thyroid, adrenal and gonadal diseases.
According to the distribution of fat in different parts of the body, obesity can be divided into two types: abdominal obesity and hip obesity. Abdominal obesity is also known as centripetal obesity (the clinical specification name is central obesity), male obesity, visceral obesity, and apple obesity. This type of human fat is mainly deposited under the abdomen and in the abdominal cavity, and the limbs are relatively thin . Buttock obesity fat is mainly deposited on the buttocks and legs, also known as non-centric obesity, female obesity or pear-shaped obesity. The risk of complications for abdominal obesity is much greater than for hip obesity. Some studies have reported that the risk of diabetes in obese people is 3.7 times that of ordinary people, and women with abdominal obesity have a 10.3 times higher chance of developing diabetes than ordinary women! Of course, compared with non-obese people, there is still a serious harm to the hip type, but it is only slightly smaller than the abdominal type. It should be noted that the above nomenclature cannot be taken literally. For example, "male obesity" is not the patent of male compatriots, and many women have obesity. In other words, women can also have "male obesity."
3. What is simple obesity?
Simple obesity refers to obesity that is not due to other diseases or medical reasons, but simply due to excessive energy intake and too little consumption. It is a special disease different from secondary obesity. Of course, many scholars believe that people with simple obesity actually have a certain disease or functional disorder, but there is still no diagnostic method or basis for it. More than 99% of all obesity is simple obesity. The exact pathogenesis of this type of obesity is not very clear. It is relatively certain that any factor that causes more energy than energy consumption can cause simple obesity. These factors include age, eating, physical activity, psychosocial factors, genetic factors, and adipose tissue characteristics.
The main cause of pathological changes in simple obesity is the increase in the number and volume of fat cells. This increase in volume is the result of accumulation of lipid droplets in the cells. So according to pathological changes, simple obesity is divided into two categories: proliferative obesity and hypertrophic obesity. Proliferative obese fat cells not only become larger in size, but also the number of fat cells has increased; hypertrophic obese fat cells have only increased in size, but the number has not changed much. In addition, according to the age of onset, obesity can be divided into juvenile onset, adolescent onset and adult onset. Among them, childhood onset obesity is proliferative obesity, and the number of fat cells in children is difficult to reduce throughout life. Therefore, some people find that children who are very fat before the age of 2 are prone to gain weight for life and have difficulty losing weight. 80% of children with onset of obesity in childhood still gain weight until adulthood. Adolescent-onset obesity is mostly hypertrophic obesity. They have a large number of fat cells and a large volume, which means that their fat cells are both long and long. The difficulty of losing weight is between young children and adults. Adult onset obesity is mostly hypertrophic obesity. In theory, weight loss is relatively easy. There are also a number of adults with proliferative obesity.
4. What is secondary obesity?
Secondary obesity means that the obese person also has another disease, and obesity is caused by this disease. Sometimes when the primary disease is cured, the weight of secondary obesity is also significantly reduced. Secondary obesity is less than 1% of all obese people. The main types are: neuroendocrine obesity, genetic syndrome with obesity, and iatrogenic obesity.
Neuroendocrine obesity, which is a type of obesity caused by the neuroendocrine system, is actually the result of endocrine diseases. The diseases that cause adult endocrine obesity are mainly hypercortisolism and hypothyroidism. In children, endocrine obesity is mainly caused by hypothalamic diseases, such as tumors in the thalamus. There is also a kind of disease called insulinoma that occurs in the pancreas of middle-aged men. The patient has a tumor in the pancreas that keeps secreting insulin. This makes these patients often under hypoglycemia and has to frequently and in large quantities. Eating food, which can cause obesity. Some early diabetic patients have the same situation. They have hyperinsulinemia in their bodies, always feel hungry, have to eat more and cause obesity. These belong to neuroendocrine obesity.
Genetic syndrome with obesity: often accompanied by other clinical manifestations, for unknown reasons, usually described as XX syndrome. Some syndromes can be accompanied by obesity, such as muscle tone, mental retardation-hypogonadism-obesity syndrome (Prader-wiIJi syndrome) and retinitis-hypogonadism-multi-finger syndrome (Laurence-Moon-Biedl syndrome Symptoms), patients with the above diseases often suffer from obesity.
Iatrogenic obesity means that some patients' obesity is not caused by certain diseases or simple obesity, but is caused by taking certain drugs. This kind of obesity is generally called iatrogenic obesity. Drugs that can cause iatrogenic obesity include glucocorticoids (cortisone, hydrocortisone, and dexamethasone), phenothiazines, tricyclic antidepressants, insulin, and the like. In addition, if craniocerebral injury to the hypothalamus can also cause obesity. Because the cause of iatrogenic obesity is clear, some people attribute iatrogenic obesity to secondary obesity. In general, for an obese person, we should first exclude secondary obesity, and exclude diseases that may be hidden behind the obesity. P1-4

With the acceleration of China's modernization process and economic take-off, people's living standards are increasing, lifestyle changes are increasing, obesity patients are gradually increasing, and they are showing a rapid growth trend, resulting in changes in the disease spectrum.
Investigations in recent years show that the incidence of benign and malignant diseases caused by obesity has increased significantly in urban and rural populations that are rapidly becoming rich in China, such as: diabetes, hypertension, coronary heart disease, hyperlipidemia, fatty liver, gallbladder stones , Hyperuricemia, sleep apnea syndrome, depression, osteoarthropathy, lumbar disc herniation, esophageal reflux, irregular menstruation and infertility, breast cancer, colorectal cancer, pancreatic cancer, endometrial cancer, etc., As a result, more new medical and social problems have been brought about, which has obviously increased the economic burden on the country and families.
At present, weight loss or diabetes surgery has been promoted in Europe, America and Asia, and has become an effective treatment option for morbid obesity and diabetes. It is worth mentioning that the comprehensive treatment model constructed by many disciplines such as nutrition, exercise, endocrine therapy, weight loss or diabetes surgery will become the best treatment option and safety guarantee for obesity and diabetes.
Against this background, Peking Union Medical College Hospital organized experts from various disciplines to jointly complete "How to do 218 multidisciplinary comprehensive treatment of obesity", which covers endocrinology, nutrition, sports, general surgery, plastic surgery, obstetrics and gynecology, respiratory department, heart Department, orthopedics, psychology and nursing. This book is one of the "Doctors' Answers" series. The book is rich in content and easy to understand. It hopes to provide useful references for the majority of medical workers, obese people, and relatives and friends.
President of Peking Union Medical College Hospital Academician of Chinese Academy of Sciences Chairman of the Chinese Medical Association Surgery Branch December 2011

How Do I Choose the Best Obesity Treatment Center?

How to do 218 multidisciplinary comprehensive treatment of obesity

IN OTHER LANGUAGES

RELATED ARTICLES

How can we help?