Recalcitrant obesity is often the result of a variety of methods, including diet, exercise and medication, and still no significant weight loss.
Recalcitrant obesity because of congenital or acquired factors, resulting in patients with obesity, sodium and water retention, this type of body type and physique is generally directly related to the body’s genetic metabolism of the factors, in the role of genetic and environmental factors, this part of the population is relatively difficult to lose weight.
Patients with intractable obesity often have a particularly good appetite, and in the short term, through dietary control, combined with exercise therapy, there is a negative balance of energy, and the patient loses weight, but for a variety of reasons, it is difficult for the patient to adhere to long-term dietary control, and the weight can rebound. In the normal intake of the same calorie diet is more likely to hoard fat, this part of the patient to see whether there is a primary disease.
Cushing’s syndrome obesity manifested as a full moon face, buffalo back, limb fat is not much; pancreatic obesity due to excessive secretion of insulin, so that fat decomposition to reduce the synthesis of increased, manifested as generalized obesity; pituitary pathology leads to anterior pituitary secretion of excessive growth hormone, manifested as a generalized bone and visceral tissue hyperplasia and hypertrophy; hypothyroidism can cause obesity and mucus oedema and so on.
Therefore, persistent obesity needs to go to the hospital to find out the cause first, under the guidance of the doctor for the next diagnosis and treatment. Intractable obesity has a certain degree of harmfulness, easy to induce a variety of diseases, so it is recommended that patients need to actively seek treatment.