Q: What are the causes and dangers of obesity? A: Obesity disease includes two types. One type is called simple obesity or acquired obesity, both accounting for 95% of the total number of obesity, and we commonly see this type of obesity. It is related to lifestyle (over-eating, too little physical activity, behavioral deviation, etc.), social and psychological factors. Another category is secondary obesity disease, accounting for about 5% of the total number of obese patients. It often appears in the development process of many kinds of endocrine and metabolic diseases, also can be caused by genetic quality, after trauma or taking drugs, treatment of such obesity should be aimed at dealing with the primary disease. Obesity is an increasingly globalized modern fashionable disease and often a manifestation of subhealth and even disease. If obesity is not effectively controlled, it will not only affect one’s image, life and career, but will eventually lead to many diseases such as fatty liver, hyperlipidemia, diabetes, cardiovascular and cerebrovascular diseases, etc. Q: What is the status of the weight loss market now? A: Along with the increase of people’s economic income, the change of consumption concept and the enhancement of health consciousness, more and more overweight men and women go into the weight loss team, and the weight loss market in China is growing by 20%-25% of sales per year, which has supported half of the health care market and the beauty industry, and more medical workers have also devoted themselves to the professional research and clinical treatment of obesity. But as consumers, most people’s awareness of the means of weight loss treatment for obesity disease is foggy and lacks proper guidance. People are often confused by the false and exaggerated propaganda of certain health care products, or blindly take certain prescription weight loss drugs, or go to beauty salons without medical qualification for certain medical means to lose weight (such as surgery, acupuncture, etc.), which have caused damage to the mind, body and economic interests of many consumers. In view of this, we feel it is necessary to help people raise their awareness from a medical perspective. Q: What are the principles and methods of weight loss treatment? A: Nowadays, weight loss treatment is mostly aimed at the first category of obesity, and the means are divided into: diet therapy, exercise therapy, drug therapy, surgery, Chinese medicine, etc. In addition, there are also applications of psychotherapy. In the above commonly used means, each has its own characteristics and requirements, there are also their own advantages and disadvantages, the majority of friends who want to lose weight should be aware of and correctly choose. All kinds of weight loss methods should be in line with the four weight loss principles of “no anorexia, no diarrhea, no fatigue, no addiction” as stipulated by the World Health Organization. In fact, most mildly obese or even moderately obese friends can achieve weight loss through diet therapy, exercise therapy, the key to have self-control and perseverance. Q: Is diet therapy is starvation? A: Diet therapy in the general sense refers to low-calorie weight loss meals based on a balanced diet, or the application of certain alternative foods. Blind starvation diet is dangerous, the daily intake of calories should not be less than 600 kcal, long-term or excessive low-calorie diet can be life-threatening, such as acid-base imbalance, electrolyte disorders, hyperuricemia, malnutrition, etc., resulting in cardiac arrhythmia or even sudden death, liver damage, gallstones, osteoporosis, gout, hair loss, memory loss, adolescent amenorrhea, infertility and many other complications. Therefore, under the guidance of doctors, we should adopt appropriate low-calorie recipes based on a balanced diet and according to our own weight and other physiological conditions, so as to meet the basic vital caloric needs while having an appropriate energy deficit, and timely testing is scientific. Several low-calorie recipes we have studied clinically are divided into two categories, 800-1200 kcal and 1200-1500 kcal, and are applied to different weight-loss friends with good practical results. Regarding alternative foods, mostly filled and expanded foods that can produce a sense of satiety in the human body without increasing calories are used. Common alternative foods on the market such as: Quik’s Weight Loss Crisp, Kuo’s Whole Nutrients, Yale Weight Loss Biscuits, Konjac St. Beauty Weight Loss Tablets, Weight Loss Sha Qi Jing, Melody Ozine Capsules, and Sili Beauty. When using such products, you should read the instructions carefully and pay attention to the fact that some should be combined with the consumption of other food ingredients to avoid malnutrition. Correction of eating behavior is equally important, such as the arrangement of three meals a day, scientific approach to eating, low oil and salt and low sugar, and moderation of alcohol consumption are also necessary for diet therapy. Q: How do I master exercise for weight loss? A: The ideal effective weight loss exercise should be aerobic endurance exercise, referred to as aerobic exercise, refers to the purpose of enhancing the body’s ability to inhale, transport and use oxygen. It is characterized by low intensity, rhythmic, uninterrupted and long duration. Specifically, the standard aerobic exercise should have the following: 1 comprehensive large muscle group activities; 2 can raise the heart rate to the effective heart rate range and maintain it for more than 20 minutes; 3 simple and easy, have fun, and can adhere to the exercise program throughout life; 4 less restricted by the occasion climate. Effective heart rate calculation: (220 C age) × 0.6 and (220 C age) × 0.8, such as 30-year-old people, its effective heart rate: (220 C 30) × 0.6 and (220 C 30) × 0.8 between, that is, 114 times / min ~ 152 times / min. There are many forms of aerobic exercise, such as walking, jogging, aerobics, yoga, swimming, cycling, jumping rope, climbing, some ball games, etc. As long as they meet the requirements, friends can choose their favorite kind of exercise. Theoretically, every 4500kcal consumed by exercise can reduce 1kg of body weight, but the actual difference is far. The appearance and maintenance of weight loss effect depends on various factors such as exercise intensity, time, frequency and nutritional supplement. Q: What are the weight loss drugs? A: Obesity medication is actually a controversial issue, first of all, medication cannot replace diet, exercise and correction of bad behavior, and weight loss medication has obvious adverse effects on health. So as a last resort, it is prudent to use chemical drugs. Nowadays, new weight loss drugs are emerging, which are divided into several categories according to their mechanism of action: appetite suppressants, metabolic enhancers, digestive and absorption blockers, insulin sensitizers, lipid-lowering drugs, etc. Appetite suppressants suppress appetite through central or non-central action, increase satiety and participate in fat metabolism, and can be divided into: 1, acting on catecholamines such as bupropion, phenylbutazone, bendroflavine, p-chlorphenbutazone, etc. 2, the role of 5-hydroxytryptamine diet pills are fenfluramine, dexfenfluramine, flutidine, etc., of which dexfenfluramine can lead to heart valve damage, most countries have banned. 3, while acting on 5-hydroxytryptamine and catecholamine weight loss drugs: morindole and sibutramine. Sibutramine (also known as trimethoprim, australia trimethoprim, can show, Tingli, Celestin, nomethoprim, etc.) is the first weight loss prescription drugs approved by the State Drug Administration in 2000. This class of drugs also has a dose-dependent. 4, leptin (Leptin) is a peptide hormone expressed by the obesity gene, through the role of the appetite center and suppress appetite, improve the body’s energy metabolic rate and achieve weight loss, known as the magic of weight loss substances, become a hot spot in the field of obesity and diabetes research in recent years, is currently in the research stage. Metabolic enhancers reduce weight by increasing the metabolic rate, mainly by promoting tissue oxidation and thermogenesis to burn energy. Common ones include: thyroxine, mixture of ephedrine and caffeine, growth hormone, etc. Some supplements blindly add certain such drugs, which are actually controversial and immature for weight loss. Digestive absorption blockers include edible fiber, Orestes, acarbose, sucralose polyesters, su-chlorocitrate and derivatives, etc. There are two representative ones. 1, lipase inhibitors: belong to the non-central action type of diet drugs, is a kind of inhibition of the active substance of pancreatic lipase in the intestine. This type of drugs are Orlistat (also known as orlistat, trade name Senicor) is a new non-central weight loss drug marketed in China in 2001. 2, a-glucosidase inhibitors: inhibition of the role of glucosidase, that can reduce the absorption of carbohydrates in the intestine. Currently the most researched is acarbose (Bygapine). Insulin sensitizers were originally used in the treatment of diabetes mellitus, such as metformin and phenelzine; thiazolidinedione derivatives troglitazone and tioglitazone, which have certain weight loss effects. At present, the most widely used lipid-lowering drugs are statins and fibrates. They mainly inhibit the production and action of certain enzymes in the liver to achieve the purpose of lowering lipids, so long-term application can appear the phenomenon of increased transaminases. In textbooks or various magazines and TV commercials, you can also see a variety of other lipid-lowering drugs, such as oatmeal, linoleic acid, rubber seed oil, silkworm chrysalis oil, evening primrose oil, sodium bisaccharide alginate and gibberellic acid tablets. The basic and clinical research data on these lipid-lowering drugs used for weight loss are relatively scarce, and the results are inconsistent and difficult to repeat. Their safety and actual efficacy are yet to be further verified. There are also some drugs such as diuretics, laxatives, ephedrine, etc. used for weight loss are already prohibited drugs, and the state has strictly ordered the addition of such drug ingredients to weight loss supplements. All the above-mentioned western drugs are prescription drugs and should not be taken arbitrarily for weight loss, but should follow the doctor’s advice, otherwise improper administration may cause serious side effects or even health hazards. Q: What are the surgical weight loss treatments? Is it safe? A: Surgical treatment is divided into liposuction treatment and abdominal wall revision surgery, gastrointestinal tract reconstruction, etc. Liposuction (referred to as liposuction) is a kind of cosmetic surgery that applies the principle of negative pressure suction or ultrasound to remove the fatty tissue accumulated under the skin through small skin incisions, which is widely carried out because of its simple operation, small trauma, less pain and obvious effect. Liposuction can be divided into local liposuction and whole-body liposuction, and there is no absolute contraindication, and all obese patients with normal function of important organs and no other serious diseases can be tried. Abdominal wall revision surgery is suitable for obese people with fat accumulation in the abdominal wall and accompanied by serious tissue relaxation and sagging. However, it is not suitable for unmarried young women or pending pregnancy, scarred patients with serious organic diseases, etc., and a series of preoperative examinations should be done. Gastrointestinal tract transformation surgery such as small intestine circuit method, gastric reduction surgery, etc., can be forced to reduce eating or digestion and absorption, in a relatively short period of time to achieve the purpose of slimming. However, the side effects are also greater such as malnutrition, post-operative complications, etc., and are not commonly used in China. Surgical treatment should be performed in strict medical institutions, and health care institutions are strictly prohibited from performing this treatment. Q: What are the mechanisms and treatments of Chinese medicine for weight loss? A: Traditional Chinese medicine, including traditional Chinese medicine, acupuncture and acupressure, is becoming more and more popular because of its good efficacy, safety and few side effects. Chinese medicine classifies dialectical simple obesity into stomach heat and spleen deficiency, dampness and turbidity, qi stagnation and phlegm obstruction, kidney essence deficiency and other evidence types, thus dialectical treatment. Because the Chinese medicine decoction is more cumbersome, there are more and more health products with Chinese medicine ingredients on the market, such as seven elimination pills, fat elimination beauty, light weight loss music, fat loss tablets, weight loss essence, evening primrose oil gel pills, etc. There are also many brands of weight loss tea such as oolong weight loss tea, Tianyan weight loss tea, big impression weight loss, tea Ning Hong new effect weight loss tea, Kang Ershou weight loss tea, more Jiao Li weight loss tea, etc.; there is also no shortage of topical natural There is also no shortage of topical creams and emulsions with natural herbal ingredients such as: Shanlana belly cream, evening primrose plant oil, Dabao weight loss cream, Knotts slimming cream, etc. When choosing these herbal products, you should read the instructions carefully, as they are suitable for different groups of people because of the need for dialectical treatment in Chinese medicine. Acupuncture is a popular way to lose weight, and is favored by urban white-collar workers, including acupuncture, electro-acupuncture, moxibustion, auricular acupuncture, mango acupuncture, buried thread and other methods. Research has confirmed that acupuncture treatment can adjust the body’s plant nerve function, affect the feeding center and digestive secretion, inhibit food intake, digestion and absorption; at the same time, it can break the vicious circle of metabolic and regulatory abnormalities, and achieve the regulation of the neuro-endocrine system At the same time, it can break the vicious circle of metabolism and regulation, realize the regulation of neuro-endocrine system, adjust the balance of metabolism of three major substances and water and salt metabolism. All this role determines its good, no side effects of weight loss efficacy. Massage therapy is a way that can be carried out in the health care industry and medical institutions, and is also very popular among friends, such as our common oil massage, fat pushing, acupuncture points, lymphatic detoxification, etc., for weight loss is safer and the effect is still ideal. Q: Can acupuncture weight loss be done in beauty salons? A: Acupuncture weight loss is an invasive medical activity, which must strictly follow the principles of Chinese medicine meridians, identify and select acupuncture points, and be effective according to the person. The national health department stipulates that it must be carried out in strict medical institutions, and the operator must have a special “Chinese medicine, acupuncture practitioner qualification”. Now some beauty salons without medical qualifications have long relied on “acupuncture for weight loss” to solicit business, using people without medical qualifications to stick needles in people. Illegal acupuncture and weight loss business can be divided into three levels: the unsettled wandering doctors, family clinics and beauty care institutions. The actual fact is that there are a lot of hidden dangers hidden in the small silver needles, if the holder of the needles in the selection of points and grasp the depth of the needle is difficult to put the “fire”, will cause endocrine disruption in women, the consequences are serious when the normal function of the female gynecological organs and liver, gallbladder and spleen damage, some relevant data show that hepatitis B, hepatitis C, AIDS, STDs, etc. can be transmitted through unclean The more you choose acupuncture for weight loss, the more you should choose a regular medical institution. Q: Is the faster the weight loss, the better the effect? A: In life, the vast majority of dieters want to lose weight as fast as possible, the more the better, the better, the best “one day to reduce into a thin”, which is why some health care institutions require dieters to use hunger therapy for quick results, otherwise they can not cater to customer requirements and fast profits. In fact, the safest rate of weight loss is 0.5 kg per week, that is, 2 kg of fat loss per month, because the weight of those who need to lose more than obesity, do not exceed the upper limit of 5 kg per month, otherwise the speed of weight loss will be too fast to cause various diseases. But because of the drive of the idea of quick success, so many obese people do not choose the hospital this should choose the territory to lose weight, but choose the “fast see thin” some health and beauty institutions.