Dean interview| joint weight loss team, 3 + N mode to help patients accurate weight loss

With the change of residents' lifestyle and the acceleration of population aging, the number of obese people has increased significantly, and it has shown a trend of increasing year by year. At the same time, the number of diabetics in the mainland is also large. Statistics show that the prevalence of diabetes among adults in mainland China has reached 11.6%, and the number of patients has reached 130 million.

As we all know, obesity and diabetes are closely related, the two often coexist, and the harm to important organs such as the heart, brain and kidneys shows an effect of 1+1>2. Many patients said, "I also know that the harm is very great, but it is difficult to lose weight, and diabetes is even more difficult to treat!" "How to control obesity and diabetes correctly and effectively?" And listen to Professor Chen Yanming, vice president of the Third Affiliated Hospital of Sun Yat-sen University and professor of the Department of Endocrinology.

Professor Chen Yanming, Vice President of the Third Affiliated Hospital of Sun Yat-sen University and Department of Endocrinology

Obesity and diabetes, harm 1+1>2

The prevalence of diabetes among adults in mainland China is 11.6%, of which 60%-70% are obese. Obesity and diabetes, like "twin sisters", often coexist and are extremely harmful to health.

Professor Chen Yanming introduced that when obesity and diabetes coexist, the impact on important organs such as the heart, brain and kidneys will have an effect of 1+1>2. Obesity works synergistically with other metabolic abnormalities present in diabetes and can further exacerbate the occurrence of chronic complications in patients with type 2 diabetes. Obesity is an independent risk factor for diabetic kidney disease and can lead to the exacerbation of chronic kidney disease. Weight loss is beneficial to reduce proteinuria in patients with chronic kidney disease and delay the process of renal function decline. Type 2 diabetes mellitus combined with obesity increases the risk of cardiovascular and cerebrovascular diseases. Obesity and diabetes both affect reproductive function, and the combination of the two evils can make the patient's reproductive ability "worse".

"The most frightening thing is that many obese patients do not know that they have diabetes, but simply think that it is an image problem, resulting in diabetes has been invisible to attack health." Professor Chen Yanming introduced that many obese patients have come to see the doctor for the first time and do not know whether they have high blood sugar or diabetes. Of the 250 patients counted last year, 63 percent had abnormalities in glucose metabolism. "Therefore, for obese patients, we recommend that a glucose tolerance test (OGTT) be done to screen for glucose metabolism and give standardized diagnostic treatment."

Joint weight loss clinic was opened, and the 3+N mode was used to accurately reduce weight

"Although the harm of diabetes and obesity is extremely great, in fact, both are completely preventable and controllable, and can be improved through a healthy lifestyle, and the key is to have correct cognition." Professor Chen Yanming said that many citizens are not aware of this, so the task of science popularization still has a long way to go. "We also attach great importance to the hospital level, led by the department of endocrinology, integrating the advantages of nutrition, rehabilitation, psychiatry, traditional Chinese medicine acupuncture and gastrointestinal surgery, etc., to set up a joint weight loss clinic, using the 3 + N model to develop a scientific, reasonable and safe personalized weight loss program for patients." Patients can enjoy consultations with eight specialists with a single number. ”

Chen Yanming introduced that "3" refers to diet, exercise and psychological intervention, which are the most important intervention methods. On the basis of these three methods, then choose drug treatment, Chinese medicine acupuncture, or surgery, which is "N".

When mr. Lin (pseudonym) 47 years old found Chen Yanming, the body mass index (BMI) was as high as 40, suffering from diabetes, hypertension, hyperlipidemia and sleep apnea syndrome, unable to work normally and live, the joint weight loss clinic after comprehensive consideration of his situation, gave him a sleeve gastrectomy, after 14 days of recovery, Mr. Lin's weight at the time of discharge has been reduced by 23 pounds compared with when he was admitted to the hospital, blood pressure, blood sugar, blood lipids, etc. have also been controlled, the effect is very significant. "In fact, the best effect should be in three months to six months, but the follow-up follow-up of patients is also very important."

Professor Chen Yanming introduced that in the two years since the joint weight loss clinic was opened, thousands of severely obese patients have been treated, the overall efficiency has reached 80%, and the weight of patients has decreased by an average of 10% to 15% on the basis of the original.

Special reminder: Teenagers should pay more attention to obesity

"The treatment of obesity should start from the doll, and obesity before the age of 7 will affect the happiness of the second half of life." Obesity increases the burden on the body and causes a variety of chronic diseases. Professor Chen Yanming said that in the eyes of some people, fat, or not fat, is only a matter of beauty or not. But in fact, obesity is a disease, it can be cured. It is reported that the BMI of normal healthy adults should be between 18.5 and 23.9; if the BMI is greater than 24, but less than 28, it belongs to the fat body type, and may only see the small belly; if the BMI exceeds 28, it is obesity and must be actively intervened.

Clinical findings, now more and more small fat mounds, understanding and finding that many of the obesity of adolescents are related to the parenting style of parents, excessive spoiling, laissez-faire, mental illness, etc. will lead to obesity, which should arouse the great attention of parents.

"As long as you change your living habits, the child's metabolic indicators can be well controlled, and even reversed, and the effect is much more obvious than that of adults, which also surprises us." On the contrary, those adult patients, how you treat, it is difficult to reverse, which is also a very important research direction for us in the future. Professor Chen Yanming reminded that the so-called change of living habits is mainly to pay attention to several "laws" - work and rest must be regular, eating should be regular, and sleeping should be regular.

"There is a prominent problem that many young people now hold mobile phones all day long, shopping online, doing live broadcasts... Do not sleep at night, make up for sleep during the day, do not eat breakfast, the whole work and rest are reversed, endocrine hormones are naturally very disordered, resulting in metabolic abnormalities, weight will be inflated like blowing balloons, and even psychological disorders will occur. Some people have psychological disorders, but also rely on eating to comfort themselves, which is caught in a vicious circle, want to lose weight is impossible. Professor Chen Yanming said that this situation must be managed through a professional team, without the guidance of a professional team, they are blindly reduced, not only can not lose weight, but also will bring a series of new problems such as anorexia and malnutrition.

"In the next step, we must increase the publicity of science popularization, and vigorously popularize science through the way that everyone likes to hear, so that everyone can truly recognize the harm of obesity and benefit from obesity as soon as possible." Professor Chen Yanming said.

Text/Zhang Qingmei

(Information)