China's adult residents are overweight, the obesity rate is more than 50% What should I do if I have not lost weight after meal replacement, liposuction, acupuncture and moxibustion?

Obesity has been recognized by the World Health Organization as one of the top ten chronic diseases. According to the data released by the "Report on the Nutrition and Chronic Disease Status of Chinese Residents (2020)", the overweight and obesity rate of adult residents in China exceeds 50%. Among them, nearly 20% of children and adolescents from 6 years old to 17 years old, and 10% of children under 6 years old. Diabetes, hypertension, cardiovascular diseases and other diseases caused by overweight and obesity are increasing year by year, and showing a trend of rejuvenation.

On May 11th, China Obesity Prevention and Control Day, the Weight Loss and Metabolism Diagnosis and Treatment Center of Zhejiang Provincial People's Hospital held a return visit exchange meeting for bariatric surgeons, and the team of weight reduction experts and some "fat friends" who underwent bariatric surgery gathered together to share postoperative weight management experience.

Yangyang, who is 173 centimeters tall and weighs more than 200 pounds at the height of his weight, tells a story of ups and downs in the scene.

Before the exchange meeting, Yang Yang asked Professor Wang Zhifei about postoperative questions

Yangyang is in his 30s and is a northerner. Unlike many people who have lost weight, she graduated in clinical medicine, worked as a doctor for a year, and opened a beauty salon in Hangzhou a few years ago as an independently practicing beautician.

"I started worrying about being fat when I was 19 years old." Yang Yang recalled that in that year, two consecutive fractures of her hands and feet, her activity suddenly decreased, but the diet continued as usual, and people gradually bulged like balloons, soaring from 108 kilograms to more than 200 kilograms.

"Because of my medical background, when I choose the way to lose weight, I am naturally not easily confused by the bad products on the market, but it is also a mixture of sadness and joy, and there are many difficulties." YangYang told reporters that she tried to try various ways to lose weight, diet pills, meal replacements, valley breaking, exercise, acupuncture, massage, dieting... Each time it was from success to rebound, and her mood was like a roller coaster.

Later, she was "obsessed" with liposuction, and invested more than 300,000 yuan in several years, and the abdominal fat did decrease as desired, but the weight was "unmoving", only 6 pounds lighter.

"Liposuction surgery is mainly a means of body shaping, not a means of weight loss and weight loss." A familiar doctor made her decide to take a different path and take the last "road".

Half a year ago, Yang Yang, who weighed nearly 190 kilograms, came to Zhejiang Provincial People's Hospital and found Professor Wang Zhifei of the Weight Loss and Metabolism Diagnosis and Treatment Center for stomach incision surgery. After the operation, YangYang was much more relaxed, did not need the ascetics to eat harshly, and lost more than 30 pounds of weight in half a year.

For the current weight of about 150 pounds, Yangyang is quite satisfied. "However, it would be better if it could be more than 10 pounds lighter." She laughed.

Professor Wang Zhifei said that stomach incision surgery does not mean that you can sit back and relax, or you need to pay attention to diet and moderate exercise to achieve the ideal weight.

"Obesity not only affects physical beauty, but also causes a variety of complications." Professor Wang Zhifei introduced that the data show that the incidence of complicated cerebral embolism and heart failure in obese people is twice as high as that of normal weight patients, 2 times more coronary heart disease than normal weight, 2 to 6 times more hypertensive than normal weight, 4 times higher than normal people with diabetes mellitus, and 4 to 6 times higher than normal people with cholelithiasis.

He said that the most important thing in weight management is to limit diet, reduce carbohydrate intake, and adhere to aerobic exercise more than 3 times a week, with more than 45 minutes of aerobic exercise time per time.

Obese people who have failed various weight loss methods can consider bariatric surgery. Surgery is performed by partial removal or diversion of the stomach, and effective weight loss and obesity complications by changing gastrointestinal hormones, restricting food intake, remodeling central nervous system regulation, and improving fat inflammation. However, bariatric surgery has strict indications and requires a professional doctor to judge whether it can be performed.