Seeing that the weather is getting hotter and hotter, the flesh on the body can't be hidden, hurry up and lose weight! Diet, a lot of exercise, and take all kinds of diet pills...... I believe that many people have tried these methods, or are in the process of trying them. The outcome was either successful weight loss with other symptoms, or a complete abandonment of failed weight loss, or a rebound after a brief success of weight loss.
In the obstetrics and gynecology clinic, it is not uncommon to see cases of reduced menstruation and amenorrhea after weight loss, and it was found that most girls pay more attention to the results of becoming "beautiful" in the process of losing weight, rather than the improvement of health quality due to weight loss. Today, I will talk to you about the gynecological problems that may be caused by paying too much attention to the slimming effect and losing weight too hard.
Gynecological diseases caused by improper throwing of meat
The following three ways to lose weight may bury hidden health risks for girls.
Excessive dieting Blood sugar supplies energy, and when it is insufficient, the brain receives signals of lack of energy, and many organs are unable to function properly. Fat is an important raw material for the synthesis of hormones in the body, and if you lose too much body fat too quickly, it will be difficult to maintain the normal secretion of estrogen, resulting in reduced menstruation and even amenorrhea.
After protein is converted into amino acids, it plays a role in renewal and repair, and once it is deficient, health problems such as wrinkled skin, dry hair, anemia, edema, menstrual disorders, and muscle loss can occur. It can be seen that any kind of nutrient is very important, when it is lacking for a long time, the body first ensures the nutritional support of the "primary" organs such as the heart, liver, and kidneys, and chooses to reduce or turn off the "secondary" physiological functions to maintain survival, such as menstruation.
Overload and heavy exercise Studies have shown that female athletes have a high proportion of amenorrhea. Because excessive exercise can cause hormone secretion imbalance, which can reduce or delay menstrual flow, or even amenorrhea. The American College of Sports Medicine defines the combination of eating disorders, amenorrhea, and osteoporosis in women who exercise regularly as the "female athlete triad".
Long-term consumption of various diet pills Many diet pills on the market are accompanied by some adverse reactions, which affect the endocrine system of women to varying degrees, and should not be used for a long time.
The absence of "aunt" may require estrogen supplementation
During weight loss, women often ignore menstrual changes and don't pay attention to them until amenorrhea occurs. When the weight is regained, menstruation will slowly return, but the recovery time varies from person to person, and it may take six months to a year, and some even longer.
So, you can lose weight quickly, but menstruation doesn't necessarily return to normal anytime soon. During the period when menstruation does not return to normal, estrogen and progesterone artificial cycle treatment is required to avoid atrophy of reproductive organs such as uterus and ovaries. If amenorrhea lasts for a long time, you should also pay attention to bone density and supplement calcium and vitamin D appropriately to prevent bone loss.
Fat or not, refer to these 3 indicators
According to the 2022 Expert Consensus on Obesity Prevention and Control of Chinese Residents, we can measure it through a series of evaluation indicators:
Body mass index (BMI) If the BMI is greater than 24 and less than 28, it is considered overweight, and if it is greater than or equal to 28, it is considered obese. This method is simple and easy to use, but it has limitations, for example, BMI does not distinguish between fat and muscle mass. Therefore, BMI is a measure of the overall degree of obesity in the body.
Waist circumference, waist-circumference-to-height ratio This indicator can indirectly determine whether there is central obesity. When measuring waist circumference, it is necessary to use a soft ruler to circumnavigate the abdomen horizontally for 1 week at the midpoint of the line connecting the highest point of the iliac crest and the lower border of the 12th rib under the condition of natural breathing. A men's waist circumference ≥ 90 cm, and a woman's waist circumference ≥ 85 cm is considered central obesity.
When calculating the waist-to-height ratio, the units of waist circumference and height should be consistent. At present, with 0.5 as the cut-off point, there is no risk of central obesity at 0.40-0.49, the risk of central obesity is increased at 0.50-0.59, and the risk of central obesity is increased at 0.60.
Body fat measurement and body fat percentage This method can screen for recessive obesity patients with a normal BMI. In general, the body fat content of normal adult men accounts for 15%-18% of body weight, and females 20%-25%.
You're still mistaken about weight loss
Many people still have some misunderstandings in weight loss, which leads to the "black" on the road to weight loss.
Just look at whether the scales fall off Many people who lose weight only pay attention to how many pounds of weight loss, but ignore the changes in the proportion of muscle, water, fat and other components in the body, "sarcopenic obesity" is a good example, proving that obesity and muscle loss can exist at the same time.
Expect short-term rapid weight loss It is important to know that short-term rapid weight loss is about water and muscle, and it is easy to have accompanying symptoms such as hair loss, menstrual disorders, and weakened immunity. For example, "weight-loss amenorrhea", which occurs when the weight is lost by more than 15% of the standard body weight, is becoming more common in young women.
Trying to get weight loss once and for all There is really no way to maintain the weight loss effect forever, only in a comfortable, simple and easy way.
Text: Wang Zhenna (Beijing Children's Hospital Shunyi Women's and Children's Hospital)
Tips:
Lose weight at a leisurely pace, don't exceed two pounds per week
Scientific weight loss methods can not only prevent menstrual disorders, but also maintain a healthy weight for a long time and avoid weight regain.
Establish a regular weight loss cycle, not abrupt and gradual, for example, do not lose more than 1 kg of weight per week, and achieve a negative balance of 500-1000 kcal on the basis of daily energy requirements, which can be achieved by adjusting diet and exercise. For obese patients, no more than 1.5 kg per week. After the weight loss standard is reached, it is still necessary to control the balance between calorie intake and exercise intensity to avoid rebound. Patients with obesity and polycystic ovary syndrome should also go to a specialist clinic for consultation based on their individual circumstances.
Teach you a few tricks to lose fat without losing muscle
Before losing weight, you must understand that weight loss is to lose fat, not muscle. Below, experts from the Beijing Center for Disease Control and Prevention will recommend four good ways to lose fat without losing muscle.
Calculate your total daily calorie intake If your BMI is between 18.5 and 23.9 (normal weight), you can use this formula: Total calories per day = ideal weight × calories per kilogram of body weight, ideal weight (kg) = height (cm) - 105. If you are overweight or obese, you need to consult your doctor to determine your daily energy needs.
Healthy Diet On the basis of a balanced diet, control the total amount of food eaten so that the total daily calorie intake is lower than the consumption. If you can do the following, you can make weight loss more effective with half the effort.
(1) The food is diverse.
(2) Eat a good breakfast every day and skip snacks and supper.
(3) Low-calorie, low-fat food.
(4) Eat with small utensils, chew slowly at each meal, slow down the speed of eating, and eat seven or eight minutes full at each meal.
(5) At least one meal a day is based on whole grains, such as whole grains for lunch or dinner.
(6) Eat food at a time. Eat dark green leafy vegetables every day, at least 2 kinds of vegetables in lunch and dinner, and ensure that you consume 300-500g of vegetables every day, and dark vegetables should account for half.
(7) High-quality protein is indispensable.
(8) Drink milk every day. Plain milk, yogurt with no added sugar, low-fat or skim milk, etc.
(9) Drink more boiled water, and less carbonated drinks, flavored drinks and other sugary drinks.
Eat Balance Make it a habit to measure your weight every morning. Do more physical work and physical exercise, do housework, walking, and various sports...... Choose your preferred exercise style to gradually lose weight to your normal standard weight.
Adequate sleep Studies have shown that the main cause of body weight gain is insufficient secretion of growth hormone in the body. Growth hormone is a natural hormone secreted by the human body, which mainly promotes the growth of bones and muscles, and also accelerates the burning of body fat. However, this hormone is only secreted during nighttime sleep, and is especially strong after 90 minutes of falling asleep.
In addition, when the human body sleeps, the body's functions tend to be sluggish, but the metabolic function continues, and the calories accumulated in the body can continue to burn. The younger and healthier a person is, the more active their cellular metabolism is, and of course the more energy they expend while sleeping.