If left unintermediated, obesity may shorten life expectancy, and weight loss treatment makes fat friends "healthy and thin"

In modern society, there are many people who want to lose weight, some for beauty, some for health, after all, after the big belly and defecation, a series of cardiovascular and cerebrovascular diseases such as "three highs" (hypertension, high blood lipids, and high blood sugar) will come to the door, and they will bury a "time bomb" for health.

Being too fat is not a good thing, and being too thin can also affect your health. As the saying goes, it is difficult to buy old and thin, making people feel older, thinner, and longer. This is actually a relative concept, which is to remind the elderly: maintain a healthy posture, not too fat, but also not too thin. Too light weight, relatively poor digestive function, the ability to absorb nutrients is also poor, not only easy to cause malnutrition, but also immunity will decline, people are more likely to get sick.

Between fat and thin, the way of balance, fat has fat troubles, thin has thin problems, two popular science to relieve one or two.

Due to the great abundance of material conditions, nowadays, there are more and more "bucket waists" and "generals' bellies", and the distress caused by them is deeply troubled by them. In the past, we often thought that being fat was a blessing, but the harm of obesity was actually very serious. When it comes to diseases that shorten life expectancy, most people will naturally think of cancer, heart disease, and obesity and its metabolic diseases such as diabetes, hyperlipidemia, hypertension and other diseases are more harmful than them. U.S. research has found that obesity could shorten the average American life expectancy by 2-5 years within 50 years without vigorous measures.

In our country, the situation is not optimistic. The survey shows that the incidence of obesity in China has reached 7.1%, of which 13.9% in local areas, and the obese population has reached nearly 100 million. Considering the grim situation, May 11 was designated as "China Obesity Prevention Day". The harmonic sound of "5.11" is "I want 1", and the last "1" word represents "slim", which is colloquially "I want to be thin". This undoubtedly shouts out the voice of the majority of obese patients.

Obesity in Chinese has its own characteristics, manifested by the increase in abdominal circumference exceeding the rate of weight gain. At present Chinese waistline has grown faster than the United States, the United Kingdom and Australia, becoming the "world's highest". BMI (Body Mass Index) is currently the accepted measure of whether a person is fat or not. The index is calculated by: BMI = weight (kg) ÷ height (meters) squared. The obesity standard set by the World Health Organization is a BMI greater than 30. But under the same BMI, the fat content of yellow people is higher than that of Europeans and Americans, even if it does not look so fat, it is actually likely to have exceeded the standard. "Mold" is small, belly is large, there are many hazards, is the main feature of Chinese obesity, if the BMI exceeds 28, it means that you have become a member of the team of obese people in China.

Excessive obesity often induces hyperglycemia, hypertension, hyperlipidemia, sleep apnea syndrome and other metabolic diseases occur together or successively, greatly endangering the survival and quality of life of patients, when the body mass index exceeds 40 or more, it will significantly shorten life, and even some patients will cause sudden death due to obesity-induced cardiopulmonary failure, and the weight exceeds 50% of normal weight, and the risk of early death is twice that of normal people.

"Fat friends", what to do? Behavioral interventions, often recommended, are often heard by the public as "keep your mouth shut and open your legs", which is well understood, that is, to control the amount of intake and increase consumption. Of course, this is for the average "fat friend", for the "super fat" level of friends, behavioral intervention basically does not work.

For obesity, especially severely obese patients with metabolic diseases, dieting, exercise, acupuncture and other methods have limited efficacy and are easy to rebound. Some people also try various folk remedies and earthworks for this purpose, but in fact, there are many dangers.

Don't be discouraged, there is still a way. With the rapid development of minimally invasive surgical technology, laparoscopic bariatric surgery has been very mature, it is through several small incisions of about 1 cm to complete the surgical operation, in the obvious reduction of surgical trauma at the same time, significantly improve the cosmetic effect, due to small trauma, low surgical complications and fast recovery and exact efficacy, has now become the gold standard for excessive obesity weight loss treatment, the number of implementations jumped sharply, only in the United States a year of this type of surgery has more than 250,000 cases.

In August 2007, the American Society of Metabolic and Obesity Surgery officially declared that bariatric surgery is the most sustainable and effective method for treating severe obesity and related metabolic diseases. Weight loss metabolic surgery has been increasingly accepted by the majority of "fat friends". Foreign survey studies have shown that the risk of accidents in which pathological obesity is not treated is 9 times higher than that of surgical treatment. Therefore, actively treat, choose the program that suits you, and embrace a new life with a healthy mindset.

Author: Gu Yan Yang Jianjun (General Surgeon of the Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Gu Yan as Chief Physician and Professor, Yang Jianjun as Deputy Chief Physician)

Edit: Wang Xing