Summary of treatment of obesity:
Obesity emphasis on behavior, diet, exercise as the main comprehensive treatment, supplemented by drugs or surgery if necessary. Control the total food intake, low calorie, low fat diet. Select weight loss drugs should be cautious. Application of drug treatment must adhere to weight loss diet and exercise therapy, or after stopping weight can rebound.
Detailed treatment of obesity:
Treatment:
(A) treatment principle
Treatment principles for reducing caloric intake and increase calorie consumption. Emphasis on behavior, diet, exercise as the main comprehensive treatment, supplemented by drugs or surgery if necessary.
(Ii) specific treatment method
1. Behavior Therapy
Through publicity and education so that patients and their families to have a correct understanding of the dangers of obesity and thus cooperate with treatment. Adopt a healthy lifestyle, changing diet and exercise habits, consciously adhere to long-term, it is the most important step in the treatment of obesity. While supporting the social, rational emotional therapy is also important.
2. diet therapy
Control the total food intake, low calorie, low fat diet. For obese patients daily energy intake should be less than the physiological requirements, to a certain extent the negative balance. Patients with low heat difficult to adhere to, and can cause weakness, hair loss, depression, or even arrhythmia, there is a certain risk. Diet is divided into low-calorie diet and very low calorie diet. Most daily diet means low heat 62 ~ 83kJ / kg body weight per day means a very low calorie diet <62kj 15="" 200g="" 20="" 25="" 500g="" 60="" 65="" a="" absorbing="" amount="" and="" appropriate="" avoid="" balanced="" calories="" carbohydrates="" chocolate="" complex="" convenience="" d="" diet="" dietary="" eat="" energy="" enough="" fast="" fat="" fiber="" fluid="" font="" food="" foods="" fresh="" fried="" fruit="" grain="" high="" in="" increase="" kg.="" less="" meet="" micronutrients.="" mixed="" non-food="" non-heat="" of="" protein="" provide="" quality="" ratio="" reasonable="" requires="" respectively="" right="" salt.="" satiety.="" snacks="" structure="" sweets="" the="" to="" total="" use="" vegetables="" vitamins="" with="">
3. exercise therapy
And the combination of dietary treatment, and long-term adherence, can make the prevention of obesity or weight loss in obese patients. About activity or exercise should vary, incremental approach. Activity or movement should be simple, combined with personal preferences. Exercise designed according to the following steps: calculation of daily life withered check → day → energy consumption to 10% of the total as a daily exercise → into concrete movement type and time → efficacy and reflect the adjustment.
4. The long-term weight loss drug treatment drug treatment may produce adverse drug reactions and drug resistance, and thus the choice of drug therapy indications must be very careful. Weight loss drugs are the following categories.
(1) Weight Loss Drugs: ① Sibutramine: central role of weight-loss drugs, the recommended dose is 10 ~ 30mg / d, usually every 5mg, 3 times a day, orally, for 3 to 6 months. Adverse reactions are nausea, insomnia, dry mouth, rhinitis, constipation, increased blood pressure and heart rate and so on. ② Orlistat: fat absorption inhibitor dosage is 120mg, 3 times a day, orally, taking early mild digestive side effects such as bloating, stool frequency increased, the fat will be like. Note that the application would not affect the absorption of fat-soluble vitamins.
(2) assist weight loss medication: metformin, α-glucosidase inhibitors (acarbose, Basen, etc.), metformin 1.5 ~ 2g / d, divided 2 to 3 times a day orally, acarbose each 50mg, meal when taking a meal should be carbohydrate-based.
(3) Other drugs: such as leptin, cholecystokinin, intestinal somatostatin, corticotropin releasing hormone, growth hormone, growth factors and opiate antagonist.
5. Surgical treatment
Indications of surgical treatment of obesity: ① patients were morbidly obese, BMI Chaoguo 40 kg / m2; ②BMI is 36 ~ 40 kg / m2, while severe obesity-related diseases; ③ severe obesity existence for at least five years for non-surgical those who can not make weight loss treatment; ④ no significant history of mental illness and alcoholism.
(C) the treatment Precautions
1. Select the weight loss drugs should be careful, pregnancy, lactation, unstable angina, uncontrolled hypertension, unstable systemic disease, psychosis and fear of food, should not use diet pills. Monoamine oxidase inhibitor Taboo diet pills Ng, not with the treatment of migraine, angle-closure glaucoma drugs, and - ring antidepressants and with the use of general anesthetic. Younger than 18 years old and more than 65 years of age should use caution.
2. The application of drug treatment must adhere to weight loss diet and exercise therapy, or after stopping weight can rebound.
3. found serious drug-related adverse events should be closely observed, promptly disabled.
Obesity emphasis on behavior, diet, exercise as the main comprehensive treatment, supplemented by drugs or surgery if necessary. Control the total food intake, low calorie, low fat diet. Select weight loss drugs should be cautious. Application of drug treatment must adhere to weight loss diet and exercise therapy, or after stopping weight can rebound.
Detailed treatment of obesity:
Treatment:
(A) treatment principle
Treatment principles for reducing caloric intake and increase calorie consumption. Emphasis on behavior, diet, exercise as the main comprehensive treatment, supplemented by drugs or surgery if necessary.
(Ii) specific treatment method
1. Behavior Therapy
Through publicity and education so that patients and their families to have a correct understanding of the dangers of obesity and thus cooperate with treatment. Adopt a healthy lifestyle, changing diet and exercise habits, consciously adhere to long-term, it is the most important step in the treatment of obesity. While supporting the social, rational emotional therapy is also important.
2. diet therapy
Control the total food intake, low calorie, low fat diet. For obese patients daily energy intake should be less than the physiological requirements, to a certain extent the negative balance. Patients with low heat difficult to adhere to, and can cause weakness, hair loss, depression, or even arrhythmia, there is a certain risk. Diet is divided into low-calorie diet and very low calorie diet. Most daily diet means low heat 62 ~ 83kJ / kg body weight per day means a very low calorie diet <62kj 15="" 200g="" 20="" 25="" 500g="" 60="" 65="" a="" absorbing="" amount="" and="" appropriate="" avoid="" balanced="" calories="" carbohydrates="" chocolate="" complex="" convenience="" d="" diet="" dietary="" eat="" energy="" enough="" fast="" fat="" fiber="" fluid="" font="" food="" foods="" fresh="" fried="" fruit="" grain="" high="" in="" increase="" kg.="" less="" meet="" micronutrients.="" mixed="" non-food="" non-heat="" of="" protein="" provide="" quality="" ratio="" reasonable="" requires="" respectively="" right="" salt.="" satiety.="" snacks="" structure="" sweets="" the="" to="" total="" use="" vegetables="" vitamins="" with="">
3. exercise therapy
And the combination of dietary treatment, and long-term adherence, can make the prevention of obesity or weight loss in obese patients. About activity or exercise should vary, incremental approach. Activity or movement should be simple, combined with personal preferences. Exercise designed according to the following steps: calculation of daily life withered check → day → energy consumption to 10% of the total as a daily exercise → into concrete movement type and time → efficacy and reflect the adjustment.
4. The long-term weight loss drug treatment drug treatment may produce adverse drug reactions and drug resistance, and thus the choice of drug therapy indications must be very careful. Weight loss drugs are the following categories.
(1) Weight Loss Drugs: ① Sibutramine: central role of weight-loss drugs, the recommended dose is 10 ~ 30mg / d, usually every 5mg, 3 times a day, orally, for 3 to 6 months. Adverse reactions are nausea, insomnia, dry mouth, rhinitis, constipation, increased blood pressure and heart rate and so on. ② Orlistat: fat absorption inhibitor dosage is 120mg, 3 times a day, orally, taking early mild digestive side effects such as bloating, stool frequency increased, the fat will be like. Note that the application would not affect the absorption of fat-soluble vitamins.
(2) assist weight loss medication: metformin, α-glucosidase inhibitors (acarbose, Basen, etc.), metformin 1.5 ~ 2g / d, divided 2 to 3 times a day orally, acarbose each 50mg, meal when taking a meal should be carbohydrate-based.
(3) Other drugs: such as leptin, cholecystokinin, intestinal somatostatin, corticotropin releasing hormone, growth hormone, growth factors and opiate antagonist.
5. Surgical treatment
Indications of surgical treatment of obesity: ① patients were morbidly obese, BMI Chaoguo 40 kg / m2; ②BMI is 36 ~ 40 kg / m2, while severe obesity-related diseases; ③ severe obesity existence for at least five years for non-surgical those who can not make weight loss treatment; ④ no significant history of mental illness and alcoholism.
(C) the treatment Precautions
1. Select the weight loss drugs should be careful, pregnancy, lactation, unstable angina, uncontrolled hypertension, unstable systemic disease, psychosis and fear of food, should not use diet pills. Monoamine oxidase inhibitor Taboo diet pills Ng, not with the treatment of migraine, angle-closure glaucoma drugs, and - ring antidepressants and with the use of general anesthetic. Younger than 18 years old and more than 65 years of age should use caution.
2. The application of drug treatment must adhere to weight loss diet and exercise therapy, or after stopping weight can rebound.
3. found serious drug-related adverse events should be closely observed, promptly disabled.
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