Prevent obesity before ... obesity

The prevalence of overweight and obesity among adults (25-64 years old) in Vietnam has increased to 16.8%, ie for every 100 people there are 17 obese people. In Ho Chi Minh City, there is a case of one person (male) 28 years old, weighing up to 145 kg. Many people fast, eat grapefruit, drink vinegar, slimming tea, take medicine . but still obese.

So how to lose weight? MSc-Doctor Dao Thi Yen Phi, Ho Chi Minh City Medical Training and Retraining Center, said:

- An obese person when the amount of body fat increases by less than the normal figure is 20% compared to the standard fat rate. For example, people weighing 60kg, average fat percentage can accept 25% (ie about 15kg), but if up to 18kg it is called obesity.

* Why are obesity and obesity producing diseases, doctor?

- The cause of obesity may be due to overeating, too little exercise or both. Energy intake is higher than energy consumption for a long time.

Obesity is a precursor to chronic diseases such as type 2 diabetes, high blood pressure, cardiovascular disease, dyslipidemia (blood fat), goute . Scientists have calculated a life of obese people to be reduced. 6- 8 years life expectancy. On the other hand, obese people are often inferior and inferior.

Traveling is also one of the solutions to reduce obesity applied by many foreigners (photos taken at Angkor Wat temple, Cambodia) (Photo: NCT)

* How do I know I'm obese? When to treat obesity?

- For adults who are overweight, they must be treated immediately. Mandatory indications for obese people with dangerous complications such as sleep apnea, high blood pressure or diabetes cannot be controlled with medication. Falling, fainting . must go to the emergency room. Science has found ways to support diet and exercise such as drugs, laser waves, ultra-high frequency waves and surgery. However, these measures are considered supportive, only use more when dieting and exercise are not effective.

To know if you are obese, calculate your BMI by: taking the weight (in kg) divided by the square of the height (in meters). In Asians, if BMI below 23 is considered normal, BMI from 23-25 ​​is overweight, over 25 is obesity degree 1, over 30 is obesity degree 2, over 35 is obesity degree 3, over 40 is super obese.

* Some people use their own weight loss pills as recommended by relatives and friends. Is this dangerous?

- People who need to lose weight have different places, different health foundation, different lifestyles and activities . So do not use weight loss pills without the doctor's opinion. Weight loss pills are a form of medicine that works on metabolism and it also has contraindications, side effects . like any other medicine. Moreover, people who need to lose weight are most likely to be involved in many metabolic diseases such as blood pressure, cardiovascular disease, diabetes, and so on.

* What advice do doctors have about the risk of obesity increasing?

- You should monitor your weight regularly and plan to prevent obesity before becoming obese. To do this, it is necessary to practice proper eating habits: must reach 300 grams of fresh vegetables, 200 grams of fruit per day, the amount of fish meat is limited to about 100-150 grams per day. Adults need to limit fried and roasted foods, high-fat types such as butter, margarine, shortening . It is recommended to replace a part of refined sugar powder (white scrub, sand sugar .) with raw powder forms. (like vermicelli, potatoes, brown rice .). Limit beer and wine to the allowed level (one can of beer or 200ml of wine per day).

In addition to a reasonable diet, it is necessary to practice and exercise and exercise at least 30 minutes a day; participate in collective fun activities such as picnics, tours .

KIM SON

 

* Recently, laparoscopic surgery to place a stomach belt to treat obesity has begun to be implemented in Hanoi and one case in Ho Chi Minh City, costing up to 260 million VND. However, many people wonder: is this solution effective? What age should be applied?

Stomach belt to cure obesity (Photo: TTO)

- In the world, the application of this surgery to treat obesity is not new, but in Vietnam it is just beginning.There are many surgical methods mentioned as: gastric miniature surgery, surgery to place the balloon slightly into the stomach, bypass surgery of the intestine - stomach, stomach cramps . In which two directions The method is more commonly used to place the balloon and tighten the stomach belt because it is a less invasive endoscopic surgery.

Tightening the stomach belt to form a small bag of 15-20 ml above - like a sallow gourd - a small amount of food is needed to eat when you eat it, while the body still requires energy. The amount to operate should be forced to use excess fat to meet the demand that makes body weight decrease rapidly.This surgery should only be done in obese obese patients.At the same time, careful monitoring of physicians is required to provide a diet that provides adequate protein, vitamins and minerals.

Is it reduced until it stops?By weight, the level of health decreases depending on each person.The next surgery must be done - loosen the belt to slow down the weight.For obese people, most feared is the risk of gaining weight again when the person returns to diet and exercise as before treatment, so this belt may have to be maintained for a long time, even if the patient has return to normal weight.

About the age of putting the belt?Indications are not based on age but based on pathological risk and can be performed when there is no risk of anesthesia.