Saturday, October 11, 2008

How to diagnose elderly obese?

For old age of diagnosis of obesity, is the first to examine the reasons for the rise of obesity, the difference is caused by disease or simple obesity.

According to the National Integrated Traditional and Western Medicine in obesity research meeting the standards set by the simple old age of the diagnostic criteria for obesity:

(1) from the history, physical examination and laboratory tests with the exception of symptoms (or secondary) of fat. Simple obesity in the appropriate conditions (water activities) weight changes significantly.

(2) more than the standard weight of more than 20% of body weight, fat percentage over 30%. According to the distribution of fat in patients with obesity, obesity can be divided into body-size (body fat), abdominal (to a large number of abdominal fat accumulation mainly), trunk-type (to the main trunk fat), Tunxing (mainly the accumulation of fat in the buttocks ).

Except for the symptoms of obesity could be considered for the following examinations: X-ray examination: whether to expand the sella, there are obvious bone osteoporosis. Blood test: Determination of cortisol, T3, T4, determination. Check urine: 17 - hydroxybutyrate, 17 --determination.

Why do fat people like to sleep and snore

Commuter buses to and from work, a short span of 20 minutes to play but always heard snoring, you do not see that this is a fat man also entered a "dream." It has been out of curiosity, he asked: "Why do you always go to bed?" He replied: "I do not want to go to bed, is unable to control themselves, as long as I sit down on a piece of Jiuwang eyes." He can say that The answer represents the voice of the majority of obese.
Lead to obesity than those of normal people like to sleep for two main reasons: first, because obese than normal weight, together with the upper body surface area, whether walking or sit down, the body's tissues and organs of oxygen requirements are significantly higher than Normal; Second, obesity due to accumulation of fat in the body to tissues and organs are filling the gap between the flooded, Liang Fei's respiratory function not only as the body needs to increase and strengthen, but due to obesity which is limited respiratory function, Leading to long-term body in a mild state of hypoxia (also known as obesity - bad ventilation syndrome). Hypoxia on the body's response to the most sensitive organ is the brain. When the brain hypoxia, the body's first direct performance of the patients are feeling tired, weak, out of the body's protective response, this time on the obese need to sleep to reduce the body's oxygen demand. Therefore, we can see whether in the car, or in cinemas, theaters and other public places have to fight obesity in the noise to sleep. As for the cause of snoring is sleep in the obese, the posterior wall of the pharyngeal muscles and tongue base obstruction after the pharynx, when the air flow through the friction caused.

Parents of obese children are vulnerable fat

A new study showed that newborn infants are not necessarily great in adolescent obesity, but if their parents are super obese, those babies grow up on the easy obesity. The study pointed out that from adolescence to the baby, the size of the shape of their environment have a strong influence. Investigators found that obese by the great children born to parents in adolescent obesity risk than the general 5.7 times higher than that of children, mothers aspects of the more obvious factors.

The researchers pointed out that the old theory that once the mother during pregnancy weight increases too, they give birth to a child's life will be on obesity. But the new research is that there is no need for mothers to their children to avoid obesity and diet during pregnancy deliberately. After the birth of the growth period is the most influential body of a child's time.

Obesity can lead to a variety of chronic diseases such as heart disease, diabetes and some cancers, and so on. Research shows that over the past 20 years, the number of obese children increased.

Obesity may be too intellectual decline

Britain, "The Sun" recently published by the Swedish scientists have a long-term medical study pointed out that women will not only lead to obesity such as heart disease, high blood pressure, and other diseases, but it will also affect intelligence, those of the obese women of their level of intelligence often show Unsatisfactory. In fact, not only women, men are also the basic performance of the case, then why obesity can affect intelligence?

Temporal lobe cortex of the brain's cortex is learning, and obesity would lead to brain damage in the region, the impact of human memory and language skills.

Research shows that temporal lobe cortex of the most important function is one of the accepted language of understanding and handling, and to find the most appropriate way to express them. Language is one of the animals from the most important, there is the human language, to make it complicated to find the best thinking of the carrier, rather than the correct understanding of the language would have blocked thinking.

In addition, the temporal lobe cortex associated with long-term memory, if the temporal lobe cortex damage would severely affect people's memory, so that learning activities very difficult, and intellectual learning is a prerequisite for development.

The study found that about 16 percent of overweight women, as per the weight of one kilogram of fat, shown to reduce the apparent intelligence.

The researchers believe obesity by influencing temporal cortex and thus affect the physiological function of the level of intelligence, mainly as the impact of obesity cerebral blood flow, cerebral blood flow will reduce the direct physiological function of the brain injury, cerebral cortex appears to make light district, one of the mind Activities and acts of interference by, if the temporal lobe is the area of quality appeared sparse, it will decrease memory, language comprehension slow, and not thinking clearly.

It's another reason why obesity is likely to affect the body's hormones, and hormone activity in the brain and neural activity is closely related to biological and chemical substances, biological and chemical substances due to nerve once the impact of abnormal hormone, can lead to thinking, memory, emotional activity The abnormal.

The more obese, less physical activity, sport, the worse sense of rhythm, will also be affected by temporal lobe function, and mental effects.

In boxing and other sports arena, it is easy to find those athletes obesity sense of rhythm is not always satisfactory, the body's flexibility is also apparent as others.

Science has proven that the brain, temporal lobe cortex in particular the right side of the temporal lobe cortex to identify with the pace and rhythm to express the functions of all this is the temporal lobe disease in patients with a sense of rhythm movement worse the main reason.

In general, the more obese people do not want to exercise more, rather than a direct consequence of movement is one of the people gradually lose their sense of rhythm, movement becomes clumsy. The loss of a sense of rhythm or decline, in turn, would affect the temporal lobe cortex function to function decline.

Practice has proved that music and rhythmic movement can not only lose weight but also can be educational, it can improve the temporal lobe of the brain cortex of physiological function, or even some of the treatment of temporal lobe disease.

California, a research group found that people who often sang along, like poetry recitation, like the rhythmic movement of people, not only emotional stability than most people, and thinking and language abilities were slightly better than the average.
The researchers based on a set of temporal lobe of the people in question were targeted training and the rhythm of music training, three months after being trained on the temporal lobe cortex of the brain MRI scan carried out, they found that the temporal lobe of the brain The physiological function cortex activity levels have varying degrees of improvement.

This is obese is also a good news, they can take a fixed time or sang loudly reciting poetry and, of course, there are any plans to participate in the strong pace of the movement or activities such as dancing or doing aerobics. In that case, can lose weight, but also to improve the situation of the intelligence.

Obese women prone to four types of disease

With the improvement of living standards, people generally eat well, less dynamic, coupled with access to high-tech, intelligent times, a significant reduction in the human body to pay, with the result that the number of obese soared.

Obesity not only affects the size the United States, will bring some harm to the body and a variety of complicated disease, the human body a lot. There are well-known obesity caused by high blood pressure, diabetes, coronary heart disease such as cardiovascular and cerebrovascular diseases.

In an interview with reporters learned that people often do not know, obesity is also easy to merge some of the women's gynecological diseases, such as: ovarian insufficiency, endometrial cancer, ovarian cancer, infertility, and other diseases, this reporter interviewed a woman Beijing Friendship Hospital Professor Wu Shanshan, director of obstetrics and physical rehabilitation medicine physician FANGLIN.

Diseases: breast cancer

Most of abdominal obesity in female-dominated, although easy to eliminate belly fat, but cardiovascular disease and breast cancer have a greater potential hazard. Moreover, the incidence of breast cancer, development and estrogen, estrogen in the body fat of women In addition to the secretion of ovarian part may be generated by the adipose tissue considerable estrogen, estrogen, the higher the level of the more susceptible to breast cancer. As a result, female-controlled prevention of breast cancer is the weight of one of the measures can not be ignored.

Symptoms of breast cancer: breast lumps are on a long, long the majority of mass in the breast above the outside, round shape and irregular-shaped, hard mass, and be able to move early. Most of the patients feel no pain. When the skin tumor, with varying degrees of multi-point depression. Some patients may have a nipple discharge or Yixue. However, due to the mass of breast cancer in many ways very similar to benign tumors of the breast and, therefore, to reach mass alone can not determine the nature of it, we have to go to hospital for examination.

Two diseases: ovarian cancer, endometrial cancer

Obesity is the endometrial cancer risk factors, most of the obese are suffering from high blood pressure, high blood sugar, endocrine hormone disorder, in which estrogen-induced endometrial cancer is a major factor, especially in obese menopausal women. Therefore, in order to reduce endometrial cancer incidence, it is necessary to control obesity and reduce the degree of obesity. Once high-risk groups menstrual disorders, menopause, or delay in postmenopausal abnormal vaginal bleeding should go to hospital for medical examination as soon as possible.

Endometrial cancer symptoms: irregular bleeding, increased vaginal discharge, yellow in water samples or blood samples. If the infiltration of advanced cancer or around the nerve can occur in the lower abdomen and lumbosacral pain, lower limb and foot and radiation. Endometrial cancer at an early stage so gynecological examination no significant abnormality, and by the late, there will be increasing the uterus, soften, fixed, Gongpang a nodular-block.

Ovarian-cancer: ovarian cancer occur in the ovarian cancer. Incidence in Gynecology in second only to cervical cancer, ranking the second place. Clinical manifestations: abdominal discomfort, abdominal pain, abdominal swelling, menstrual disorders, symptoms of oppression, and so on. In addition, ovarian cancer is no symptom at an early stage and it can be easily transferred. Late patients will obviously suffering from weight loss, severe anemia, and other phenomena. Ovarian cancer was particularly prevalent in the general menopausal and postmenopausal women.

Three diseases: abnormal menstruation, ovarian insufficiency

Simple obesity women abnormal menstruation, in some weight loss, will be able to return to normal. Abnormal menstrual symptoms: on and off after a rare frequency, delay menstruation, after a short month, the amount of bleeding too much or too little, and so on. Generally speaking, multiple abnormal menstruation and menopause in adolescence. In addition, during gynecological examinations, pelvic there is no organic diseases.

In the lower abdomen, hip, hip obese menopausal women should be vigilant if it is too low reproductive gonadotropin-induced obesity, the kinds of obesity and ovarian failure, when at 46, 47-year-old female menopause, the ovaries do not ovulation and cause Functional menstrual disorders, this may also be massive bleeding. Subcutaneous fat into estrogen also easy to rise to the extension after the menopause. Collectively referred to as ovarian insufficiency syndrome. Abnormal menstrual easily lead to anemia and affect the normal life and work.

Four diseases: Infertility

Infertility caused by ovulation is the main reason for the obstacles, showed no ovulation, ovulation, and other delays. Infertile women with irregular periods were related. And stored in the subcutaneous fat to stimulate the endometrium, may cause irregular menstruation. At the same time suffer from endocrine disorders, low thyroid function in patients with obesity also cause infertility. To this end, the experts recommended that women will be the best body weight controlling weight in the range of plus or minus 10%.

In addition, due to obesity and slow response action, but also vulnerable to a variety of injuries, car accident, which led to the fracture or sprain.

Chinese women are the most prominent central obesity, also known as the "Apple", so that the body fat in the central spine of the cost, easy to neck, lumbar, intervertebral disc disease, and so on. In addition, the "Apple" were smaller in the leg, and another body weight, the weight of all the pressure in both legs, cause bone and joint diseases, such as: knee, hip and foot joints and so on.

Diseases caused by obesity

Obesity can lead to many diseases. If the treatment of obesity-related diseases and obesity on their own without treatment, the treatment will not be very ideal, but the treatment cost is very high. The following are related to diseases related to obesity, weight loss is the treatment of these diseases.

High blood pressure

Obesity is the most common complications of hypertension. 15 kg more than the standard weight of 30% of people suffering from high blood pressure. Blood pressure and fat cells secrete a number of vasoactive substances, and also related to insulin resistance. Mild high blood pressure as weight loss and reduced salt intake and return to normal, do not have to step-down drug treatment. Last year, the diagnosis of high blood pressure has been reduced from 160/95mmHg to more than 140/90mmHg. Hypertension is a cardiovascular disease risk factors, if not treated in time will lead to serious consequences.

Diabetes

Closely related to obesity and diabetes, referred to here II diabetes is type 2 diabetes. The general view is that when obesity to a certain extent, the emergence of peripheral tissue (mainly muscle and fat) is not sensitive to insulin, or insulin resistance phenomenon. On the islet in compensatory insulin secretion more to combat the antagonist to insulin, the emergence of hyperinsulinemia. About a few years to decades after the work over the islet failure occurred, to develop into diabetes. Obesity to diabetes, of course, the process of an internal mechanism is not very clear (This is also the moderator of this in recent years, the main research topics of interest, I would envisage that if the conditions allow me to work in the field of research in this life), but if we can come to understand the depth to obesity The process of diabetes and will be able to find or slow down the process of blocking the way for diabetes prevention class I to help. Of course, diabetes, weight loss is the treatment of diabetes.

Cancer

Obese patients more vulnerable to cancer. Obese female patients suffering from breast cancer, uterine cancer and the risk of cervical cancer has increased by 3 times the risk of endometrial cancer risk by 7 times. Obese male patient suffering from colon cancer and prostate cancer risk also increased significantly.

Hyperlipidemia

Most of the obese patients lipid metabolism disorder, there hypercholesterolemia, hypertriglyceridemia, and so on. Hypercholesterolemia, and genetic reasons, including the role of diet, in general, the treatment of weight loss can return to normal blood lipid.

Others

Obese patients with short life expectancy, from the general population, in addition to the standard weight for each 1 kg increase in weight, will shorten the average life span of a month. Obese patients vulnerable to heart disease and stroke, accidents, nearly 30% of obese patients suffering from gallstones, obesity patients are susceptible to degenerative bone and joint diseases, such as sleep apnea syndrome.

In the psychological, obese people tend to feel fatigue, anxiety and depression often feel.

In short obesity is a disease, and is a serious disease, the need for long-term weight loss treatment in order to avoid these diseases.

Friday, October 10, 2008

What's the calories?

The heat is the calorie unit, a card that we eat food after combustion, so that 1 gram of water 1 degree Celsius rise in temperature when the heat required, is to make 1 kcal liters of water 1 degree Celsius rise in temperature requirements The heat also called kcal calories.

Carbohydrate grams each of the heat generated by the 4.1 calories and protein for 565 cards, 9.45 for fat calories. However, access to food because the body is not being used fully, so the heat generated as follows:


Sugar 4 kcal / kg

Protein 4 kcal / kg

Fat 9 kcal / kg

That is our common card number

High-calorie food does not mean that high-nutrients, such as we have often said that the high calories of chocolate, chocolate means of containing the high-calorie, chocolate does not mean there are a lot of protein, vitamins, minerals mean, do not confuse it!

To learn how to lose weight is necessary to control calories and balanced access to suffer.

Parents have a child careless high blood fat attack!

Children and Youth was not obvious symptoms of high blood pressure, easy to be ignored

To bring a high blood pressure, people think of adult disease, in fact, high blood pressure for adults is not a patent. Which has just been published in Beijing resident nutrition and health survey report shows that city residents aged 15 and over the prevalence rate of hypertension was 25%, four years ago with the results of the survey, the prevalence rate has increased by two percentage points . Institute of Pediatrics in the capital, deputy director of the pediatric heart medicine physicians Wang Li, in recent years, children with high blood pressure gradually increased.

■ children are not typical symptoms of high blood pressure due to be easy to lose sight of parents

Hypertension is the pre-school children's blood pressure greater than 110/70mmHg, school-age children blood pressure is higher than 120/80mmHg, 12-year-old over blood pressure higher than 130/90mmHg. Wang Li, children, high blood pressure caused by two main factors: First of all, there is a family history of high blood pressure. Children and young people have a family history of essential hypertension accounted for more than 50%. As long as one parent suffering from essential hypertension, their children will have a greater probability of occurrence of high blood pressure. This was followed by obesity. According to the survey, obese children suffering from high blood pressure the risk of non-obese children 3 times. Because obese children increased body size, metabolism so that the total increase in oxygen consumption and body, which significantly increase the burden on the heart, blood pressure also rose.

According to Dr. Wang, children's and young people are not more than the typical symptoms of high blood pressure, often in the medical examination found that their clinical performance and high blood pressure are not the same as adults, some children may not have obvious symptoms, and some children may have a headache performance, but As the less powerful, or even mistaken for other diseases. High blood pressure in children and adolescents, some of the symptoms parents should pay attention to, such as growth retardation, nausea, vomiting, easily excited angry, not lively, visual impairment and even facial paralysis, stroke, heart failure, and so on, should be timely To the hospital for further treatment.

Dr. King reminded parents, though in adolescence with mild high blood pressure for quite a long time may be no symptoms, but it can drive slowly in the body damage blood vessels, heart, kidney and brain, it was in no case does not appear Vascular rupture or blockage of a heart attack and sudden death. Research shows that people Sansi Shi-year-old, high tension, there is a history of high blood pressure adolescent's fatal heart attack rate, more than twice as high than normal. U.S. studies have shown that young patients with high blood pressure long-term increase in mortality, shortened life expectancy. Harm than elderly people in their. As a result, young people and children, high blood pressure can not be taken lightly.

■ five major ways to prevent children hypertension

First, the major concerns in the crowd. Genetic factors play an important role in children's blood pressure. Therefore, parents have either high blood pressure, children become key targets of prevention.

Second, avoid obesity. More than 15% of the weight of obese children that are suffering from high blood pressure risk. Obese children as a result of the body's metabolic needs of the cardiac output and blood volume than normal children, with the passage of time will result in increased blood pressure and cardiac hypertrophy. Overseas studies have shown that 50% of the blood pressure of children is obese children. Measures to prevent obesity is to control over-nutrition and increase physical activity. Nutrition experts recommended the promotion of two-year-old after drinking low-fat milk, in particular, have been obese children. Older children should limit sweets, do not drink beverages with high sugar, high-fat and fried fast foods, eat more to encourage vegetables, fruits, coarse grains. Children's play time for children in the activities of the energy consumed to prevent obesity.

Third, to prevent too much salt. High blood pressure in children's diet survey found that 60% -70% of the children's preference for feeding high-salt, high-sugar, high-fat, low calcium, low magnesium, vitamin low-and low-cellulose food characteristics. Training from a young age children should be eating light diet, adult daily salt should be less than 6 grams of children to adults 1 / 3 of the following; choice of potassium and calcium-rich diet, as calcium and potassium have lower blood pressure.

Fourth, help them develop good habits of the regular schedule. Adequate sleep, and help prevent high blood pressure, not to let children and adults, like stay up all night to develop the habit of watching TV restrictions.

Five children on a regular basis for measuring blood pressure. Once a child more than the normal standard blood pressure, do not make a fuss, so as not to cause tension, not step-down drug abuse.

There are the parents of hypertension used their experience and drug treatment for children, so easily lead to accidents. Treatment of hypertension with particular emphasis on individual children and their unique characteristics of the drug can not be a copy of the adult. To bring children to see a doctor, a doctor from the development of prevention and treatment programs.

■ blood pressure to the baby, parents should pay attention to three points

First, children under the age of the child to choose a dedicated cuff. The width of the upper arm cuff is the length of 1 / 2-1 / 3, with the general school-age children 6 cm or 7 cm wide cuff from adult blood pressure, the desktop can be on the table.

Secondly, the daily blood pressure measurements to a fixed period of time in order to accurately determine blood pressure. 1 hour before the test do not exercise, not enter the food and drink, emptying the bladder, quiet for more than 5 minutes.

Third, in order to rule out as a result of stress caused by abnormal blood pressure, to be measured 3 times in a row, after taking 2 times the average child's blood pressure is. Attention after each measurement interval to 1 minute, the arm will give 5 to 6 seconds, and again the next measurement. An abundance of caution, high blood pressure, children need to 2 weeks.

Thursday, October 9, 2008

We really need to do to lose weight?

People often say: "I had to lose weight." I do not know how a modern society, almost everyone shouting to lose weight, weight loss at all, a variety of readily available weight loss books, talking about weight loss method is more variety, under various names. The weight loss has become almost a required course, but, you know your ideal body weight is how much is it? In the end that you should not lose weight?

Normal weight accounted for about 18 percent body fat. Typically, more than 25% body fat for men and women over 30% of body fat called on obesity.

Standard weight is calculated as follows:

Boys 58 kg +0.6 (-166 cm tall) = standard body weight.

Girls 51 kg +0.5 (-155 cm tall) = standard body weight.

However, with the size of the skeleton, the standard weight will be reorganized to small skeleton of the standard weight to 3-5 per cent under the amendment, the skeleton of the standard weight on the amendment to the 5-7 per cent. The following is a skeleton is calculated as follows:

Skeleton coefficient (r) = height (in centimeters) ÷ wrist Wai (cm)

Small frame (S) r> 10.4 (M) r> 10.9 (female)

In skeleton (M) 10.4> r> 9.6 (M) 10.9> r> 9.9 (F)

Large frame (L) r <9.6 (M) r <9.9 (female)

Measurement device to track (angle Regulation) or volume of foot traffic following the three regions of the thickness of subcutaneous fat:

1) before the upper side

2) after the central thigh

3) abdominal

An average of three data, if the clamping of the thickness of subcutaneous fat of less than 2.5 centimeters, said that the amount of fat, on average more than 0.7 centimeters, it means that there are 5 kg of excess fat.

If you have fat that can not walk or work, you should check a doctor as soon as possible to assess the possibility of surgery. Doctors usually recommend: more than 45 kilograms overweight men and women over 36 kilograms overweight fat man operation.