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.