Fatigue, backache, joint pain, angina pectoris, hyperhidrosis, asthma, snoring, menstrual symptoms such as menorrhagia and oligomenorrhea, infertility, stress urinary incontinence, polydipsia and polyuria; Symptoms that can only be improved by losing more than 5 ~ 10 kg include sleep apnea, edema of lower limbs, secondary cellulitis and hirsutism. The symptoms that accompanied the first improvement of weight loss were hyperhidrosis, asthma, fatigue and diabetes.
After losing 7 kg, obese women's menstrual disorders and infertility will be improved, such as menorrhagia and oligomenorrhea, as well as joint pain and back pain. And completely correcting type 2 diabetes, hirsutism and sleep apnea syndrome may require losing more weight and maintaining it for a longer time. Obese people really care about their feelings. After losing weight, patients can feel more fit and agile, the symptoms related to overweight are also reduced, and the risk of obesity-related diseases is also reduced. These are the most important indicators to judge the effect of weight loss plan and treatment plan. To lose weight, you don't have to lose all the excess weight, and you don't have to reduce your weight to the normal range in order to improve your symptoms.
In the process of losing weight, patients may feel uncomfortable, tired and irritable, which is the result of negative energy balance, so patients need not worry too much.
(2) Reduce risk factors. The main metabolic risk factors of obese patients, such as hyperlipidemia, hypertension and hyperglycemia, will be affected by acute weight loss and negative energy balance. With the weight loss, these indicators can be improved accordingly, and the degree of improvement is related to the amount of weight loss. In the active energy control stage, that is, the acute weight loss stage, cardiovascular risk factors have improved rapidly before obvious weight loss, and these risk factors may remain at a moderate level or have little change in the later weight loss process. Decreased blood pressure is related to weight loss and reduced salt intake. Healthy diet is needed in the process of active energy control, and the salt content of healthy diet is low. Systolic blood pressure, diastolic blood pressure and mean arterial pressure all decreased, and the decreasing range was similar. Other long-term benefits of weight loss include enhancing wound healing ability, reducing chest infection, reducing destructive osteoarthropathy, reducing the incidence of non-insulin-dependent diabetes, reducing thrombosis and reducing mortality.
(3) improve the quality of life. Overweight patients are generally depressed, and the inability to control their weight successfully is also one of the reasons for depression. Restoring courage and self-confidence is the best reward for successfully losing weight and keeping it. Coupled with the improvement of symptoms and the reduction of health risk factors, the quality of life of patients can be significantly improved. It is very hard work for obese patients to lose 5% ~ 10% weight, and achieving the goal is a great achievement. This spirit is worth rewarding and learning.
(4) prolong the service life. In the past, patients with obesity complications benefited the most, with body mass index >; 25kg/m2 non-insulin dependent diabetic patients lost weight as suggested. For every weight loss 1kg, the average life expectancy will be extended by 3 ~ 4 months.
Many overweight patients deliberately go on a short-term diet to lose weight, and then neglect to control their diet after losing weight, so they gain weight again, which may be repeated many times in adulthood. Weight fluctuation may not be helpful to weight control, and the effect may not be better than the natural development of weight. On the contrary, it will reduce the mineral content in bones, which may lead to osteoporosis in the future. It is recommended not to lose weight in this way, with special emphasis on avoiding weight changes.