5 May is World Obesity Day. The season of "showing meat" is approaching, and it is still time to lose weight. But don't be busy, there are many pitfalls on the road to weight loss. Take a look at the following article first, so that you can lose weight healthily without taking the wrong road and not spending unjust money.

"Step out on your legs" Beware of grinding joints

Most people take it for granted that weight loss must "control your mouth and open your legs". But few people know that for obese people, "opening their legs" is not the best way to lose weight.

Obese people have too large weight base, the joint part of the body is heavier than ordinary people, can not walk 20,000 steps or climb stairs these too "leg-open" exercise methods, not only difficult to meet the weight loss needs of obese people, but will make them because of excessive joint burden and sports injuries.

In life, there are often obese people who come to the hospital for the first time is to go to the orthopedic department, the reason is improper exercise, there are symptoms of bone spurs in both feet, ankle or knee joint wear, at this time, it is too late to regret.

If your body mass index (BMI) > 28kg/m2 and you are older than 40 years old, then too "open legs" must not be the best choice for exercise, remember!

"Exercise more" requires assessment of cardiac function

Most people take it for granted that weight loss must be "exercise more, be intense". But few people know that some obese people have plaque in their blood vessels and often overload their hearts because of obesity.

In addition, a small number of people have congenital heart problems, they may not feel much in daily life, or even do not know about their heart problems, if blindly increase the intensity of exercise, it will make the body very dangerous. For such weight loss people, blindly increasing the amount and intensity of exercise without evaluating their own heart function is likely to induce acute cardiovascular disease, arrhythmia, myocardial infarction, and even sudden death.

For this reason, it is a good idea to evaluate heart function before developing an exercise program.

"Good whole grains" can aggravate kidney damage

Most people will take it for granted that to lose weight, you must "eat more coarse grains and beans". But few people know that for obese people, especially when they have multiple metabolic diseases such as high blood pressure, coronary heart disease and hyperuricemia, the function of the human kidney can be impaired.

This damage is cumulative and gradual, so some young people initially go to the clinic for the purpose of weight loss, and after the examination, they find that they have elevated creatinine, proteinuria and other signs of kidney function damage.

The protein titer of whole grains and mixed beans is slightly lower and the purine content is slightly higher, so patients with chronic renal impairment or accompanied by hyperuricemia should eat less whole grains and beans, because it may aggravate kidney damage and increase uric acid levels.

"New Therapy" Don't Become a "Mouse"

Most people will take it for granted that a friend has used "the internationally popular new weight loss treatment, and the effect is particularly good". However, few people know that for obese people, the only formal weight loss methods are dietary lifestyle interventions, drugs and surgical treatments, which are based on existing research evidence, expert consensus and guidelines recommended weight loss methods.

"New therapy", in the final analysis, is a way of losing weight wrapped in a "tall" shell and bringing about weight loss through hunger. These weight loss methods are often superficial, although there are tempting gimmicks, but in fact, they are not scientific enough, and it is difficult to withstand the verification of clinical research and practice.

Using these methods, the short-term weight loss is mostly attributed to hunger, the weight lost is often more muscle than fat, although the effect is fast, but at the same time there is a serious weight regain problem, and it is easy to reduce the level of physical health and resistance due to skeletal muscle consumption.

It is especially reminded that if you want to intervene in weight by surgery, you must go to a regular hospital with complete qualifications to avoid wound infection and other consequences caused by irregular surgical procedures, resulting in threats to your own health. The so-called "new treatment" does not necessarily "work", it is necessary to polish the eyes.

The same is weight loss, everyone is staring at "how many pounds have been lost", many weight loss centers are staring at "your wallet", and doctors are staring at "your health".

There are countless cases of stepping on the road to weight loss, and in order to achieve safe and effective weight loss results, lifestyle interventions such as eating skills, exercise, and sleep can be started, and formal treatment can also be carried out through hospitals. Text/Kang Junren (Peking Union Medical College Hospital)

Know more

More than half of the "heavyweight" adults are there

In recent years, the incidence of obesity has increased significantly worldwide, and in 2016, The Lancet reported that China ranked first in the world in the number of obese people and second in the world in severe obesity. The Report on the Status of Nutrition and Chronic Diseases of Chinese Residents (2020) pointed out that in 2020, the number of overweight and obese people aged 18 and above in China exceeded 50%.

Obesity will increase the risk of diabetes, hyperlipidemia, hyperuricemia, fatty liver, acanthosis nigricans, polycystic ovary syndrome, kidney disease, tumors, etc., scientific and reasonable nutrition therapy combined with exercise intervention is still the most effective, low-cost, safest basic treatment of obesity.