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Weight loss should not be blind. The weight loss metabolism clinic is here to help! Attached: Core Knowledge of Resident Weight Management (2024 edition)

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Chengdu Xingjin District People’s Hospital

Weight Reduction Metabolism Clinic

Satisfying your needs for a healthy figure

Scope

For individuals who are overweight or obese, children with obesity, abnormal weight gain during adolescence, combined with chronic diseases such as diabetes, hypertension, hyperlipidemia, hyperuricemia, fatty liver, among others.

Consultation Hours

Wednesday, Friday, 2:00 PM – 5:00 PM

Clinic Location

Chengdu Xingjin District People’s Hospital

Second floor of Outpatient Weight Reduction Metabolism Clinic

Consultation Telephone

028-82515001

13982053996

Expert Profile

Endocrinology Department: Yang Tingqiang

Chief Physician

Chief of Endocrinology Department, completed further studies in endocrinology at Sichuan University West China Hospital and the General Hospital of the Chinese PLA, and rheumatology and immunology at Sichuan University West China Hospital. Currently a member of the Endocrinology Committee of the Sichuan Integrated Traditional Chinese and Western Medicine Association and the Grassroots Endocrinology and Metabolism Professional Cooperation Team of the Sichuan Medical Association’s Endocrinology and Diabetes Professional Committee.

Expertise: Severe conditions such as diabetic foot disease, diabetic kidney disease, diabetic ketoacidosis, diabetic hyperosmolar syndrome, lactic acidosis, as well as hyperthyroidism, obesity, hyperlipidemia, gout, and other endocrine and metabolic diseases; diagnosis and treatment of rheumatoid arthritis, systemic lupus erythematosus, Sjögren’s syndrome, and other rheumatic diseases.

Clinic Hours: Monday afternoon, all day on Wednesday and Friday

Core Knowledge of Resident Weight Management (2024 Edition)

To implement the Central Party’s decision on the Healthy China strategy, fulfill the work requirements of the “Healthy China Action (2019-2030)” and the implementation plan of the “Weight Management Year” activity, advocate and promote civilization and healthy lifestyles, guide the public to correctly understand healthy weight, grasp scientific weight management knowledge, dynamically manage weight scientifically, enhance the awareness and skills of all residents in weight management, the Medical Emergency Department has organized experts in related fields to draft the “Core Knowledge of Resident Weight Management (2024 Edition)” and its interpretation. The core knowledge consists of 8 items and 64 words, available for promotion nationwide.

Core Knowledge of Resident Weight Management

(2024 Edition)

1. Correct understanding, focus on prevention

2. Lifelong management, persistence is key

3. Proactive monitoring, rational assessment

4. Balanced diet, total intake control

5. Exercise is beneficial, persistence is key

6. Good sleep, positive mindset

7. Set realistic goals, scientifically reduce weight

8. Collaborative action, family-wide health

Interpretation of Core Knowledge of Resident Weight Management

(2024 Edition)

1. Correct understanding, focus on prevention

Body weight is an important indicator for objectively evaluating human nutrition and health status. Both excessive and insufficient body weight can have adverse effects on health.

Overweight and obesity are significant risk factors for diseases such as diabetes, hypertension, cardiovascular diseases, certain cancers, etc. Childhood obesity can affect children’s physical activity, bone development, and also have adverse effects on behavior, cognition, and intelligence. Underweight is associated with growth retardation, immune function decline, endocrine disorders, reduced bone mass, and other harmful health effects. Moreover, obesity in children and adolescents can persist into adulthood, increasing the risk of various chronic diseases and adding to medical and socio-economic burdens.

The principle of prevention should be adhered to by adopting healthy lifestyles like balanced diet and scientific exercise to prevent conditions of overweight, obesity, or underweight.

2. Lifelong management, persistence is key

Maintaining a healthy weight can reduce the risk of related diseases. It is essential for individuals of all ages to set a goal of maintaining a healthy weight throughout the entire lifecycle from preconception, pregnancy, infancy, childhood, adolescence, adulthood, to old age. Any abnormalities in body weight at any stage can have adverse effects on health.

3. Proactive monitoring, rational assessment

Regular monitoring of weight, waist circumference, etc., and evaluating weight status are crucial measures for maintaining a healthy weight.

Body Mass Index (BMI) is a commonly used standard for measuring body fatness, calculated as weight (kg) divided by the square of height (m2). According to the current industry standard “Weight Judgment of Adults” (WS/T 428-2013) in China, adult BMI should be maintained within 18.5≤BMI<24.0, BMI<18.5 indicates underweight, 24.0≤BMI<28.0 indicates overweight, and BMI≥28.0 indicates obesity. Centrally obese males have a waist circumference ≥90 cm and females have a waist circumference ≥85 cm, while central obesity prediabetic conditions range from 85 cm to <90 cm in males and 80 cm to <85 cm in females.

Pre-school children can be assessed using the “Growth Standards for Children Under 7 Years” (WS/T423-2022); school-age children and adolescents can typically use the “Malnutrition Screening of School-age Children and Adolescents” (WS/T 456-2014) and the “Screening for Overweight and Obesity in School-age Children and Adolescents” (WS/T586-2018) to assess weight status.

Weight gain during pregnancy is an important indicator for maternal and infant health. Both excessive and insufficient weight gain can impact maternal and infant health. Reference materials like the “Recommended Standard for Weight Gain in Pregnant Women” (WS/T 801-2022) and the “Recommended Standard for Weight Gain in Pregnant Women with Gestational Diabetes” (WS/T 828-2023) can aid in monitoring weight during pregnancy and effectively managing it under medical guidance.

4. Balanced diet, total intake control

Healthy weight depends on the balance between energy intake and expenditure. Maintaining a balanced dietary pattern on top of controlling total energy intake long-term is key to preserving a healthy weight.

For individuals who are overweight or obese, reducing per-meal energy intake, consuming fewer high-energy foods such as fried foods, sugary baked goods, candies, fatty meats, etc., and consuming foods rich in dietary fiber like whole grains, fresh vegetables, fruits, in addition to regular meals, controlling eating speed, avoiding binge eating, are beneficial for maintaining a healthy weight.

For underweight individuals, the primary step is to rule out any health conditions and gradually increase energy intake to the recommended or slightly higher levels based on current health status, diet, and exercise habits.

5. Exercise is beneficial, persistence is key

Consistent engagement in scientific exercise for extended periods aids in weight maintenance and improving body composition (the body’s composition components, including water, protein, fats, minerals, etc.). Aerobic, resistance, and high-intensity interval exercises all help in weight control. Moderate to high-intensity exercise promotes weight management.

Diversifying exercise routines, setting specific exercise times, integrating exercise into daily life, entertainment, work, such as walking or cycling to work, taking stairs instead of elevators, performing stretching exercises, desk exercises, reducing prolonged sitting time, etc., are conducive to maintaining a healthy weight.

Older adults should prioritize exercise safety, assess their physical capabilities, and engage in suitable aerobic, resistance, balance, flexibility exercises to delay muscle degeneration and prevent falls.

Special populations with underlying diseases should exercise under professional guidance.

6. Good sleep, positive mindset

Both insufficient and excessive sleep are detrimental to weight control and physical health. Recommended sleep durations vary across age groups, and adhering to relevant standards for maintaining good sleep is crucial.

Weight is also linked to an individual’s psychological state. Maintaining a positive psychological state helps in preserving a healthy weight.

7. Set realistic goals, scientifically reduce weight

The primary goal for overweight and obese individuals is to reduce the weight of adipose tissue. When setting weight loss goals, it is essential to proceed cautiously as excessively rapid weight loss is not advised. Generally, aiming for a weekly weight loss not exceeding 0.5 kg, achieving a weight reduction of 5%~10% in 3 to 6 months, or setting reasonable goals under professional guidance to manage weight scientifically.

The intervention goal for overweight and obese children is to maintain height while reducing weight or slowing the rate of weight gain to achieve a healthy weight without necessarily decreasing absolute weight. Recommending simultaneous dietary, exercise, and behavioral interventions. Individuals aged 65 and above should not pursue weight loss blindly; the focus should be on interventions like diet and exercise to maintain muscle and bone mass or slow down their decline. Special populations such as pregnant women and individuals with underlying diseases should have their weight assessed and managed under professional guidance. For those with obesity and ineffective lifestyle interventions or complications from being overweight, seeking professional guidance from legitimate healthcare institutions and pursuing active treatment measures are necessary.

8. Collaborative action, family-wide health

Each individual holds the primary responsibility for their health. Individuals should develop autonomous and disciplined health habits, actively learn about healthy weight, practice healthy lifestyles, and manage weight effectively. Mutual support among family members can effectively boost weight management. Family eating habits, exercise routines are crucial for weight management in family members, especially children and adolescents. Advocating joint action within the family to maintain healthy weight and fortify health defenses.

“A Hospital’s New Media Platform with Warmth”

Data Source: National Health Commission Official Website

Editor: Propaganda and United Front Department

First Review and Correction: Yan Hui

Second Review and Correction: Wang Jiashuang

Third Review and Correction: Deng Fei

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