Central obesity

Introduction A special type of body produced when the glucocorticoid persists in the human body. Because glucocorticoids have different effects on adipose tissue in different parts of the body: the decomposition of fat tissue in the limbs is enhanced and the fat synthesis in the abdomen, face, shoulders and back is increased, so that a kind of facial mellow, back hypertrophy, waist width and abdomen are present. Spherical bulge, the fat body of the proximal extremities is thick and the distal end is thin, and the body is not symmetrical. Concentric and whole body shape obesity is a term used to describe the characteristics of obesity. Centripetal obesity is also known as central obesity, which refers to a type of obesity in which fat deposition in the patient begins to develop centering on the heart and abdomen.

Cause

Centripetal obesity is more common in patients with hypercortisolism. After the patient gets sick, the appetite is hyperthyroidism, and at the same time, the body is abnormally obese. The face is fat like the moon of fifteen, the fat in the chest is piled up, but the limbs are not obese, and sometimes they are thin, which is in sharp contrast with the obese body.

A special type of body produced when the glucocorticoid persists in the human body. Because glucocorticoids have different effects on adipose tissue in different parts of the body: the decomposition of fat tissue in the limbs is enhanced and the fat synthesis in the abdomen, face, shoulders and back is increased, so that a kind of facial mellow, back hypertrophy, waist width and abdomen are present. Spherical bulge, the fat body of the proximal extremities is thick and the distal end is thin, and the body is not symmetrical.

an examination

Related inspection

Urine routine blood routine diabetes urine routine plasma 18-hydroxy-deoxycorticosterone

The most thick part of the obese patients is in the abdomen, and the waist circumference is often larger than the hip circumference. It is a common clinical manifestation of obesity in adults (especially women). In some books, cardiac obesity is also called abdominal obesity, upper body obesity, apple type, and male-like obesity. Studies have found that patients with central obesity who have a waist circumference greater than the hip circumference have a higher risk of various complications, including complications such as arteriosclerosis, stroke, hypertension, coronary heart disease, diabetes, and hyperlipidemia. The risk is about 2-3 times that of a well-balanced obese person, and the more the waist is over rented, the higher the risk.

Differential diagnosis

Several common types of obesity: Whole body symmetry obesity is also known as peripheral obesity, hip obesity, lower body obesity, pear type, and female obesity. When symmetry obesity occurs, the fat deposition in the patient's body is basically evenly distributed, the fat accumulation in the buttocks is obviously more than that in the abdomen, and the thickest part of the body is in the buttocks, and the hip circumference of the patient is larger than the waist circumference. Adolescent obesity before puberty often falls into this category.

Drug-induced obesity: Patients with psychosis and certain diseases have long-term use of chloropropene, insulin, protein-promoting preparations, and glucocorticoids. Drugs such as Shismin make the patient's appetite, eat more and become obese.

Intractable obesity refers to those who have not lost weight significantly through diet and medication. Some people advocate 127Kg as the boundary, more than this is intractable obesity.

The apple-shaped body has a waist and abdomen that is too fat, like an apple, with thin arms and thin legs, also known as abdominal obesity.

The life of menopausal women tends to be stable, and the current economic situation is gradually improving, living standards are increasing, daily labor is reduced, energy consumption is reduced, rest time is increased, and eating conditions are getting better and better. These factors can lead to menopausal obesity.

Hereditary obesity mainly refers to obesity caused by changes in genetic material (chromosomes, DNA), which is extremely rare and often has a tendency to familial obesity.

Adolescent obesity refers to the phenomenon that excessive accumulation of fat in adolescents causes excessive body weight. In adolescent obesity, 10% of overweight is overweight, 20% is mildly obese, 30% is moderately obese, and 50% is severely obese.

Physiological obesity refers to a state in which fat is accumulated excessively due to the needs of the human body under normal physiological conditions.

Secondary obesity means that obese people also have another disease, called primary disease, and obesity is caused by this primary disease.

Acquired obesity is also known as adipocyte simple hypertrophy or adult onset obesity.

Progressive lipodystrophy is characterized by obesity in the upper body due to the disappearance of the patient's adipose tissue, special obesity and normal adipose tissue.

The upper body is thin, the lower body is obese and is usually in the shape of a pear. The upper body is very thin, the ribs are clearly visible, and there is no muscle; but the lower body is thick and the hips are very fat.

The new term "visceral obesity" is familiar to people. The so-called visceral obesity is mainly caused by metabolic problems, so the symptoms of visceral obesity can also be said to be "metabolic syndrome", which mainly refers to a series of complex diseases such as obesity, hypertension, diabetes, and hyperlipidemia. The state of living habits. "visceral obesity" is an excess of nutrients in the body. The clinical manifestations of "visceral obesity" are fatty liver, pancreatitis, heart disease, stroke and other diseases.

Different endocrine environments can cause different obesity postures, and those with increased estrogen are lower body obesity (ie, female obesity). It is a manifestation of the pathophysiology of polycystic ovary syndrome.

Some people think that when the risk of various complications is indicated in obesity, the distribution of body fat is sometimes more telling than the weight. Some even put forward the "deathtyquaRer" doctrine, saying that when obese people have upper body obesity, impaired glucose tolerance, hypertriglyceridemia, and hypertension, they are often important to increase the mortality rate of obese patients. factor. Clinically, such patients are also the focus of medical staff treatment and observation.

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