Postpartum obesity

Introduction Chinese tradition pays special attention to confinement, and believes that women should eat a lot of supplements before and after childbirth, resulting in excessive intake of calories. In addition, after the postpartum does not strengthen the exercise, the abdominal muscles will relax, so that the fat is deposited too much in the abdomen, affecting the beauty of the body.

Cause

On the one hand, it is caused by a temporary disturbance of hypothalamic-gonadal function during pregnancy, especially the loss of fat metabolism. On the other hand, because China has a traditional theory of sitting the moon, in the first month after childbirth, in order to breastfeed, mothers eat a lot of high-fat, high-protein foods, so that the amount of nutrients ingested greatly exceeds the amount required. And very little physical activity makes the energy consumption greatly reduced, and finally the body fat cells are filled.

an examination

Related inspection

Body mass index urinary follicle-stimulating hormone

Obesity = (actual weight - standard weight) ÷ standard weight × ± 100%

10% overweight is overweight, 20% is mildly obese, 30% is moderately obese, and 50% is severely obese. There is some difference between male and female body fat, but it is about 20%. How much body fat is, that is, body fat share = fat weight / weight. In general adolescence (12 years old) boys and girls have a body fat of approximately 20%, to 18% men to 15%, and women to more than 20%. Both men and women over the age of 18 are on the rise. The normal body fat rate is 15% to 20% for men and 20% to 25% for women. If you increase from 20% to 25% to 30%, then it is obesity.

Differential diagnosis

Differential diagnosis of postpartum obesity:

First, simple obesity

1. Constitutional obesity

Reason: Congenital. The metabolism of substances in the body is slow, and the rate of synthesis of matter is greater than the rate of decomposition.

Phenomenon: The fat cells are large and numerous, all over the body, and there is baby fat on the face.

2, acquired obesity

Cause: Caused by excessive diet. Sweet food, greasy food, and fat are distributed in the torso.

Phenomenon: fat cells are large, but the number does not increase. Puffy physique, a pinch of meat, not tight.

Second, pathological obesity

1, Cushing Syndrome

Cause: Adrenal hyperfunction, excessive secretion of cortisol.

Phenomenon: The face, neck and body are hypertrophy, but the limbs are not fat.

2, pancreatic origin

Cause: Excessive insulin secretion, decreased metabolic rate, decreased fat decomposition and increased synthesis.

Phenomenon: generalized obesity.

3, sexual function reduction

Cause: Cerebral obesity, accompanied by loss of sexual function, or loss of libido.

Phenomenon: breast, lower abdomen, obesity near the genitals.

4, pituitary

Cause: Pituitary lesions cause excessive growth hormone secretion in the anterior pituitary.

Phenomenon: whole body bones, soft tissue, visceral tissue hyperplasia and hypertrophy. The bones are large and the stomach muscles are prominent.

5, hypothyroidism

Cause: Hypothyroidism.

Phenomenon: obesity and mucinous edema. The legs are often prone to edema.

6, drug-induced

Cause: Caused by side effects of the drug, such as caused by adrenocortical hormone drugs.

Phenomenon: Obesity that occurs after a period of medication, such as some patients with allergic diseases, rheumatoid diseases, and asthma.

7, subcutaneous obesity

Features: Fat is mainly distributed in the subcutaneous tissue of the abdomen, buttocks and thighs.

8, visceral fat

Characteristics: Fat is mainly distributed in the peritoneum in the abdominal cavity. There are a lot of meat on the waist and belly.

Obesity = (actual weight - standard weight) ÷ standard weight × ± 100%

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