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What is your attitude about weight loss?
What is the hot topic today? "Weight loss" must occupy a place, and because of this, various methods of weight loss can be said to be endless
.
At this year's Obesity Week, there were several discussions
about how to eat for weight loss.
The small editor section has taken the wonderful content of several experts at the meeting for everyone to share and collect~
Time-limited diets work, but sticking to them isn't that easy
The first is the time-restricted diet (TRE), which has been widely spread in recent years, Courtney M.
Peterson said that TRE not only reduces energy intake, but also TRE does not affect the diet quality
of weight loss people.
Studies have found that TRE can achieve a certain weight loss effect by reducing the fluctuation of subjective hunger in weight loss and regulating related hormones, thereby affecting their appetite
.
While TRE is useful as a "influencer diet," in reality, people can't stick to TRE
for a variety of reasons.
For example, you are preparing to strictly practice a time-limited diet, you are suddenly notified by the leader to have a dinner at night, you can't care about eating on time when you are busy with work, and the effect of your own monitoring is not good.
.
.
.
Of course, if you plan well during this period (such as making a schedule), have a positive attitude, have someone to supervise, etc.
, then your TRE may be implemented well
.
Daily weight loss, starting from these five points
After introducing TRE, let's return to weight loss itself, Dr.
Hollie A.
Raynor described its relationship
with weight improvement from five aspects: energy, diet quality, breakfast, water, and eating frequency.
energy
Energy balance is still considered part of the theoretical model of obesity, but energy balance does not necessarily mean that all of the body's energy can be "equivalently replaced"
with metabolism.
The dynamic stages of obesity development are validated in the Carbohydrate-Insulin Model (CIM), where a key role of diet is metabolized
by influencing substrate distribution.
Carbohydrates that can be digested quickly act through insulin and other hormones, leading to increased fat deposits that drive positive energy balance
.
There are also related research reports that the brain can regulate the energy balance of obesity in response to external changes
.
Diet quality
Experts recommend improving weight through dietary patterns that improve diet quality and reduce energy intake, but there is currently no consensus
on how to define diet quality.
However, diet quality can be assessed in terms of food patterns, for example by scoring
how closely food patterns are with national dietary guidelines.
Common indicators of dietary quality include the Mediterranean Diet Score, the Healthy Eating Index, and dietary patterns that improve hypertension through dietary control (DASH).
The Mediterranean diet and DASH dietary patterns can reduce energy for weight loss, but studies have also shown that interventions focused on diet quality may additionally increase cardiometabolism
.
In addition, the results of one meta-analysis suggest that changing fruit and vegetable intake does not appear to improve weight outcomes
.
Another review showed that increased intake of fruits and vegetables contributed to small weight loss
.
Unfortunately, the current evidence is still insufficient to prove that simply changing fruit and vegetable intake can prevent obesity and lose weight
.
breakfast
While changing breakfast intake alone does not appear to improve weight outcomes, observational studies have found a strong link
between eating breakfast and markers of healthy weight management.
Over the past 50 years, skipping breakfast has been increasing, along with the incidence
of obesity.
Therefore, experts recommend that everyone eat breakfast in the morning, which can reduce the chance of
obesity.
water
Drinking plenty of water can help you lose weight, which is already common knowledge
known to "weight loss class".
Indeed, drinking plenty of water can lead to weight
loss through several mechanisms.
For example, water helps regulate appetite, and water can induce heat effects to increase the body's energy consumption
.
But in fact, the increase in obesity is often accompanied by an increase
in the frequency of people drinking beverages.
In a randomized trial of sugar-sweetened beverages and adolescent weight, it was found that reducing sugar-sweetened beverage intake over a one-year period reduced weight gain
.
Of course, more research is needed to prove whether replacing all beverages with water improves weight gain
.
Frequency of eating
Many people prepare small snacks for themselves, thinking that eating small and frequent meals will prevent them from overeating due to excessive hunger to a certain extent
.
But what they may be ignoring is that eating more frequently increases their exposure to food, which may lead to eating more
.
So diet frequency has nothing to do with improving weight? The answer is no
.
Eating frequency may affect weight by influencing time variables such as eating intervals and time to energy intake
.
Therefore, there are also relevant researchers from the perspective of controlling the diet structure and improving weight, encouraging eating meals or snack plans to replace traditional dietary methods, but this seems to cause weight gain, and it is unclear what the real impact of meal plans on participants is
.
Is weight loss a health goal that all overweight/obese patients must pursue?
.
Holly R.
Wyatt, MD summarizes
the above.
Proponents argue that traditional interventions focused on weight loss cannot reliably produce positive health outcomes, and that health is the result of lifestyle behaviors that can work
independently of body weight or fat.
Some obese patients are actually "metabolically healthy," and increased body fat in older patients or those with several chronic diseases may even be protective and associated with
reduced mortality.
Very rarely, high-frequency fitness can not completely avoid increasing the risk of body obesity, fitness reduces the risk of physical obesity and mortality compared with long-term prognosis of physical activity and cardiorespiratory health, body fat is actually only a secondary factor, lifestyle is the most critical factor in health, and these behaviors should be independent of body obesity management
.
Those who lose weight for a long time often suffer from some prejudice and criticism, and long-term focus on "how to get thin" may lead to the loss of how to live a healthy life
.
Therefore, focusing on health-related indicators rather than weight alone is better able to improve health
.
Opponents, on the other hand, argue that weight loss should be an explicit goal of healthcare interventions, since obesity is a negative outcome related to health, linked to various etiologies (type 2 diabetes, cardiovascular disease, liver disease, certain cancers.
.
.
).
) is associated with
an increased risk of death.
In addition to affecting health, obesity can also affect quality of life
.
Over time, metabolically healthy obesity may transition to metabolically unhealthy obesity
.
Recent studies have also shown that obesity is positively correlated with new coronary pneumonia infection, suggesting that excess adipose tissue may become a "reserve" for the virus
.
Reference source:
[1] Obesityweek 2022, Sessions:TOS/WMDPG Joint Symposium:I Need Some Flexibility With My Eating-Low-structure Diets & Myths of Obesity Care.
Audit Specialist
Bhler
Deputy Chief Physician, Associate Professor, Doctoral Supervisor
Outstanding young physician of Shenkang Youth League Committee and the first top ten medical young people of Tongji University
Postdoctoral fellow in the United States, Shanghai Yangfan Program talent
Member of the 11th Youth Committee of the Endocrinology Branch of the Chinese Medical Association
Member of the 25th Chinese Physiological Society Endocrinology and Physiological Metabolism Professional Committee
Member of the 11th Basic Science Group of the Endocrinology Branch of the Chinese Medical Association
Member of the 11th Committee of Endocrinology Branch of Shanghai Medical Association
Youth member of the Endocrine and Metabolic Diseases Committee of the 2nd Shanghai Association of Integrative Medicine
Where to see more endocrinology clinical knowledge?
Come to the "doctor's station" and take a look 👇