2016年3月29日 星期二

中央肥胖與腰圍



BMI雖被廣泛用於衡量肥胖程度,但未能有效反映身體的脂肪分佈。中央肥胖(俗稱「大肚腩」),即腹部積聚過量脂肪,與整體脂肪過多的致病風險同樣高。研究指出腰圍可反映腹部脂肪積存的程度,從而評估個人的患病風險。

對於一般亞洲成年人而言,如果你的腰圍尺吋相等於或超出以下水平,你將被界定為中央肥胖。

男性: 腰圍 90厘米或以上
女性: 腰圍 80厘米或以上




參考資料: www.obesitysurgery.com.hk
以上所提供的資訊僅作為教育及參考用途,如果你有任何醫療問題,
應向自己的外科醫生查詢,而不應單倚賴以上提供的資料。

2016年3月21日 星期一

是否肥胖,看看BMI

怎樣才算肥胖



 

世界衛生組織警告,肥胖已成為二十一世紀重要文明病!肥胖為健康之殺手,「腰圍越長、壽命越短」更是當紅的減重口號,過去對於肥胖有多種衡量標準,現在則以測定身體質量指數 (BMI)、腰圍及腰臀比為主流。以下對於你(妳)是否出現體重過重的問題,有五種評估方式︰

評估方式
測量
範圍
1.
腰圍測量
公分
男性90公分(過重)
女性80公分(過重)
2.
腰臀圍比測量
腰圍 ÷ 臀圍
男性90公分(過重)
女性80公分(過重)
3.
身體質量指數 (BMI)
體重(公斤)÷ 身高平方(公尺)
BMI18.5(體重過輕)
18.5BMI<24(正常範圍)
24BMI27(體重過重)
27BMI30(輕度肥胖)
30BMI35(中度肥胖)
35BMI40(重度肥胖)
40BMI50(病態性肥胖)
50BMI(超級肥胖)
4.
身體脂肪測量
身體脂肪儀器
男>25%(過重)
女>30%(過重)
5.
國人理想體重計算方法
男性:[身高(公分)80] × 0.7
女性:[身高(公分)70] × 0.6
大於20%(肥胖)
大於10–20%(體重過重)
介於±10%(正常範圍)
小於10–20%(體重過輕)



資料來源:   www.antifat.tv
以上所提供的資訊僅作為教育及參考用途,如果你有任何醫療問題,
應向自己的外科醫生查詢,而不應單倚賴以上提供的資料。

2016年3月15日 星期二

Procedures of Intra-gastric Balloon




For patients who are overweight but are still indecisive about undergoing surgery, endoscopic intra-gastric balloon is an option. A saline-filled balloon will be placed inside the top of the stomach, reducing stomach volume and giving a sensation of satiety. This is only a TEMPORARY treatment, as the balloon cannot be placed in the stomach for more than 6 months. Patients should maintain a balanced diet and exercise regularly for effective weight loss.

 

Procedures of Intra-gastric Balloon

Placement of gastric balloon is relatively simple compared to other surgeries. Patients will be sedated and a balloon will be placed inside the stomach with the help of an endoscope. Saline with blue dye will then be injected into the balloon via a catheter. The volume to be injected depends on the patient’s condition, which is about 400-600ml in general.

The procedure takes around 30 minutes and hospitalization is not usually required. Fluid diet is usually advised for the first week after procedure. Also during the first week after balloon placement, patients may experience stomach discomfort or pain, vomiting and abdominal distention.

 


Benefits of intra-gastric balloon


  • Low risk: Intra-gastric balloon is a non-invasive and low risk procedure. Patients can experience quick recovery, and no general anesthesia is required.
  • Improved eating habits: Patients will easily experience fullness during food intake and thereby reducing volume. The speed of food intake is also important and needs to be adjusted. Dietitian will be instructing you on various eating habit changes.
  • Reversible: Placement of the balloon is only a temporary measure. Patients need to continue with their eating habit changes to maintain their weight loss.
  • Widely applicable: Patients with lower BMI may also consider to undergo this low risk procedure.


Risks of intra-gastric balloon

  • The balloon may break and cause leakage and bowel obstruction.
  • Intra-gastric balloon may cause gastric ulcer, although this is rare.
  • Some patients may experience severe discomfort and vomiting.




The information aims to provide educational purpose only. 
Anyone reading it should consult Surgery Specialist before considering treatment and should not rely on the information above.