Übergewicht | Fettstoffwechsel­störungen

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Severe overweight or obesity is a common problem today, affecting about a quarter of the German population. The term obesity, translated as „fatness“ or „overweight,“ describes this condition. People with obesity are often dissatisfied with their bodies, feel uncomfortable, and experience shame due to their size. The main causes of severe overweight are often insufficient exercise and an unhealthy diet, two factors that are widespread in many modern industrialized nations. The effects of obesity can be serious and lead to secondary diseases such as cardiovascular problems, strokes, type 2 diabetes, and osteoarthritis. To counteract these problems, measures are needed that counteract an unhealthy lifestyle. These include increased physical activity, reduced consumption of fat and alcohol, a balanced diet, and sufficient sleep.

As long as weight does not deviate significantly from the normal range, there may be no compelling medical need for weight loss. However, if health problems arise, it is advisable to seek medical advice to identify the underlying causes and take appropriate action.

Adipositas feststellen

To diagnose obesity, doctors measure the waist circumference approximately midway between the lower rib cage and the top of the hip bone. In men, a waist circumference of more than 94 cm is considered high-risk obesity. In women, an increased risk of related health problems is identified starting at a waist circumference of 80 cm. Additionally, the waist-to-hip ratio is taken into account.

Endokrinologische Ursachen von Adipositas

Besides an imbalanced energy balance over a prolonged period, obesity can also be a consequence of a metabolic disorder (disorder of sugar or fat metabolism). Fat metabolism describes the production, transport, and metabolism of blood lipids. A distinction is made between cholesterol, triglycerides, and free fatty acids. Fatty acids are, on the one hand, the most compact form for transporting and storing energy, and on the other hand, important building blocks for hormones and cell structures. Lipid metabolism disorders are diseases in which certain fats are produced in increased amounts during metabolism and transported into the bloodstream. This can lead to vascular and organ damage. Disorders are categorized as hypercholesterolemia, hypertriglyceridemia, and mixed forms. Hormonal factors can also lead to obesity, for example, due to an underactive thyroid or an overactive adrenal cortex. In addition, tumors, trauma, surgery, or radiation therapy to the hypothalamus can cause obesity.

Hilfe bei Adipositas

To reduce significant excess weight, medical support and consultation with a nutritionist are recommended in most cases. Therapy typically consists of changing eating habits and increasing physical activity. If a hormonal disorder is diagnosed, treatment involves medication.

ENDOKONSI practices are also partners of Lighter.me . This program helps you manage your weight loss independently and from home with mobile, expert medical advice.

Adipositas-Behandlung mit der Abnehmspritze

In certain situations, treatment may involve the use of weight-loss injections. These injections can reduce appetite and inhibit fat storage. Since this method is not suitable for everyone and should only be used under medical supervision, a thorough medical consultation is necessary before deciding on treatment with weight-loss injections. If you are interested in further information or a consultation regarding obesity treatment with weight-loss injections, please schedule an appointment at one of our endocrinology practices .

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