英语作文,小儿肥胖症的症状与治疗,用英文版
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Childhood obesity standards generally refers to weigh more thanthe same sex, two standard healthy children of the same age orthe same height difference between the average weight of a healthy child; or more than the same age, 20% of the average weight of the same sex. Clinical common simple diet due to obesity caused by excessive, saying simple obesity. In recent years, the incidence of simple obesity in our country there is a growing trend of childhood obesity may be an adult obesity,hypertension, coronary heart disease and diabetes pioneer, and thus it is a chronic metabolic disorders, it is attention should be paid to prevention and early. 1, the treatment 1. Treatment of taboo (1) starvation diet: prohibiting the use of fasting, starvation / semi-starvation, disguised starvation diet. (2) Fast diet: prohibit short-term, quick "weight" or "weight loss." (3) weight loss drugs: prohibit the use of "weight loss drugs" or "diet food." (4) surgical treatment: prohibit the use of surgery, or so-called "physical therapy", such as oscillation. 2. Treatment concepts in the treatment of childhood obesity withweight control as the basic concept, not the goal of reducing theweight of the so-called "diet", "weight loss" treatment. Weight control means in order to promote growth and development,maintain fat moderate growth, enhance physical and mental healthfor the content of the comprehensive physical - psychologicalregulation theory. 3. Treatment goals to promote growth and development,enhancing aerobic capacity, improve physical health, achieve high scores or out of sports programs, control of body fat in the normalgrowth rate range, is the first line of the target childhood weight control. Develop a scientific, accurate and good habits, stay healthy development, cultivate a risk factor for cardiovasculardisease, no new generation, the children's long-term goal ofweight control. 4. Treatment programs to exercise prescription based onbehavior modification as the key technology, health education (including dietary adjustments) consistent; centered in obese children, teachers, parents and medical staff to participate; ineveryday family life as the major regulatory implementation venue, with the cold summer life training focused comprehensive treatment program. 5. Exercise Prescription tested individual maximal oxygenconsumption to 50% of individual maximal aerobic capacity for an average training intensity, the development of training programs.Training day 1 ~ 2h, training five days a week of treatment l2weeks. Exercise training also aims to make sports training to become everyday habits can often maintain and adhere tophysical exercise; master training techniques, self-protectionknowledge, methods, adhere to the correct scientific exercise.Choose to pay attention to both sports in the form of reducing the effectiveness of fat, long-term adherence to participate in thefeasibility children and children willing to participate in the fun. 6. behavior modification program through individual interviews,home visits / parents and school access (teachers, students)behavioral analysis. Behavior modification programs, includingthe development of baseline behavior, intermediary behavior,target behavior. Policies to encourage / punishment rule, positive /negative induction methods. Relevant parameters / indicatorsselected. With particular emphasis on (outside) grandparentinvolvement, which controls body weight in obese children effects of China and consolidate a great impact in terms of parent involvement. Psychotherapy, especially for children with psychological burden, it should be psychological treatment to enhance confidence. Once the weight loss in children, mental will improve. 7. dietary adjustments need to pay attention to the following principles: (1) must ensure the maintenance of basic nutrition and nutrientsneeded for growth and development in children. (2) should not make the weight suddenly reduced, began only required to stop the weight gain speed, it can later be gradually decreased to the normal weight range over the age of about 10%, that without strict restrictions on food. (3) still managed to satisfy the appetite in children suffering from hunger will not happen. 4) supply of protein per day should be less than 1 ~ 2g / kg. Some even advocate the use of high-protein diet, protein supply dailycapacity of 3 ~ 4g / kg. (5) to sugar as the main food of the need to limit the fat, but alsoappropriate restrictions sweets. (6) should not be a lack of vitamins and minerals. According to the above principles, the food should be vegetables, fruits, rice, etc, plus the amount of protein include lean meat, fish, eggs, beans and so on. For the calorie control should give full consideration to the needs of children's growth, generally five years of age ENERGY 2500 ~ 3330kJ / d (600 ~ 800kcal / d); 6 ~ 10 years old 3330 ~ 4167 kJ / d (800 ~ 1000kcal / d); 10 to 14 years 4167 ~ 5000kJ / d (1000 ~ 1200kcal / d). Of the daily intake of calories strict calculation and control, selectively eat or avoid eating certain foods. Adjustments in diet but also with the behavior modification, children establish proper eating habits. Content dietadjustment programs to develop according to the degree of obesity. For younger, and mild or moderate obesity just happened, according to less stringent diet adjustment programsfor treatment. For the above-mentioned effect is not obviousintervention mild to moderate obesity, it should further restrict thetypes of food they eat. How to teach children how to properlyselect a suitable alternative between food and different food.Dietary guidance program includes press encouraged to eat the food and do not encourage eating two, namely representatives ofdifferent colors, namely red food is forbidden to eat / eat lessfood, green food is available to eat food. Mainly to limit the number of high-calorie foods, or processed very finecarbohydrates, such as refined white flour, starchy potatoes, fat,fried foods, sugar, chocolate, cream products. Should limit anysweet drinks. Eat or not eat high-calorie foods and small size. The contents of this program include requirements for obese eatcellulose-containing or non-refined and processed food. Also asked their families, parents help obese children eating multi-residue food to the children to eat the food you want to cut asuitable size, not too big, should be small based. Do not lick every time you eat a disc promoter and bowl, eat sweets and so on. Forprotein, vitamins, minerals and trace elements should be maintained above the lower limit of daily intake. Supply bymaintaining control of the heat in the weight satisfied. 8. medication (1) Amphetamine: There describes the application ofamphetamine can reduce appetite, a dose of 2.5 ~ 5mg, at 0.5hbefore eating orally, 2 times / d, about 6 to 8 weeks for a course of treatment. However, drug treatment is rarely used in children, on the one hand is easy to produce drug dependence, on the other hand, such as pay attention to diet control, medication effect is notobvious. (2) gene therapy products: protein obesity gene expression products (Leptin) basically completed animal studies, clinical trials have begun. role of leptin weight loss appears to be effective, but the effectsare not, and only 5% to 10% of the obese patients are sensitive toleptin. The regulation of apoptosis in adipose tissue and the use of related products will be obesity control a promising field. (3) the treatment of concurrent hypoxemia: In addition to a low-calorie diet 2500 ~ 3330kJ / d (600 ~ 800kcal / d), shall be givenin the arm, diuretics and low concentrations of oxygen therapy,anti inhibit breathing too much oxygen . Anticoagulant therapy is limited thrombosis role. . 2, the prognosis 1. continue into adulthood obese children could continue to the level of obesity in adulthood and their way of life depends on the degree of obesity. Acceptable weight control by the relative riskbetween 1.5 and 1.6 to 0.69 ~ 0.73. Those who did not receivethe relative risk of weight control may rise to 1.88 ~ 2.34. 2. The risk factors for cardiovascular disease in adulthood only tosee how much overweight, but also the site of fat distribution.Waist / hip ratio (waist / hip circumference ratio) is ischemic heart disease, infarction, and an important risk factor predictors of sudden death, the boy that the value is higher than 1.0, the risk ofa sharp increase in the role of girls is higher than 0.8. Childhoodobesity is a high risk factor for atherosclerosis in adulthood. Adultfor each additional one kilogram overweight weight, cholesterolincreased 20 ~ 22mg / dl. Blood cholesterol, blood pressure and weight / height index has aggregation, this aggregation seen inschool-age children. Our simple obesity survey showed 60 percent of obese children in blood pressure is higher than the95% quantile. 3. predilection sites of cancer risk factors in adulthood cance
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