Extreme dietary diets are bad for health"Surgical"Effective for high obesity"

Jul 09, 2024

"Extreme dietary diets can have adverse health effects."

Lee Seong-bae, director of the Obesity Metabolic Surgery Center at Sejong Hospital in Incheon, said "Recently, the one-daily diet challenge diet has become popular among highly obese and ultra-obese patients."Extreme diet not only has an adverse effect on health, but it can also easily cause yo-yo phenomena, which can lead to weight gain."

Extreme diets typically include one meal a day, intermittent fasting, and one-food diet.

Nutrients vary widely in each food, and restricting your diet to only one type of food or prolonged hunger can prevent you from taking all the carbohydrates, proteins, fats, vitamins, and minerals needed for your body to function properly, and over time, it can lead to malnutrition and various deficiencies. It also leads to a lack of dietary fiber, which is important for digestive health, such as controlling bowel movements, preventing constipation, and maintaining healthy intestinal microorganisms.

It is also a problem to eat the same food repeatedly.

The head of the center said, "Eating only the same food is generally a negative relationship with food, such as boredom and disorderly eating habits. It can even affect mental health and the pleasure of eating, leading to binge eating or overeating"The lack of energy sources to the brain leads to headaches and dizziness in the early stages of adaptation, and the risk of hypersensitivity or allergies to certain foods increases. "

Experts point to wrong eating habits as the root cause of obesity. Excessive sugar intake, food made from grain powder, and preference for high-fat foods can lead to obesity.

Obesity is called an immunosuppressive state, and it secretes various inflammatory substances from fat cells, causing chronic systemic inflammation and resulting in various metabolic diseases.

Obesity can be improved by diet, exercise, and lifestyle changes, but the problem is that in the case of high obesity, which is called an intractable disease, this alone is difficult to achieve.

The head of the center said, "Food therapy or non-surgical treatment has little effect on highly obese patients." There is only 1 in 1,000 chance that highly obese patients in their 30s and 40s will lose weight on their own. We need help from professional medical staff.

At the same time, he emphasized the effect of 'obesity metabolic surgery' on highly obese patients.

Obesity metabolic surgery is largely composed of an intake-suppressing type 'Gastric Sleeve Resection' and an absorption-suppressing type 'Louwai Gastroomy'.

Gastric sleeve resection reduces stomach volume to about 14% compared to before surgery by resecting the stomach in the shape of a banana. As the overall size of the stomach decreases, it is easy to feel full, and appetite and taste change due to changes in hormones. It also has the advantage of being able to leave the hospital two days later due to laparoscopic surgery. One year after surgery, the weight loss effect due to surgery ends as the stomach volume increases and is maintained to 30% of the preoperative stomach volume.

Luwai gastrostomy is a surgical procedure in which the upper part of the stomach is separated into a small pocket shape and the small intestine is connected in a Y-shape. It preserves pancreatic function and blocks blood sugar from rising by transferring the point at which food meets pancreatic fluid and bile fluid in the duodenum to the lower small intestine. It is a surgery with a very high rate of complete remission of type 2 diabetes (the symptoms and signs of the disease have decreased or disappeared). It is recommended for patients who receive insulin or take more than three types of diabetes drugs.

Both surgeries have the effect of losing 30 to 35% of weight compared to before surgery. When highly obese patients with diabetes undergo obesity metabolic surgery, their life expectancy increases by 9.3 years, and cancer incidence and cancer mortality decrease to 50% and 30%, respectively. Yo-yo phenomenon is also rare, allowing weight loss to be maintained for more than 15 years. The government also recognized its importance and applied health insurance to obesity metabolic surgery.

Lee Seong-bae, head of the center, said, "The purpose of obesity metabolic surgery is to alleviate various metabolic diseases such as type 2 diabetes, high blood pressure, hyperlipidemia, non-alcoholic fatty liver, and asthma and to prevent fatal diseases such as stroke and myocardial infarction." This is because it not only physically limits the volume of stomach, but also induces changes in hormones that reduce appetite and change appetite.'

He continued, "We recommend that you do not lose effectiveness or harm your health by dieting rough meals, and improve your quality of life by losing weight and controlling it with professional medical staff and preventing future diseases to come."," he added.



Extreme dietary diets are bad for health'Surgical'Effective for high obesity'
Lee Sung-bae, head of the Obesity Metabolic Surgery Center at Sejong Hospital in Incheon, conducts obesity metabolic surgery.


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