Core Viewpoint - Obesity is defined as a chronic relapsing disease, and its diagnosis should not rely solely on weight but should include a comprehensive assessment of body fat distribution and health risks [1][2]. Group 1: Health Risks and Statistics - Over 70% of overweight individuals in China have at least one comorbidity, while nearly 90% of obese patients have at least one comorbidity, including diabetes, dyslipidemia, hypertension, cardiovascular diseases, chronic kidney diseases, depression, and anxiety [1]. - Obesity is associated with a reduced life expectancy [1]. Group 2: Diagnostic Tools and Guidelines - Common diagnostic tools for obesity include BMI, waist circumference, body fat percentage, and visceral fat area [1]. - The latest guidelines in China advocate for early intervention in overweight (BMI ≥ 24) and obese (BMI ≥ 28) individuals, emphasizing lifestyle changes as the primary method for weight management [2]. Group 3: Treatment Options - For individuals with obesity or overweight and comorbidities, pharmacological treatment may be initiated if lifestyle interventions are ineffective. GLP-1 receptor agonists can aid in weight loss while improving metabolic indicators such as blood sugar and blood pressure [2]. - Surgical options for severe obesity (BMI ≥ 37.5) or those with serious comorbidities include sleeve gastrectomy and gastric bypass, which can lead to long-term weight loss and improvement of comorbidities [2]. Group 4: Traditional Chinese Medicine (TCM) Approaches - TCM views obesity as an external manifestation of internal imbalance, focusing on restoring the normal function of organs such as the spleen, liver, and kidneys [3]. - Non-pharmacological therapies in TCM, such as acupuncture and dietary adjustments, are gaining popularity among the public for weight management [3]. Group 5: Community Health Initiatives - Shanghai encourages community health service centers to establish weight management clinics, creating an integrated service system for prevention, intervention, and maintenance of weight management [4]. - Experts emphasize that combating obesity requires scientific methods, sustained patience, and multi-dimensional support, viewing weight loss as a pursuit of quality of life rather than just a numerical goal [4].