薛鹏介绍，钾离子是维持神经传导、肌肉收缩尤其是心肌规律跳动的关键电解质，当血钾低于 3.5mmol/L时，就会引发低钾血症。轻度低钾可能导致心动过速，重度低钾则会引发心动过缓，甚至室 颤、心脏骤停。快速减肥诱发低钾血症有三个原因，一是饮食摄入不足：极端节食会避开香蕉、菠菜等 富钾食物，直接导致钾摄入匮乏；二是汗液流失过多加速钾随汗液排出，若未及时补充，极易造成缺 钾；三是药物辅助误区：部分人使用利尿剂减肥，会进一步加速钾的排泄。 别让"瘦身"变成"伤身" （来源：沈阳日报） 转自：沈阳日报 近日，沈阳急救中心皇姑第三分中心薛鹏急救小组接到紧急任务：一名青年男性在家中突发意识丧失伴 四肢抽搐。检查发现，他因快速减肥导致严重低钾血症，一度心跳缓慢，命悬一线。这场发生在深夜的 急救，为所有执着于"快速瘦身"的人，敲响了关乎生命的安全警钟。 凌晨1点30分，急救小组在接到任务后不到10分钟便抵达患者家中，只见年轻男子瘫倒在床上，意识模 糊。据其朋友描述，患者在一个月内通过极端节食和大量运动减重30斤，当天因牙痛服用布洛芬和人工 牛黄甲硝唑后，突然出现了抽搐、意识不清的症状。检查结果显示，患者确诊为低钾血症合并窦性心动 ...

□ 本报记者 蒋明睿 "冬季涮火锅其实很有讲究。"奚治斌说，动物性食材首选低脂的鱼、虾类优质蛋白佐以豆制品丰富蛋白 品类，搭配营养素丰富的蔬菜、菌藻拼盘，以清汤代替高油的红汤为锅底，茶水代替可乐等含糖碳酸饮 料及烈酒，进餐时遵循先吃蔬菜、菌菇，再吃肉，最后吃主食的顺序，这样的顺序被证实可增加饱腹 感，且有利于减重。 继"秋天的第一杯奶茶"后，"冬天的第一顿火锅"又在社交媒体刷屏。低温让不少人的食欲开始暴涨，如 何利用冬季进补保持健康，但不增长体重呢？我们邀请到江苏省第二中医院临床营养科副主任奚治斌为 大家科普。 （来源：新华日报） 奚治斌介绍，冬季调理体质需先进行体质辨识，辨证施补。温阳补气食物可选羊肉、鸡肉、牛肉、虾 等，配以枸杞、生姜、红枣等能温和地补充阳气，提供代谢动力。而祛除痰湿可选山药、薏米、茯苓、 白扁豆、南瓜等来增强脾胃运化水湿的能力，从源头减少"痰湿"生成。冬季由于食物选择受限、饮食习 惯改变以及年俗等影响，营养素摄入容易失衡。奚治斌建议，可以结合体成分分析、维生素微量元素筛 查等，明确是否存在营养素缺乏，尤其是维生素、矿物质缺乏导致的所谓"隐性饥饿"，再决定对症食补 或制剂补充，避免"热量有 ...

很多人认为脂肪肝只是肝脏里多了点脂肪，没什么大不了的，这种想法其实是错误的。肥胖型脂肪肝如 果不及时干预，可能会引发一系列严重的健康问题。 首先，脂肪肝会逐渐损害肝脏功能。早期的脂肪肝可能没有明显症状，但随着病情的发展，肝细胞会受 到越来越严重的损伤，可能会发展为脂肪性肝炎。此时，患者可能会出现乏力、食欲不振、肝区不适等 症状。如果病情继续恶化，还可能发展为肝纤维化、肝硬化，甚至肝癌，严重威胁生命健康。 其次，肥胖型脂肪肝往往还会伴随着其他代谢性疾病。肥胖和脂肪肝都属于代谢综合征的范畴，它们常 常与高血压、高血脂、糖尿病等疾病"结伴而行"。这些疾病相互影响，会进一步增加心脑血管疾病的发 病风险，如冠心病、脑梗死等。 三、健康减重，改善脂肪肝的关键 1.合理饮食，控制热量摄入 饮食是减重的核心环节，合理的饮食结构不仅能帮助控制体重，还能为肝脏 提供良好的修复环境。要控制总热量的摄入，根据自己的年龄、性别、身高、活动量等因素，计算出每 天所需的热量，并在此基础上适当减少。一般来说，每天减少300-500千卡的热量摄入，每周可减重0.5- 1公斤，这种减重速度相对健康且容易坚持。调整饮食结构也至关重要。增加蔬菜、水 ...

Core Viewpoint - The establishment of the weight management center at Yuebei People's Hospital marks a shift from a treatment-focused approach to a health-centered model in managing overweight and obesity, aligning with the national "Healthy China 2030" strategy and the "Weight Management Year" initiative [2][4][19]. Group 1: Multidisciplinary Collaboration - The weight management center integrates various specialties, including endocrinology, traditional Chinese medicine, nutrition, and psychology, to provide comprehensive management services for overweight and obese individuals [4][7]. - The center employs a full-cycle management model that transitions from single-disease treatment to disease prevention, emphasizing long-term health management [7]. Group 2: Personalized Management Plans - The center conducts multidimensional assessments, including body composition analysis and metabolic function tests, to create individualized intervention plans for patients [8]. - These plans encompass personalized dietary recommendations, exercise prescriptions, and medication advice, along with dynamic health records for ongoing management [8]. Group 3: Traditional Chinese Medicine Interventions - The center offers various traditional Chinese medicine interventions, such as acupuncture, moxibustion, and herbal therapy, tailored to different body types to promote preventive health measures [9]. - The approach aims to enhance the overall weight management experience by integrating traditional practices with modern medical strategies [9]. Group 4: National Strategy and Goals - The "Weight Management Year" initiative aims to significantly improve public awareness and skills in weight management by 2026, with a target of reducing the annual obesity rate increase by 10% [19]. - By 2030, the initiative seeks to establish a supportive environment for weight management, promote healthy lifestyles, and mitigate the rising trend of overweight and obesity in the population [19].

Core Insights - The article discusses the importance of basal metabolic rate (BMR) in weight management and how increasing BMR can facilitate weight loss without significant dietary changes or exercise [1][6]. Summary by Sections Understanding Basal Metabolic Rate (BMR) - BMR accounts for approximately 45% to 70% of total daily energy expenditure, essential for maintaining basic life functions such as heartbeat and respiration [1]. - The article emphasizes that a higher BMR can lead to greater energy expenditure, potentially allowing individuals to lose weight more easily [1]. Estimating BMR - The most accurate method for measuring BMR is direct calorimetry, but it is impractical for everyday use [3]. - Alternative methods include using body fat scales or fitness center devices, which provide estimates based on height and weight [3]. - Two formulas for estimating BMR are provided, one for general use and another from the National Health Commission's 2024 guidelines [4][5]. Factors Influencing BMR - BMR is influenced by several factors, including body surface area, gender, age, seasonal changes, body composition, hormonal levels, and genetic predisposition [6][7]. - The article highlights that while some factors are unchangeable, individuals can focus on body composition to improve BMR [6]. Strategies to Increase BMR - Engaging in strength training can increase muscle mass, which in turn raises BMR [8][9]. - A high-protein diet is recommended to maintain muscle mass and support metabolic health, with suggested protein intake of 1.0 to 1.2 grams per kilogram of body weight [10]. - The article advises against extreme dieting, which can lower BMR and make weight loss more difficult [11]. - A balanced diet including carbohydrates and vitamins is essential for maintaining metabolic processes and preventing weight regain [12]. Additional Tips - Drinking sufficient water can aid in weight loss and improve metabolic rate, with a recommendation of 2000 milliliters per day [13].

Core Insights - The blue paper titled "Cognitive Understanding of Public Health Weight Loss and Scientific Medication" was released, highlighting the public's understanding and behavior regarding obesity and weight loss [1][2] - The report indicates that obesity is a significant public health challenge affecting national health quality and increasing the burden on the healthcare system [2][3] Group 1: Public Awareness and Misconceptions - The blue paper reveals that there is a prevalence of "pseudo-science" knowledge regarding weight loss, indicating a need for professional knowledge to break through existing barriers [1] - Many individuals do not recognize obesity as a disease and view weight loss medications as a "shortcut," neglecting the importance of lifestyle interventions [2] - The influence of social media and the "thin is beautiful" concept has led to a proliferation of false weight loss advertisements, contributing to public confusion [2] Group 2: Health Risks and Future Projections - Research shows that without urgent measures, by 2050, 50% of adults and one-third of children and adolescents globally will face overweight or obesity issues [1] - Obesity is currently the sixth leading cause of death and disability in China, serving as a precursor to over 200 diseases, including diabetes and cardiovascular diseases [1] Group 3: Multidisciplinary Approach - The treatment of obesity requires a collaborative approach involving multiple disciplines such as endocrinology, nutrition, exercise medicine, psychology, and public health [3] - The blue paper emphasizes a tiered intervention strategy: lifestyle intervention, medication assistance, and surgical evaluation, along with the principle of rational medication use [2]

Core Insights - The article highlights the increasing prevalence of obesity and the need for multidisciplinary approaches in treatment, as evidenced by the establishment of weight management clinics in hospitals [1][2][3] - The National Health Commission of China is promoting "weight management" initiatives, aiming for comprehensive coverage of health weight management clinics by June 2025 [1][3] Group 1: Multidisciplinary Treatment Approach - Patients with obesity often require input from multiple specialties, including endocrinology, gastroenterology, psychology, and nutrition, to develop effective treatment plans [3][4][6] - The article describes a case where a patient underwent a comprehensive evaluation by a team of four specialists, leading to a tailored treatment strategy [3][4] - The multidisciplinary model aims to reduce patient burden by consolidating care into a single visit, allowing for more thorough assessments and discussions among specialists [6][7] Group 2: Patient Demographics and Conditions - The patient demographic at the weight management clinic ranges from 15 to 73 years old, with a majority having a BMI over 35, indicating severe obesity [5][6] - Many patients have previously attempted various weight loss methods, including diet and medication, but have not achieved satisfactory results, prompting them to seek specialized care [5][6] - The article notes that obesity often coexists with other health issues, such as metabolic syndrome and psychological conditions, complicating treatment [4][10] Group 3: Importance of Psychological and Lifestyle Factors - Psychological factors, including stress and emotional eating, are significant contributors to obesity, necessitating the involvement of mental health professionals in treatment plans [10][11] - The article emphasizes the need for a holistic approach that considers lifestyle, dietary habits, and mental health in managing obesity [7][11] - The healthcare team encourages patients to focus on overall well-being rather than just weight loss, promoting a healthier lifestyle and mindset [11]