The Ministry of Health of Vietnam issued Decision 2892/QĐ-BYT on the professional document "Guidelines for the diagnosis and treatment of obesity" dated October 22, 2022.
According to Vietnam's Decision 2892/QD-BYT, six groups of factors causing obesity include:
(1) Nutritional factors
The nutritional causes of obesity are diverse, mainly due to:
Excessive increase in energy intake;
Overeating means eating more food than the body needs.
Overeating can be caused for many different reasons, such as:
+ Habits of the family;
+ The subjectivity of people who eat a lot.
- A "rich" fat diet
In children, excessive consumption of sweets increases the risk of obesity.
Breastfeeding for less than 3 months is associated with an increased risk of childhood obesity at school.
(2) Genetic factors
Fat cells readily divide in one of two ways:
- Hyperplasia: both increase in volume and increase in the number of fat cells (increased 3–4 times), occurs in children or puberty; difficult to treat.
- Hypertrophy: fat cells enlarge due to increased fat accumulation but not the increase in number common in adults; better prognosis.
(3) Endocrine factors:
- Damage to the hypothalamus due to trauma, malignancy, inflammation, hypogonadism, decreased gonadotropin.
- Genitourinary obesity syndrome.
- Hypothyroidism
- Hyperadrenalism.
- Pancreatic tumors secrete insulin.
- Polycystic ovary syndrome.
(4) Histopathological factors:
- Excessive hyperplasia of the number of fat cells where the size of the fat cells may be normal.
- Hypertrophy of fat cells where the number of fat cells does not increase or only increases when the fat cells are fully enlarged.
(5) Medicine used factors:
- Steroid hormones
- Classic antidepressant (3 rounds, 4 rounds, MAO).
- Benzodiazepines
- Lithium.
- Antipsychotic drugs.
(6) Other factors
Vietnam's Decision 2892/QD-BYT takes effect from the date of signing and promulgation.
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