How to solve the problem of adolescent obesity Recently, at the press conference on the theme of people's livelihood at the third session of the 14th National People's Congress, Lei Haichao, director of the National Health Commission, called on everyone to do a good job in weight management, said that the relevant departments will continue to promote the three-year action of "Weight Management Year", and form a good lifestyle and habits in the whole society, such as attaching importance to weight, managing weight, eating healthy, and actively participating in sports and exercise. In recent years, the issue of adolescent obesity has received attention. The increasing number of 'little chubby guys' is causing concern for parents. How to solve the 'obesity dilemma'? How to scientifically and professionally implement the phrase 'keep your mouth shut, take a step forward'? Several healthcare professionals, representatives and members of the National People's Congress and the Chinese People's Political Consultative Conference have put forward their respective opinions. Keep your mouth shut and take a step forward to prevent and control obesity. Yan Jie, chief physician of the Clinical Nutrition Department at Beijing Children's Hospital affiliated with Capital Medical University, told reporters from China Youth Daily and China Youth Network that childhood obesity increases the risk of many diseases, such as hypertension, dyslipidemia, hyperglycemia, hyperuricemia, fatty liver, and precocious puberty. Zhao Jiajun, a standing committee member of the National Committee of the Chinese People's Political Consultative Conference and chief physician of Shandong First Medical University Affiliated Provincial Hospital, stated that the solution to the problem of adolescent obesity requires multidimensional measures, and the fundamental problem lies in the insufficient awareness of the public, especially parents, about the harm of obesity. Obesity prevention and control need to move the checkpoint forward and establish a systematic health management mechanism that focuses on prevention and combines prevention and treatment. Zhao Jiajun told reporters that some families, due to a lack of health awareness, attribute obesity to family genetics and neglect proactive intervention. Obesity not only triggers chronic diseases, but also affects the mental health and academic performance of adolescents. Xu Congjian, member of the National Committee of the Chinese People's Political Consultative Conference and director of the nutrition department of the Fudan University Affiliated Obstetrics and Gynecology Hospital, said that sweet food is a temptation for children. Excessive intake of fat and sugar, unbalanced nutrition, etc., are likely to bring risks such as obesity and diabetes. How to "control your mouth" to solve the problem of adolescent obesity? Xu Congjian mentioned that improving obesity should emphasize both balanced and moderate exercise and diet, and pay attention to body fat, especially fat distribution. When children lose weight, they need to pay attention to a balanced diet. When eating, it is important to have an understanding of how much carbohydrates, fat, and protein are consumed, when to consume more carbohydrates, when to consume more protein, and how vitamins should not be lacking Xu Congjian gave an example that people need to consume more carbohydrates in the morning to cope with the mental and physical exertion of studying and working in the morning. After exercising at night, they can consume more protein, which helps to build muscle. A good dietary pattern is not singular, but diverse. Dietary patterns are also not fixed and can be replaced or alternated. These specific and healthy concepts and details have not been deeply integrated into our daily education. In recent years, Xu Congjian has participated in the review of health reading materials by the People's Health Publishing House. The series is divided into specific grades and is about to be published. In Xu Congjian's view, it is necessary to promote the concept of nutrition and health to primary and secondary schools and families, and encourage people to change their mindset. On March 9th, Liu Guoliang, a member of the National Committee of the Chinese People's Political Consultative Conference and chairman of the Chinese Table Tennis Association, said in an interview with reporters from China Youth Daily and China Youth Net that nowadays, there are many "little chubby guys" and "little glasses", and parents are very anxious. He suggested that children participate in table tennis, which is beneficial for both vision and weight loss. Seeing that children are under a lot of academic pressure, he believes that education should focus on "addition and subtraction", reduce some exams, and increase some exercise. Not everyone wants to be a champion, "Liu Guoliang said. The purpose of sports is to cultivate a sound personality. For example, table tennis has a fast ball speed, which can make children's reactions more sensitive and helpful for learning, exams, and many other aspects. Li Haichao, a member of the National Committee of the Chinese People's Political Consultative Conference and the president of Beijing Chaoyang Hospital affiliated with Capital Medical University, said that to improve the problem of "little chubby", we must "treat both the symptoms and root causes". Nowadays, students do not have enough time for physical exercise. They must go out for activities during breaks to achieve a certain amount of exercise. Since 2014, the Clinical Nutrition Department of Beijing Children's Hospital has opened a weight loss clinic, with 1-3 doctors attending each time. Yan Jie found that before the physical education test, parents always come to the doctor and ask for a certificate of exemption from the exam for their children. "Some of them are not qualified for physical education because their children are too fat, while others feel that time is tight and academic workload is heavy, so they want to apply for a chronic disease certificate and not practice physical education. Exercise, which is often overlooked by many parents, is precisely an important way to improve adolescent obesity. Yan Jie stated that overweight children have high fat and low muscle mass, and unscientific weight loss can lead to a decrease in muscle mass and an increase in body fat percentage. The rebound rate of this type of weight loss is almost 100%. Currently, many places have extended the 10 minute break between classes to 15 minutes, which helps children to strengthen their physical activities during breaks. In Zhao Jiajun's view, the core solution to the problem of obesity lies in building a national health awareness system and promoting the concept of "health first" through continuous education, in order to achieve the integration of family, school, and medical care and promote the integration of sports and medicine. Only by forming a conscious awareness can we achieve the fundamental transformation from passive response to active prevention. Liu Hongyue, a member of the National Committee of the Chinese People's Political Consultative Conference, has long served as the host of health programs such as "Yangsheng Tang" and "I am a Great Doctor" on Beijing TV. She has found that high-quality health science popularization content is of great help in improving the public health service system for all. There are many metabolic syndrome that can be prevented through exercise, but people don't know much about exercise prescriptions. She suggests actively promoting and popularizing exercise prescriptions through credible mainstream media to help people understand the importance of exercise. The "Healthy China 2030" Plan Outline proposes to "strengthen the integration of sports and medicine and non-medical health interventions", "release guidelines for sports and fitness activities, establish and improve exercise prescription libraries for different populations, environments, and physical conditions, and promote the formation of a disease management and health service model that combines sports and medicine". Obese children often have problems such as high blood pressure, high blood lipids, high uric acid, joint pain, flat feet, and knee valgus. They may also have poor lung function, and some overweight children may twist their feet whenever they exercise. How to achieve weight loss without harming the body through exercise? Yan Jie believes that the scientific integration of sports and medicine is very important. Last year, Beijing Children's Hospital, together with the Sports Science Research Institute of the General Administration of Sport of China and other units, formulated the "Medical Sports Integration Children and Youth Sports Weight Loss Outpatient Service Standards", which is planned to be completed this year. Doctors can clarify a child's physical condition and potential risks through medical assessments, and then have sports experts combine medical assessments to conduct exercise evaluations, such as assessing cardiovascular and pulmonary function and limb abilities, and then prescribe targeted exercise prescriptions based on what they can do Yan Jie said. At present, hospitals can provide detailed dietary guidance, but lack specific exercise intervention methods. Many doctors in weight loss clinics in hospitals do not have the qualifications to prescribe exercise. Yan Jie told reporters that personnel with exercise prescription qualifications cannot enter hospitals to serve patients together with doctors. Most doctors can only provide exercise advice to patients rather than scientific exercise prescriptions. The integration of sports and medicine needs to be further promoted and truly implemented. The combination of family, school, and medical care is the key to solving the problem. Parents also need to establish a correct concept of health and provide corresponding support to their children in terms of diet, exercise, and lifestyle Yan Jie hopes that the three parties can strengthen their communication, for example, doctors can enter the campus more often for relevant science popularization, regularly hold parent teacher conferences to popularize science for parents, move the service gateway forward, and achieve the goal of "preventing illness before it occurs". Zhao Jiajun said that educational guidance is the fundamental solution, and a concept of whole life cycle health management should be established. For adolescents who have developed severe obesity, medication intervention or surgical treatment can be considered under the guidance of professional physicians, but this is a remedial measure rather than the preferred option. Although the physical education entrance examination has a mandatory effect, innovative forms of exercise are needed. In addition to traditional running, diversified activities such as muscle building training and fun sports can be added to integrate exercise into daily life. (New Society)