Obesity Treatment Guidelines (2024 Edition) (Treatment Section)

doi:10.3969/j.issn.1671-6450.2025.02.001

Abstract：III. Principles of Obesity Treatment The main purpose of obesity treatment is to reduce excessive fat accumulation in the body, lower the risk of obesity-related diseases, alleviate or improve existing obesity-related diseases and mental and psychological abnormalities, and enhance the health level and social adaptability of obese patients. In addition, improving mental and psychological disorders and symptoms related to obesity and enhancing the social adaptability of obese patients are also important aspects of obesity treatment. The weight loss goals for obesity should be set in a stratified manner, taking into account the severity of obesity and the risk and severity of obesity-related diseases. For most overweight and mildly obese patients, a goal of reducing body weight by at least 5% to 15% within 3 to 6 months and maintaining it is recommended. For moderate and severe obese patients, higher weight loss goals can be set to achieve better improvement in metabolic abnormalities and related clinical outcomes. At the same time, the rate of weight loss should also be paid attention to. The rate of weight loss is related to the severity of obesity and the weight loss method used. During the weight loss process, changes in dehydration, sarcopenia, and the endocrine system should be monitored. It is recommended to evaluate the effectiveness of weight loss and metabolic indicators every 3 to 6 months.