As the saying goes, "a fat one destroys everything", which is not a joke. Overweight and obesity bring many major and chronic diseases such as hypertension, hyperlipidemia, diabetes, cardiovascular and cerebrovascular diseases and cancer.

　　Where is the most dangerous place to grow fat? Which provinces in China have the most "fat people"? Men are generally fatter than women?

　　China obesity map released in 2023:

　　These three provinces have the most "fat people"!

　　On August 17th, the team of Professor Mu Yiming from the First Medical Center of PLA General Hospital published a report entitled "Obesity Prevalence and Related Complications in China: A Cross-sectional Real World Study of 15.8 million Adults" in Diabetes, Obesity and Metabolism. The report draws a digital version of the "obesity map of China". The report data shows that the overall overweight population accounts for 34.8% and the obese population accounts for 14.1%. ①

　　This is the largest contemporary study on the prevalence of overweight and obesity and related complications in China so far, with 15.8 million eligible adults from 243 cities across the country participating.

　　1. Inner Mongolia, Shandong and Hebei have the most "fat people".

　　The proportion of overweight/obesity in the north is generally higher than that in the south, among which the top three provinces are Inner Mongolia (37.1%), Shandong (37.1%) and Hebei (36.6%).

　　2. Men are generally fatter than women.

　　Overweight and obesity are more common among men than women. The proportion of overweight among men is 41.1%, while that of women is 27.7%. The proportion of obesity among men is 18.2%, while that of women is 9.4%.

　　3. Fat people have a higher prevalence of various complications.

　　Compared with normal BMI, overweight/obese people have a higher incidence of complications. The most common complications among overweight/obese participants are fatty liver, prediabetes, dyslipidemia and hypertension. The higher BMI, the more complications.

　　Why are men fatter than women?

　　The reason is deeply rooted.

　　Why are men fatter than women? Wu Xueyan, chief physician of Endocrinology Department of Peking Union Medical College Hospital, said in an interview with People’s Daily Health Client that there are several reasons why men are more likely to be obese, which are usually related to their stress and emotions in life or work.

　　First, long-term high pressure and bad mood can easily lead to endocrine hormone secretion disorder. The main reason is that the secretion of stress hormone-adrenal glucocorticoids is greatly increased, which plays an anti-insulin role and increases abdominal fat accumulation, causing abdominal obesity characterized by "general belly".

　　Second, in order to relieve stress and release emotions, men often take unhealthy lifestyles such as drinking and eating too much as a means. In addition to overeating, alcohol often produces a lot of calories, which will also promote the formation of obesity.

　　The third is sleep problems. Long-term insufficient or irregular sleep can also lead to male obesity by breaking the energy balance. ②

　　Health times chart

　　In addition, from the "age difference" of obesity, the proportion of overweight and obesity is different between men and women of different ages, and the "peak age of obesity" of men is usually smaller than that of women. The prevalence of overweight in men peaked at 50-54 years old (unchanged at 55-59 years old), while in women it peaked at 65-69 years old. The prevalence of obesity in men reaches its peak at the age of 35-39, while that in women is 70-74.

　　In other words, men reach the peak of obesity at a young age (35-39 years old) because of the pressure of work and life and unhealthy lifestyle; Women do not reach the peak of obesity until they are 70-74 years old. Male compatriots, my heart is tied …

　　It is most dangerous to grow fat in this place!

　　When fat (fat) grows on our faces, arms, thighs … these visible places, it is actually not terrible. What’s really scary is that fat grows in places we can’t see or touch, which is more harmful to health and even brings fatal risks!

　　Body fat can be divided into two categories:

　　The first category is "visible fat", that is, subcutaneous fat. They are attached to the skin and have the function of helping the human body keep warm. But if we accumulate too much, it will become the culprit that makes us look fat.

　　The second type of "invisible fat" is visceral fat. They wrap and fill our internal organs, such as liver, pancreas, stomach and intestines.

　　In an interview with Health Times in 2022, zhaojie, a resident in the Department of Endocrinology, Yunnan Provincial Hospital of Traditional Chinese Medicine, pointed out that normal visceral fat can protect the internal organs and prevent them from being damaged when falling, but too thick visceral fat can lead to fatty heart and fat.
Liver, fat kidney, fat pancreas and other organs have abnormal functions. This kind of obesity is central obesity (abdominal obesity, visceral obesity).

　　Judging visceral fat is not only based on BMI (weight/height 2), but also on waist circumference, waist-hip ratio (waist/hip circumference) and visceral fat detection. For example:

　　▼ Men’s waist circumference exceeds 90 cm and women’s waist circumference exceeds 85 cm. Even if BMI is normal, the risk of illness will increase;

　　▼ The waist-hip ratio of men is greater than 0.9 and that of women is greater than 0.8, indicating that it is a high-risk group with excess visceral fat, and abdominal obesity is greater than 1.0. ③

　　Health times chart

　　Four ways to help you lose visceral fat

　　In an interview with Health Times, Dr. zhaojie gave four ways to lose visceral fat. ③

　　Exercise for at least half an hour every day.

　　People with excessive visceral fat need to exercise for half an hour to an hour every day, such as running, walking, swimming, cycling, etc. Ball games help to decompose fat while consuming energy. Even if there is no abdominal obesity, you can take more exercise to prevent problems before they happen.

　　2. Remember a ratio of 5:3:2 when eating.

　　Eating too many staple foods such as rice and bread is easy to accumulate visceral fat in the abdominal cavity, but you can’t stop eating it completely to avoid the brain’s inability to concentrate when you eat zero.

　　For example, for women with abdominal obesity, the daily staple food intake is no more than 100 grams, and the ratio of three meals is 5:3:2.

　　3. Limit calorie intake according to exercise

　　If you don’t have much activity at ordinary times, the calorie intake (kilocalories) should not exceed the body weight (kilograms) x 25; If you exercise regularly and have a large amount of activity, the calorie intake (kilocalories) should not exceed the body weight (kg) x35.

　　4. Increase the daily intake of cellulose.

　　If you want to lose weight successfully, you can’t lack cellulose. You can choose foods rich in cellulose such as oats, mung beans, tomatoes and grapefruit every day, which will help smooth excretion and promote metabolism.

　　This article is synthesized from:

　　①Chen K，Shen Z，Gu W，Lyu Z，Qi X，Mu Y，Ning Y； Meinian
Investigator Group.Prevalence of obesity and associated
complications in China：A cross-sectional，real-world study in 15.8
million adults. Diabetes Obes Metab. 2023 Aug 17.
doi：10.1111/dom.15238. Epub ahead of print. PMID：37589256.

　　②2023-08-21 People’s Daily Health Client released the 2023 China Obesity Map! 41.1% of men are overweight (Reporter Gao Ruirui)

　　③2022-10-09 Health Times "Hiding in internal organs and forming bags under the eyes … Old people should manage their body fat"

　　Originally, it was just an ordinary criminal case, but when the police routinely tested DNA, it led to another child abduction case that had been covered up for 17 years. Recently, the People’s Court of Futian District, Shenzhen City, Guangdong Province made a first-instance judgment on this child abduction case. The defendants Zhang, Zhong Moumou and Zhang Mouying constituted crime of trafficking in children and were sentenced to fixed-term imprisonment ranging from 2 years and 6 months to 5 years respectively.

　　At about 19: 00 on March 31st, 2001, Mr. and Mrs. Lin, who were doing small business in a market in Futian District, took their two daughters and their twin sons Xiao Da (a pseudonym) and Xiao Di (a pseudonym) to the supermarket. Soon after leaving home, everyone could not help laughing when they saw Xiao Da’s feet covered with her mother’s shoes. Because he was worried that he would not walk well, he asked Xiao Da to go home and find his grandmother to change shoes, so he didn’t have to follow him.

　　After that, Lin and others visited the supermarket for more than an hour. After returning home, they were told by their grandmother that Xiao Da went out to find them alone after changing his shoes, and has not returned yet. The distance from the supermarket to home is not far, but Lin launched relatives and friends to look back and forth several times, but did not find Xiao Da.

　　According to the security guard in the parking lot, he once saw a man in his 40 s holding Xiao Da, who was crying all the time. When the security guard saw it, he asked him. The man claimed that he and the child’s parents were fellow villagers, but he could also tell the situation of the child’s family, and the security guard did not stop him after listening.

　　Who is this man? Lin failed to check one by one from his acquaintances, thinking that Xiao Da must have been taken away by traffickers, so he quickly called the police and embarked on a long road of finding children.

　　In March 2018, in a detention center in a city in Guangdong Province, 22-year-old Jing Tsai (pseudonym) was detained according to law for theft. According to the results of police DNA test, Jingzai has no blood relationship with his parents registered in the household registration, but is in line with the blood sample of Lin and his wife, that is, Jingzai is Xiao Da, a lost child of Lin 17 years ago.

　　When Lin’s family cried with joy for this sudden good news, Shenzhen police quickly attacked and dug up clues from Jingzai’s adoptive parents. In September 2018, Zhang, his brother-in-law Zhong Moumou and his sister Zhang Mouying, who participated in the trafficking of Xiaoda, took the initiative to surrender to the public security organs.

　　According to Zhang’s confession, he lived near the crime scene that year. On the day of the crime, shortly after Xiao Da disappeared, a man named "A Jun" whom he knew brought him a little boy (Xiao Da), saying that he was an illegitimate child that others didn’t want, and gave it to Zhang Yangyang. Zhang did not ask again, and after accepting it, he was taken care of by his mother. More than 10 days later, because her mother was old and unwell, Zhang informed her brother-in-law, Zhong Moumou, to bring Xiao Da back to his hometown, a village in a town in Heyuan City.

　　After the child was brought back to the village, it quickly attracted the attention of other villagers, but Zhong Moumou and his wife claimed that the child was the illegitimate child of a friend from other places according to the reasons told by Zhang in advance. The child’s father died in a car accident, and the mother wants to remarry, so I want to entrust them to find a family to adopt.

　　After hearing the news, Zhu, who lives in the same village, quickly rushed to Zhong’s home. It turned out that just two years ago, Zhu’s 3-year-old grandson accidentally fell into the pond and drowned because of poor care by adults, and the whole family was heartbroken. Zhu and his wife, who have always felt guilty about their daughter, liked Xiao Da very much after seeing him healthy. After discussion, they decided to adopt Xiao Da on behalf of their daughter and son-in-law.

　　On April 29, 2001, the two sides signed a custody contract, stipulating that Zhong Moumou agreed to entrust the child to Zhu for custody, and Zhu paid Zhong Moumou 10,000 yuan as the original custody fee. The contract also stated that if there was abduction, Zhong Moumou would take full responsibility. After receiving the money, Zhong Moumou paid 3,000 yuan for milk powder according to Zhang’s request.

　　In this case, due to the long time interval between the incidents, coupled with the limited technical means of investigation in that year, and some important witnesses have died or left Shenzhen. Although the existing evidence can prove that the three defendants have committed the crime of abducting and selling children for profit, there are several chances hidden behind their "confession". In particular, Zhang’s confession either evaded the importance or said that he was too old to remember, resulting in some doubts about the details of the child’s transfer.

　　In order to safeguard the legitimate rights and interests of victims, crack down on crimes accurately and effectively, and ensure the quality of case handling, Futian District People’s Procuratorate undertook the careful deployment of prosecutors, took a multi-pronged approach, actively communicated with public security organs, coordinated and guided evidence collection, and helped victims to correctly defend their rights and get out of the shadows as soon as possible to return to normal life.

　　At the trial stage of the court, all three defendants argued that Xiao Da was left for his own adoption, and was later given to others because of real economic difficulties. There was no "selling for the purpose" of abducting children, and Zhang even put forward two new witnesses to prove it.

　　The prosecutor in charge made a strong complaint in court, which broke their luck psychology while popularizing the law: Zhang and Zhong each had four children and both had boys at the time of the crime. At that time, Zhang’s family income was about 1,500 yuan, and Zhong’s family income fluctuated between 500 and 1000 yuan, so they were hard-pressed when raising their own children. Therefore, it was not reasonable to adopt Xiao Da from the economic conditions or traditional ideas.

　　Xiao Da stayed in the two families for only about 29 days before and after, but Zhong Moumou and others charged Zhu an amount nearly 10 times more than his monthly income. As a nominal "original support", it is obviously unreasonable. According to article 17 of the opinions of the two high schools on punishing the abduction and trafficking of women and children according to law in March 2010, it should be recognized that Zhong Moumou and others have the subjective purpose of illegally profiting.

　　After the trial, the procuratorate and the public security organs started a new round of investigation and evidence collection on the new evidence presented in Zhang’s court. Investigators also went to Chongqing and found two witnesses in Zhang’s mouth. It was verified that they were not at the scene when the crime was committed, and the testimony they said was actually the situation that Zhang suddenly called a year ago. And this time is just after Xiao Da’s true identity is exposed. That is to say, the testimony was actually a confession after the event and did not have the real effect of on-site witness, so the court did not adopt it.

　　In the second trial, Zhang and his defenders did not put forward any new defense opinions in the face of this investigation result.

　　Finally, the court ruled that the defendants Zhang, Zhong Moumou and Zhang Mouying were convicted of crime of trafficking in children. At the same time, it was determined that Zhong Moumou and Zhang Mouying could truthfully confess the facts of the crime and had the plot of surrender. Finally, the defendant Zhang was sentenced to 5 years in prison and fined 10,000 yuan; The defendants Zhong Moumou and Zhang Mouying were each sentenced to 2 years and 6 months in prison and fined 10,000 yuan. (Reporter Tang Rong correspondent Wang Qian)