After one month, she gained 5 kg, experiencing heartburn, acid reflux, and nausea. Doctors diagnosed her with gastroesophageal reflux and advised weight loss to alleviate the condition. At this time, Xuan weighed 68 kg with a body mass index (BMI) of 28,3, nearly reaching class two obesity, with body fat accounting for over 60% of her total weight.

Doctor Do Tien Vu, from the Endocrinology and Diabetes Department at Tam Anh General Hospital in Ho Chi Minh City, stated that uncontrolled eating after Tet often leads to weight gain. The hospital sees 50-60 patients daily for examinations, an increase of about 20% compared to the period before Tet. Weight gain alters appearance and contributes to health issues such as endocrine disorders, metabolic disorders, gastroesophageal reflux, cardiovascular problems, high blood pressure, and diabetes.

Doctor Vu advises Xuan on a weight loss regimen. Photo: Tam Anh General Hospital

Doctor Vu explained that excess fat, especially visceral fat, increases abdominal pressure, pushing the stomach upward and causing a hiatal hernia. This weakens the lower esophageal sphincter, allowing acid to reflux easily. Consuming many high-fat foods hinders the secretion of fat- and protein-digesting hormones or appetite-suppressing hormones, leading to relaxation of the lower esophageal sphincter and reducing its ability to prevent reflux. Prolonged reflux can result in esophagitis, erosion, precancerous esophageal damage (Barrett's esophagus), and esophageal adenocarcinoma.

Xuan received advice from the doctor to reduce her weight by 10-15% through a weight loss regimen. This regimen combines appetite suppressants, reduced calorie intake, dietary adjustments, and increased exercise.

In the initial days, she began by modifying her meals, gradually limiting high-fat and starchy foods such as fried banh chung (sticky rice cake), grilled meat, fast food, and reducing sweets. She ate fruits, grapefruit, and unsweetened yogurt whenever hungry. In the late afternoon, she walked for about 30 minutes, occasionally cycling or using outdoor exercise equipment.

According to Doctor Vu, after the Tet holiday, marked by numerous festive meals, many people embark on a journey to "regain their figure." However, post-Tet weight loss is often more challenging than usual. This difficulty stems from a tendency to relax and indulge during the holiday, leading to irregular routines and uncontrolled eating, which results in weight gain. This creates a habit difficult to break even after the holiday ends. Some individuals resort to sudden, extreme fasting, hoping for rapid weight loss, which harms health and can paradoxically lead to more weight gain.

The doctor recommends scientific eating habits, prioritizing healthy foods even during holidays like Tet. Individuals should maintain suitable exercise routines, get 6-8 hours of sleep daily, ensure adequate rest, and drink enough water. Limiting late-night eating and overeating throughout the day is crucial, as these habits easily lead to weight gain and metabolic disorders. Overweight and obese individuals should seek medical consultation for appropriate advice and treatment.

Duc Hanh

*Patient's name has been changed