What are the diseases of an elderly man with a large belly and how to treat them

Abdominal obesity in elderly men may be related to metabolic syndrome, visceral fat accumulation, hormone level changes and other factors. Common diseases include abdominal obesity, fatty liver, type 2 diabetes, hyperlipidemia and cardiovascular diseases. Treatment should be combined with lifestyle interventions and disease management, including dietary control, regular exercise, medication therapy, metabolic surgery, and monitoring of complications.

1. Abdominal obesity

A waist circumference exceeding 90 centimeters can be diagnosed as abdominal obesity, mainly due to a decrease in basal metabolic rate caused by aging, accompanied by a decrease in muscle mass. It is recommended to adopt a low glycemic index diet, reduce intake of refined carbohydrates, and increase the proportion of high-quality protein. Engage in aerobic exercise such as brisk walking or swimming for at least 150 minutes per week, combined with resistance training to improve body composition. If necessary, follow the doctor's advice to use weight loss drugs such as orlistat.

2. Fatty liver

Excessive deposition of visceral fat can easily lead to non-alcoholic fatty liver disease, manifested as symptoms such as dull pain and fatigue in the liver area. It is necessary to strictly control the intake of saturated fatty acids and avoid drinking alcohol. Can be combined with liver protective drugs such as Silymarin capsules and polyene phosphatidylcholine. Regularly monitor liver function and liver ultrasound to prevent fibrosis progression.

Type 3 and 2 diabetes

Insulin resistance is the core pathogenesis, typically manifested as polydipsia and polyuria. The preferred treatment is metformin to improve insulin sensitivity, combined with acarbose to control postprandial blood glucose. Daily monitoring of fasting and postprandial blood glucose levels, glycated hemoglobin should be controlled below 7%. Pay attention to foot care to prevent diabetes foot.

4. Hyperlipidemia

Elevated low-density lipoprotein cholesterol increases the risk of arteriosclerosis. Diet should limit animal organs and trans fatty acids, and increase intake of deep-sea fish. Medication therapy can use lipid-lowering drugs such as atorvastatin calcium tablets and fenofibrate. Recheck four blood lipid levels every three months to maintain low-density lipoprotein levels below 2.6 mmol/L.

5. Cardiovascular disease

Abdominal obesity is prone to developing hypertension and coronary heart disease. Daily sodium intake should be limited to no more than 5 grams. You can follow the doctor's advice to take valsartan amlodipine tablets to control blood pressure, and aspirin enteric coated tablets to prevent thrombosis. If chest tightness or pain occurs, seek medical attention immediately and perform coronary angiography if necessary.

The management of abdominal obesity in elderly men requires long-term persistence, with at least 30 minutes of moderate intensity exercise per day, such as Tai Chi, cycling, etc. The diet adopts the Mediterranean dietary pattern, increasing the intake of whole grains, vegetables and fruits, and controlling the total daily calories. Regularly monitor waist circumference, blood pressure, blood glucose, blood lipids and other indicators, and conduct electrocardiogram and carotid ultrasound examinations every year. Ensure 7-8 hours of sleep and avoid staying up late. If symptoms such as persistent abdominal pain, jaundice, and difficulty breathing occur, timely medical attention should be sought to investigate serious complications.