HIDDENOBESITY
香港海濱跑步人群 · Runners on the Hong Kong waterfront
01 / 09
01 · 香港健康專題 · 2026 01 · HK HEALTH FEATURE · 2026

全港過半數人超重或肥胖。
但 70% 人完全唔知 ——
肥胖係病。
Over half of Hong Kong is overweight.
70% have no idea.

你會否是其中一員?
根據衞生署人口健康調查,每兩個香港人就有一個超重或肥胖 —— 但大部分人,連自己係邊一半都唔知。
Could you be one of them? The Department of Health's latest 2026 census shows one in two Hong Kong people is overweight or obese — yet most don't even know which half they're in.

計算您的 BMI 及健康風險Calculate your BMI & health risk

身高Height
cm
體重Weight
kg
22.5BMI

*採用亞洲/香港標準(正常 18.5–22.9,超重 23–24.9,肥胖 ≥ 25)。BMI 只係參考指標。 *Asian/Hong Kong references (Normal 18.5–22.9, Overweight 23–24.9, Obese ≥ 25). BMI is a guide only.

02 認識肥胖 · 肥胖是一種疾病UNDERSTANDING OBESITY · IT IS A DISEASE

肥胖不只是外表問題,
而係一種慢性病。
Obesity isn't about looks.
It's a chronic disease.

就好似糖尿病、高血壓一樣——肥胖係一種需要長期管理嘅疾病。世衛 (WHO) 同國際醫學界,一早將肥胖列為慢性病。 Like diabetes or high blood pressure, obesity is a disease that needs long-term management. The WHO and the global medical community classified it as a chronic disease long ago.

國際認可Internationally recognised

WHO 自 1997 年起將肥胖列為慢性病。美國 AMA、歐洲 EASO 亦正式分類。The WHO has classified obesity as a chronic disease since 1997. The US AMA and Europe's EASO classify it the same way.

長期管理Long-term management

肥胖唔係「減咗就完」——而係要長期管理,就好似血壓、血糖一樣。Obesity isn't "lose it and you're done" — it needs ongoing management, just like blood pressure or blood sugar.

醫學減重Medical weight loss

單靠節食或運動嘅成功率不足 5%。醫學介入係新一代標準療法。Diet or exercise alone succeeds less than 5% of the time. Medical intervention is the new standard of care.

肥胖係疾病,單靠意志力係解決唔到——唔好再責怪自己。 Obesity is a disease. Willpower alone can't solve it — stop blaming yourself.

03 隱形風險 · 看不見的代謝危機HIDDEN RISK · THE THREAT YOU CAN'T SEE

體重睇得到,
但健康風險係隱形。
You can see weight.
The health risks stay hidden.

你以為肥胖只係見唔到條腰嘅問題?其實過多脂肪——尤其係積聚喺內臟周圍嗰啲——正悄悄推高你患上多種慢性病嘅風險。 Think obesity is just a waistline problem? Excess fat — especially the kind around your organs — quietly raises your risk of multiple chronic diseases.

二型糖尿病Type 2 diabetes

內臟脂肪會干擾胰島素運作,血糖長期失衡。Visceral fat disrupts how insulin works, throwing blood sugar off balance over time.

心血管疾病Cardiovascular disease

脂肪包圍器官,悄悄推高血壓同膽固醇。Fat surrounds your organs, quietly driving up blood pressure and cholesterol.

脂肪肝Fatty liver

肝臟積聚脂肪,初期幾乎無症狀。Fat builds up in the liver with almost no symptoms early on.

肥胖嘅風險,唔會等你睇得出先發生。由荷爾蒙同代謝層面處理——先至係最好嘅方案。 Obesity's risks don't wait until you can see them. Treating it at the hormonal and metabolic level — that's the best approach.

*根據 Nutrition & Diabetes 研究。*Based on research published in Nutrition & Diabetes.

04 認識隱形肥胖 · HIDDEN OBESITYHIDDEN OBESITY · THE FAT YOU CAN'T SEE

唔肥,就一定健康? 最危險嘅肥胖, 係你睇唔到嗰種。 Slim means healthy?
The most dangerous fat is the kind you can't see.

講起肥胖,大部分人諗起嘅都係「磅數高、體型大」。但醫學上有一種肥胖,你照鏡睇唔到、體重磅唔出 —— 佢就係「隱形肥胖」。 Say "obesity" and most people picture a high number on the scale and a large frame. But there's a kind of obesity you can't see in the mirror or weigh on a scale — "hidden obesity."

隱形肥胖之所以危險,正正因為佢「隱形」 —— 喺你完全冇feel、外表如常嘅情況下,悄悄推高風險。唔好等到外觀變化先警覺;真正了解自己,由認識「藏喺裏面」嗰部分開始。 Hidden obesity is dangerous precisely because it's hidden — quietly raising your risk while you feel fine and look unchanged. Don't wait for your appearance to change; truly knowing yourself starts with what's inside.

*隱形肥胖(TOFI/正常體重肥胖)為醫學研究概念,流行率因評估標準及人群而異。以上引述自相關營養及代謝研究文獻。*Hidden obesity (TOFI / normal-weight obesity) is a research concept; prevalence varies by criteria and population. The above cites related nutrition and metabolic literature.

05 亂減肥嘅代價 · 危險方法THE COST · DANGEROUS SHORTCUTS

減肥減出禍。
最危險嘅,往往係「捷徑」。
Crash dieting backfires.
The "shortcut" is the danger.

減肥針近年爆紅,網上、社交平台、甚至部分藥房都「易買到」。但你買到嘅,究竟係正貨、水貨,定係假藥?無人把關之下,風險全部由你自己承擔。 Weight-loss injections have exploded in popularity — easy to find online, on social media, even at some pharmacies. But is what you're buying genuine, a parallel import, or counterfeit? With no one vetting it, the risk falls entirely on you.

101

減肥針係處方藥,唔係消費品Slimming injections are prescription drugs, not consumer goods

喺香港,坊間俗稱「瘦瘦筆」嘅減肥針 —— 包括 Saxenda、Ozempic、Mounjaro 等 —— 全部都係受法例管制嘅處方藥物。根據《藥劑業及毒藥條例》,呢類藥物屬第 1 部毒藥及處方藥物,必須喺醫生指示下使用,亦只可喺註冊藥劑師監督下、憑醫生處方喺藥房購買。In Hong Kong, the so-called "slimming pens" — including Saxenda, Ozempic and Mounjaro — are all prescription medicines controlled by law. Under the Pharmacy and Poisons Ordinance they are Part 1 poisons and prescription drugs that must be used under a doctor's direction, and may only be bought at a pharmacy on a doctor's prescription, under a registered pharmacist's supervision.

任何叫你「免問診、即買即打」嘅渠道,本身已經係違法。Any channel telling you to "skip the consult, just buy and inject" is already breaking the law.

資料來源:《藥劑業及毒藥條例》(香港法例第 138 章)Source: Pharmacy and Poisons Ordinance (Cap. 138)

202

水貨、假藥,正喺香港流通Parallel imports and fakes are circulating in Hong Kong

呢個唔係嚇你 —— 係正在發生嘅事:This isn't a scare tactic — it's happening right now:

  • 執法持續進行中 2026 年 5 月,衞生署聯同海關喺天水圍採取聯合行動,拘捕一名涉嫌非法售賣未經註冊抗肥胖症針劑嘅女子;涉案產品以日文標示,懷疑並非香港註冊藥劑製品。Enforcement is ongoing. In May 2026 the Department of Health and Customs took joint action in Tin Shui Wai and arrested a woman suspected of illegally selling unregistered anti-obesity injections; the products were labelled in Japanese and suspected not to be Hong Kong–registered pharmaceutical products. 香港政府新聞公報 · HK Govt
  • 藥房違法銷售屢見不鮮 衞生署數字顯示,2023 年至 2025 年 9 月期間,共錄得 20 宗藥房非法銷售處方藥物而被定罪嘅個案。Illegal pharmacy sales are common. Department of Health figures show 20 convictions for pharmacies illegally selling prescription drugs between 2023 and September 2025. 頭條日報 · Headline Daily
  • 記者放蛇直擊 有傳媒偵查報道發現,水貨減肥針劑充斥部分藥房及網店,喺無醫生處方下照樣售賣。Undercover reporting confirms it. Investigative reports found parallel-import slimming injections widespread in some pharmacies and online shops, sold without any prescription. 傳媒偵查報道 · Media investigation
303

來歷不明,等於拿自己健康賭博Unknown provenance is gambling with your health

就算買到嘅係「真藥」,無醫生把關同樣高危:Even if what you buy is "genuine," using it without a doctor is just as dangerous:

  • 儲存出問題 呢類針劑須冷鏈保存;網購渠道難以確認運輸過程是否儲存恰當,藥物嘅安全、素質同效能均無法保證。Storage failures. These injections require cold-chain storage; online channels make it impossible to confirm proper handling in transit, so the drug's safety, quality and potency can't be guaranteed. 香港政府新聞公報 · HK Govt
  • 唔係人人啱用 減肥針並非人人適合:腸胃潰瘍、腎衰竭、有胰臟炎史或甲狀腺髓樣癌家族史者絕對禁用;孕婦、計劃懷孕及哺乳期女性禁止使用。Not for everyone. Slimming injections aren't suitable for all: absolutely contraindicated for those with gastrointestinal ulcers, kidney failure, a history of pancreatitis or a family history of medullary thyroid cancer; prohibited for pregnant, planning-to-conceive and breastfeeding women. Human Health
  • 副作用唔輕 常見副作用包括噁心、嘔吐、腹瀉;嚴重者可引致急性胰腺炎、膽囊疾病、心律問題;個別更有情緒變化甚至自殺傾向嘅報告。Side effects aren't trivial. Common effects include nausea, vomiting and diarrhoea; severe cases can cause acute pancreatitis, gallbladder disease and heart-rhythm problems; some reports even note mood changes and suicidal ideation. Human Health
06 醫生把關 · 唔止開藥咁簡單THE DOCTOR'S ROLE · MORE THAN A PRESCRIPTION

醫生唔係幫你「開針」咁簡單, 而係由頭到尾幫你睇住。 A doctor doesn't just "give you a shot."
They watch over you, start to finish.

真正合規嘅醫學減重,醫生嘅角色貫穿成個療程 —— 由你未開始用藥,到用藥期間,到考慮停藥。每一步都有專業判斷,唔係自己上網買支針可以取代。 In properly regulated medical weight loss, the doctor is involved across the whole course — before you start, while you're on it, and when you consider stopping. Each step takes professional judgement that buying a shot online can't replace.

用藥前:篩查你啱唔啱用Before: screening whether it suits you

唔係人人都適合減肥針。腸胃潰瘍、腎衰竭、有胰臟炎史或甲狀腺髓樣癌家族史者絕對禁用;孕婦、計劃懷孕及哺乳期女性亦禁止使用。用藥前通常需要檢查肝腎功能同血糖基線 —— 呢啲,只有醫生問診同評估病史先做得到。Slimming injections aren't for everyone. They're absolutely contraindicated for those with GI ulcers, kidney failure, a history of pancreatitis or a family history of medullary thyroid cancer; and prohibited for pregnant, planning-to-conceive or breastfeeding women. Liver/kidney function and a blood-sugar baseline usually need checking first — only a doctor's consultation and history review can do that.

Human Health

劑量:由低開始,慢慢調整Dosing: start low, titrate slowly

減肥針唔係「一個劑量打到尾」。劑量會喺使用初期由低逐漸增加,並由醫生根據你嘅具體情況調整。自己亂加劑量,只會放大副作用風險。It's not "one dose all the way." The dose is increased gradually from a low start, adjusted by a doctor to your specific situation. Bumping it up yourself only amplifies side-effect risk.

Dr J

用藥中:持續監察副作用During: ongoing side-effect monitoring

用藥期間需要持續跟進 —— 例如每月覆診,監察有冇急性胰腺炎、膽囊疾病或情緒變化等嚴重副作用。有醫生睇住,出事先有人即時叫停同處理。Treatment needs ongoing follow-up — e.g. monthly reviews watching for serious effects like acute pancreatitis, gallbladder disease or mood changes. With a doctor watching, someone can stop and manage it the moment something goes wrong.

Human Health

提醒其他醫療場合Flagging it in other medical settings

呢類藥物會減慢胃排空。近年有研究同專業組織指出,正服用 GLP-1 類藥物嘅人士,接受手術或麻醉時可能增加肺部吸入(aspiration)風險;美國於 2024 年 11 月已將相關警示加入藥物標籤。如果你要做手術或麻醉,必須事先話俾醫生知 —— 而你首先要有一個知道你用緊咩藥嘅醫生。These drugs slow gastric emptying. Recent research and professional bodies note that people on GLP-1 medication may face higher pulmonary aspiration risk during surgery or anaesthesia; the US added a label warning in November 2024. If you're having surgery or anaesthesia you must tell your doctor in advance — and for that, you first need a doctor who knows what you're taking.

medRxiv

一支針背後,係一連串專業判斷。醫生把關,唔係多餘嘅手續 —— 而係令減重安全嘅核心。 Behind one injection sits a chain of professional judgement. A doctor's oversight isn't red tape — it's the core of what makes weight loss safe.

07 自測 · 30 秒風險評估SELF-CHECK · 30-SECOND RISK SCAN

你嘅肥胖風險有幾高?
30 秒自測。
How high is your obesity risk?
A 30-second check.

以下情況中咗任何一項,你都可能屬於肥胖或代謝風險高危族群: Tick any of the following and you may be in a high-risk group for obesity or metabolic problems:

腰圍超標(女士 ≥ 80cm,男士 ≥ 90cm)Waistline over the limit (women ≥ 80cm, men ≥ 90cm)
試過多次節食或運動減肥,但反彈或停滯Tried dieting or exercise repeatedly, but rebounded or plateaued
容易攰、食完飯後特別眼瞓、或常感脹滯Often tired, sleepy after meals, or frequently bloated
家族有糖尿病、高血壓或心臟病史Family history of diabetes, high blood pressure or heart disease
睡眠質素差,例如鼻鼾、瞓瞓下窒一窒Poor sleep — snoring, or breathing that stops and starts
中咗 1 項或以上?你值得做一個更準確嘅身體評估,了解真實風險。 Ticked 1 or more? You deserve a more accurate body assessment to understand your real risk.
開始免費評估Start free assessment
08 支援網絡 · 你不需要一個人面對SUPPORT NETWORK · YOU DON'T HAVE TO DO IT ALONE

建立你嘅體重管理
支援網絡。
Build your weight-management
support network.

體重管理從來都唔簡單 —— 有合適嘅同行者,會幫你更易保持動力同進度。由你嘅醫護人員、家人同朋友組成嘅支援網絡,在你改變生活模式嘅路上撐住你 —— 令你嘅體重管理計劃有更大成功機會。 Managing your weight is never simple — and the right people alongside you make it far easier to stay motivated and on track. A support network of your healthcare team, family and friends backs you as you change your habits, giving your plan a much greater chance of success.

09 你問我答 · 常見問題FAQ · YOU ASK, WE ANSWER

你問我答。You ask, we answer.

體脂同內臟脂肪過高,即使體重正常,都會增加糖尿病、心血管同肝臟風險。及早了解,先可以及早管理。High body fat and visceral fat raise your risk of diabetes, cardiovascular and liver disease even at a "normal" weight. Knowing early means you can manage it early.
網上評估只需幾分鐘,免費完成,待醫生處方後才會收費。The online assessment takes just a few minutes and is free; charges only apply after a doctor prescribes.
所有方案都會由香港註冊醫生覆核,確保安全同適合你。Every plan is reviewed by a Hong Kong registered doctor to ensure it's safe and right for you.
你提供嘅所有健康資料都會加密並保密處理。All the health data you provide is encrypted and kept confidential.
男女身體組成同代謝唔同,分開配對可以更貼合你嘅需要。Body composition and metabolism differ between sexes; separate matching fits your needs more closely.
世衛組織 (WHO) 自 1997 年起已正式將肥胖列為慢性疾病;美國醫學會 (AMA) 同歐洲肥胖症研究協會 (EASO) 亦有同樣分類。研究顯示單靠節食或運動嘅長期成功率不足 5%——證明肥胖唔係意志力問題,而係一種需要醫學介入嘅疾病。The WHO has formally classified obesity as a chronic disease since 1997; the US AMA and Europe's EASO classify it the same way. Research shows diet or exercise alone has a long-term success rate under 5% — proving obesity isn't about willpower, but a disease needing medical intervention.
體重管理支援Get support