Anderson D A, Wadden T A
Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, USA.
Arch Fam Med. 1999 Mar-Apr;8(2):156-67. doi: 10.1001/archfami.8.2.156.
Obesity is a major health problem in America. Weight loss is associated with improvements in obesity-related health complications, but patients and practitioners are frequently disappointed by the long-term results of weight control efforts. Recent research has yielded new findings concerning the causes of obesity, as well as new goals for obesity treatment. Traditionally, the goal of therapy has been reduction to ideal weight. Several scientific bodies, however, now recommend a more modest 5% to 15% reduction in initial weight. Current options for weight loss include behavioral or pharmacological management provided during primary care visits, self-help and commercial programs, hospital-based interventions, and bariatric surgery. Regardless of the approach selected, long-term care usually is required to facilitate the maintenance of weight loss.
肥胖是美国的一个主要健康问题。体重减轻与肥胖相关健康并发症的改善有关，但患者和从业者常常对体重控制努力的长期效果感到失望。最近的研究得出了有关肥胖原因的新发现，以及肥胖治疗的新目标。传统上，治疗的目标是减至理想体重。然而，现在有几个科学机构建议将初始体重适度降低5%至15%。目前的减肥选择包括在初级保健就诊期间提供的行为或药物管理、自助和商业项目、医院干预以及减肥手术。无论选择哪种方法，通常都需要长期护理来促进体重减轻的维持。
