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美国内科医师学会最佳实践第168号。肥胖的调查与管理。

acp Best Practice No 168. The investigation and management of obesity.

作者信息

Labib M

机构信息

Department of Clinical Biochemistry, Russells Hall Hospital, Dudley, West Midlands DY1 2HQ, UK.

出版信息

J Clin Pathol. 2003 Jan;56(1):17-25. doi: 10.1136/jcp.56.1.17.

DOI:10.1136/jcp.56.1.17
PMID:12499427
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1769843/
Abstract

Obesity is a chronic condition characterised by an excess of body fat. It is a complex disorder of appetite regulation and energy metabolism controlled by specific biological factors. In the past 10 years, great progress has been made in the scientific understanding of the pathophysiology of obesity and the interactions between genetic predisposition to weight gain and the environment. This article will review the current understanding of the pathophysiology and the approach to the investigation and management of obesity.

摘要

肥胖是一种以体内脂肪过多为特征的慢性疾病。它是一种由特定生物因素控制的食欲调节和能量代谢的复杂紊乱。在过去十年中,在对肥胖病理生理学以及体重增加的遗传易感性与环境之间相互作用的科学认识方面取得了巨大进展。本文将综述目前对肥胖病理生理学的认识以及肥胖的调查和管理方法。

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本文引用的文献

1
Genetic and environmental contributions to the variance of the body mass index in a Norwegian sample of first- and second-degree relatives.在挪威一级和二级亲属样本中,遗传因素和环境因素对体重指数方差的影响。
Am J Hum Biol. 1991;3(3):257-267. doi: 10.1002/ajhb.1310030305.
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Food fails to suppress ghrelin levels in obese humans.食物无法抑制肥胖人群体内的胃饥饿素水平。
J Clin Endocrinol Metab. 2002 Jun;87(6):2984. doi: 10.1210/jcem.87.6.8738.
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Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin.通过生活方式干预或二甲双胍降低2型糖尿病的发病率。
N Engl J Med. 2002 Feb 7;346(6):393-403. doi: 10.1056/NEJMoa012512.
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Ghrelin enhances appetite and increases food intake in humans.胃饥饿素可增强人类的食欲并增加食物摄入量。
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5
Stomach is a major source of circulating ghrelin, and feeding state determines plasma ghrelin-like immunoreactivity levels in humans.胃是循环中胃饥饿素的主要来源,进食状态决定了人类血浆中胃饥饿素样免疫反应水平。
J Clin Endocrinol Metab. 2001 Oct;86(10):4753-8. doi: 10.1210/jcem.86.10.7885.
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The Swedish Obese Subjects (SOS) study--rationale and results.瑞典肥胖受试者(SOS)研究——原理与结果。
Int J Obes Relat Metab Disord. 2001 May;25 Suppl 1:S2-4. doi: 10.1038/sj.ijo.0801687.
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Randomized placebo-controlled trial of long-term treatment with sibutramine in mild to moderate obesity.西布曲明长期治疗轻至中度肥胖的随机安慰剂对照试验。
J Fam Pract. 2001 Jun;50(6):505-12.
8
Increasing prevalence of obesity in primary school children: cohort study.小学生肥胖患病率上升:队列研究。
BMJ. 2001 May 5;322(7294):1094-5. doi: 10.1136/bmj.322.7294.1094.
9
Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance.糖耐量受损人群通过生活方式改变预防2型糖尿病
N Engl J Med. 2001 May 3;344(18):1343-50. doi: 10.1056/NEJM200105033441801.
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Obesity: preventing and managing the global epidemic. Report of a WHO consultation.肥胖:预防和管理全球流行疾病。世界卫生组织磋商报告。
World Health Organ Tech Rep Ser. 2000;894:i-xii, 1-253.