Campbell I
National Obesity Forum, PO Box 6625, Nottingham NG2 5PA, UK.
Heart. 2003 May;89 Suppl 2(Suppl 2):ii22-4; discussion ii35-7. doi: 10.1136/heart.89.suppl_2.ii22.
Obesity has reached epidemic proportions in the UK. It is important because of the associated co-morbidities, which include cardiovascular disease, type 2 diabetes, and osteoarthritis. The prevalence of obesity has increased because of a combination of excessive calorific intake (for example, from increased intake of energy dense foods) and insufficient energy expenditure (associated with a sedentary lifestyle). Weight loss of 5-10%, which can be achieved in primary care, is associated with significant health benefits. Obesity treatment in primary care includes lifestyle modification and drug treatment. The prevention and treatment of obesity cannot, however, be left solely to health professionals. Action is needed by government, the food industry, and society as a whole.
肥胖在英国已达到流行程度。由于其相关的合并症,包括心血管疾病、2型糖尿病和骨关节炎,肥胖问题很重要。肥胖患病率的上升是由于热量摄入过多(例如,能量密集型食物摄入量增加)和能量消耗不足(与久坐不动的生活方式有关)共同作用的结果。在初级保健中能够实现的5%-10%的体重减轻与显著的健康益处相关。初级保健中的肥胖治疗包括生活方式改变和药物治疗。然而,肥胖的预防和治疗不能仅仅依靠卫生专业人员。政府、食品行业和整个社会都需要采取行动。