Pearce Linda C
Caring. 2003 Jun;22(6):24-8, 30, 32-3; quiz 34-6.
Our nation's battle with the bulge has contributed to the current co-epidemics of obesity and metabolic syndrome. The US Surgeon General's office reports that these disease risks may soon cause as much disease and death as cigarette smoking (HHS, 2001). In the United States, one in four adults has metabolic syndrome, which includes about 15 million persons with type 2 diabetes (Ford, 2002). About 50 percent of the estimated 47 million individuals with metabolic syndrome also have insulin resistance, which is a major factor in type 2 diabetes (Ford, 2002; Blackburn, 2001). Overweight and obese adults have a 50 to 100 percent increased risk for premature death compared to those of normal weight (HHS, 2001). The co-epidemics of obesity and metabolic syndrome are costly, as well, having an estimated price tag in 2000 of over $117 billion (HHS, 2001). This article will define the co-epidemics of obesity and metabolic syndrome and describe recommended prevention and management procedures to be adopted in home care.
我国与肥胖问题的斗争导致了当前肥胖症和代谢综合征的并发流行。美国卫生局局长办公室报告称，这些疾病风险可能很快会像吸烟一样造成大量疾病和死亡（美国卫生与公众服务部，2001年）。在美国，四分之一的成年人患有代谢综合征，其中包括约1500万2型糖尿病患者（福特，2002年）。在估计的4700万患有代谢综合征的个体中，约50%也存在胰岛素抵抗，这是2型糖尿病的一个主要因素（福特，2002年；布莱克本，2001年）。与正常体重的成年人相比，超重和肥胖的成年人过早死亡的风险增加了50%至100%（美国卫生与公众服务部，2001年）。肥胖症和代谢综合征的并发流行代价也很高，2000年的估计成本超过1170亿美元（美国卫生与公众服务部，2001年）。本文将定义肥胖症和代谢综合征的并发流行，并描述家庭护理中建议采用的预防和管理程序。
