Bellanger Tracie Manuel, Bray George A
Department of Internal Medicine, Louisiana State University Health Sciences Center, Baton Rouge, Louisiana, USA.
J La State Med Soc. 2005 Jan;157 Spec No 1:S42-9; quiz 49.
The epidemic of obesity has highlighted the extent of the risks associated with this disease. The risks arise from the increased mass of fat tissue, as well as the products produced by the increased number and size of fat cells in obese individuals. Psychosocial dysfunction, obstructive sleep apnea, and osteoarthritis can be a direct result of increased fat mass. Other diseases associated with obesity result from the metabolic consequences of enlarged fat cells. Diabetes, gallbladder stones, high blood pressure, liver disease, coronary artery disease, cerebrovascular disease, certain types of cancers, and infertility can all be traced in part to the increased secretion of inflammatory and coagulation molecules from fat cells. Finally, obesity also increases overall mortality. It is clear from this review that the morbidity and increased mortality of overweight and obesity is substantial and should prompt further attention towards the need for appropriate weight management in health care.
肥胖流行凸显了与该疾病相关的风险程度。这些风险源于脂肪组织量的增加,以及肥胖个体中脂肪细胞数量和大小增加所产生的产物。心理社会功能障碍、阻塞性睡眠呼吸暂停和骨关节炎可能是脂肪量增加的直接结果。与肥胖相关的其他疾病则源于脂肪细胞增大的代谢后果。糖尿病、胆结石、高血压、肝病、冠状动脉疾病、脑血管疾病、某些类型的癌症以及不孕症都部分可归因于脂肪细胞炎症和凝血分子分泌增加。最后,肥胖还会增加总体死亡率。从这篇综述中可以清楚地看出,超重和肥胖的发病率及死亡率增加幅度很大,应促使医疗保健领域进一步关注适当体重管理的必要性。