Banning Maggi
Canterbury Christ Church University College, Chatham Maritime, Kent, UK.
Br J Nurs. 2005;14(3):139-44. doi: 10.12968/bjon.2005.14.3.17518.
Obesity is a global problem, independent of age. The numbers of obese individuals are now reaching epidemic proportions around the world. This is contributing to the risk of inherent comorbidity. The pathophysiology of obesity, although widely debated, is still unclear with suggestions that multiple genetic mutations may have a key role in the development, but as yet no one genetic mutation is felt to be entirely responsible. Biochemical manifestations such as diabetes may play a role. The first goal of management of the obese patient will involve dietary and behavioural modification and a programme of physical exercise. In primary care settings, nurses are suitably placed to assess and manage obese patients (National Institute for Clinical Excellence (NICE), 2001a). The nursing profession needs to rise to the challenge and prepare nurses for a specialist role in obesity management.
肥胖是一个全球性问题，与年龄无关。目前，肥胖个体的数量在全球范围内正达到流行程度。这正导致内在合并症风险的增加。肥胖的病理生理学虽然存在广泛争议，但仍不清楚，有人认为多种基因突变可能在其发展中起关键作用，但目前还没有一种基因突变被认为对此负全部责任。诸如糖尿病等生化表现可能起一定作用。肥胖患者管理的首要目标将包括饮食和行为调整以及体育锻炼计划。在初级保健机构中，护士具备合适的条件来评估和管理肥胖患者（国家临床优化研究所（NICE），2001a）。护理行业需要迎接这一挑战，让护士为在肥胖管理中担任专业角色做好准备。
