Low Annette K, Bouldin Marshall J, Sumrall Caryl D, Loustalot Fleetwood V, Land Kelly K
Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi 39216, USA.
Am J Med Sci. 2006 Apr;331(4):175-82. doi: 10.1097/00000441-200604000-00003.
Obesity is pandemic in the modern world and continues to increase at an alarming rate, with great human and economic consequences. While bariatric surgery has been gaining popularity and acceptance as an effective way to achieve massive weight loss, it remains an option only for the extremely obese. For the millions of overweight and moderately obese individuals, the cornerstone of obesity treatment remains lifestyle and behavioral modifications in diet and physical activity. It is especially important for both primary care providers and subspecialists to be familiar with currently recommended approaches to the medical treatment of obesity, as it is critical that this extremely common, treatable chronic disease be recognized, intervention initiated, and therapy maintained at every appropriate clinical opportunity. Significant medical benefits can be gained even with a relatively small percentage of weight loss.
肥胖在现代世界中呈流行态势，且仍在以惊人的速度增长，带来了巨大的人力和经济后果。虽然减肥手术作为实现大幅减重的有效方法越来越受欢迎并被接受，但它仍然只是极度肥胖者的选择。对于数以百万计的超重和中度肥胖个体而言，肥胖治疗的基石仍然是饮食和身体活动方面的生活方式及行为改变。对于初级保健提供者和专科医生来说，熟悉当前推荐的肥胖医学治疗方法尤为重要，因为这种极为常见且可治疗的慢性病必须在每个适当的临床时机得到识别、启动干预并维持治疗。即使体重仅减轻相对较小的百分比，也能获得显著的医学益处。
