Robison Jon, Putnam Kelly, McKibbin Laura
Michigan State University, East Lansing, MI, USA.
AAOHN J. 2007 Apr;55(4):143-50. doi: 10.1177/216507990705500402.
It would be difficult to overstate the urgency that U.S. government and health officials have placed on the dangers posed by obesity. Given the increasing numbers of individuals being diagnosed as overweight and obese and the emphasis on the contribution of weight to health and disease, it is critical that all health professionals examine the validity of the claims being made. A thorough examination of the research literature does not support the claims that overweight and obesity are major causes of premature mortality, excess fat is pathological and a direct cause of disease, and weight loss is practical and beneficial to health for most individuals. The literature also does not provide any significant evidence-based support for current approaches to weight management. In fact, it suggests that these approaches may likely be doing more harm than good.
美国政府和卫生官员对肥胖所构成的危险极为重视，这一点无论怎么强调都不为过。鉴于被诊断为超重和肥胖的人数不断增加，以及对体重对健康和疾病影响的重视，所有健康专业人员审视这些说法的正确性至关重要。对研究文献的全面审视并不支持以下说法：超重和肥胖是过早死亡的主要原因、多余脂肪具有病理性且是疾病的直接原因，以及对大多数人来说减肥对健康切实有益。文献也没有为当前的体重管理方法提供任何重要的循证支持。事实上，这表明这些方法可能弊大于利。
