Hauner H
Else-Kröner-Fresenius-Zentrum für Ernährungsmedizin, Klinikum rechts der Isar, TU München.
MMW Fortschr Med. 2007 Jan 18;149(3):38-41; quiz 43.
Obesity, defined as a body mass index of 30 kg/m2, or more is considered to be the decisive factor for the development of the metabolic syndrome and numerous other diseases prevalent in affluent societies. The high level of comorbidity and the shortening of life expectation underscore the need for an evidence-based, risk-stratified treatment strategy. Major elements of the latter are a hypocaloric diet that is also satiating, an increase in physical activity, specific behavioral changes and, where indicated, weight-reducing medication. For the treatment of extreme obesity, such surgical procedures as gastric banding or a gastric bypass are also available.
肥胖被定义为体重指数达到或超过30kg/m²，被认为是代谢综合征以及富裕社会中普遍存在的许多其他疾病发展的决定性因素。高共病率和预期寿命缩短凸显了基于证据的、风险分层治疗策略的必要性。后者的主要要素包括低热量且有饱腹感的饮食、增加身体活动、特定的行为改变，以及在必要时使用减肥药物。对于极端肥胖的治疗，也可采用胃束带术或胃旁路术等外科手术。
