Huang K-C
Department of Family Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Obes Rev. 2008 Mar;9 Suppl 1:32-4. doi: 10.1111/j.1467-789X.2007.00435.x.
Obesity is related to increased morbidity and mortality, and prevails worldwide. It has become an important health issue and requires urgent attention. In Taiwan, overweight and obesity are defined as body mass index > or = 24 and 27 kg m(-2), respectively. These cut-offs differ from Caucasian standards, as Asians have higher comorbidities and fat mass at lower BMI levels than Caucasians. The prevalence of obesity and overweight in Taiwan are 19.2% and 30.5% in men, 13.4% and 21.3% in women. This implies that a more profound increase in obesity prevalence is found in men than in women. A high-fat diet, sedentary lifestyle and betel nut chewing may increase substantially this obesity epidemic. Recently, type 2 diabetes mellitus has been found to be the most common type of diabetes, and obesity is significantly related to type 2 diabetes in children. In addition, obesity is associated with cardiovascular diseases risk factors and cannot be neglected in elderly. Therefore, a comprehensive prevention and management programme of obesity is urgently warranted for controlling the growing obesity trend and its related diseases in Taiwan.
肥胖与发病率和死亡率的增加相关，且在全球范围内普遍存在。它已成为一个重要的健康问题，需要迫切关注。在台湾，超重和肥胖分别定义为体重指数≥24和≥27kg/m²。这些临界值与白种人的标准不同，因为亚洲人在较低的体重指数水平下比白种人有更高的合并症和脂肪量。台湾男性肥胖和超重的患病率分别为19.2%和30.5%，女性为13.4%和21.3%。这意味着男性肥胖患病率的增长比女性更为显著。高脂肪饮食、久坐不动的生活方式和嚼槟榔可能会大幅加剧这一肥胖流行趋势。最近，2型糖尿病已被发现是最常见的糖尿病类型，并且肥胖与儿童2型糖尿病显著相关。此外，肥胖与心血管疾病风险因素相关，在老年人中不容忽视。因此，迫切需要一个全面的肥胖预防和管理计划，以控制台湾日益增长的肥胖趋势及其相关疾病。
