Department of Behavioral Sciences, Rush University Medical Center, 1653 West Congress Parkway, Chicago, IL 60612, USA.
Psychiatr Clin North Am. 2010 Jun;33(2):423-40. doi: 10.1016/j.psc.2010.01.003.
Obesity carries a unique disease burden on women and is influenced by a variety of biological, hormonal, environmental, and cultural factors. Reproductive transitions, such as pregnancy and menopause, increase the risk for obesity. Psychologically, obese women experience greater weight-related stigma and discrimination and are at increased risk for depression than obese men. Women are also particularly susceptible to psychological stress, sleep debt, and lack of physical activity, all of which are risk factors for the development of excess weight. Obesity risk is increased among women with psychiatric disorders and those who use certain psychotropic medications. Obesity treatment should take into consideration degree of obesity, health risks, past weight loss attempts, and individual differences in motivation and readiness for treatment.
肥胖给女性带来了独特的疾病负担，并且受到多种生物学、荷尔蒙、环境和文化因素的影响。生殖期的转变，如怀孕和绝经，会增加肥胖的风险。从心理角度来看，肥胖女性比肥胖男性更容易受到与体重相关的耻辱和歧视，并且患抑郁症的风险更高。女性也特别容易受到心理压力、睡眠不足和缺乏身体活动的影响，所有这些都是体重增加的危险因素。患有精神疾病的女性和使用某些精神药物的女性肥胖风险增加。肥胖的治疗应考虑肥胖程度、健康风险、过去减肥尝试以及个体在治疗动机和准备方面的差异。
