Midwifery Education Program, Baystate Medical Center, Springfield, MA 01199, USA.
J Midwifery Womens Health. 2010 Nov-Dec;55(6):568-78. doi: 10.1016/j.jmwh.2010.05.001.
As the obesity epidemic increases, primary care clinicians are encountering obesity and health problems associated with obesity more frequently than ever before. In 2007, 41% of women were classified as obese, with a body mass index (BMI) of 30 or higher. Non-Hispanic blacks and Hispanics are more likely to be obese than white, non-Hispanics. A wide spectrum of health problems has been associated with obesity, including cardiovascular disease, diabetes, metabolic syndrome, osteoarthritis, and polycystic ovary syndrome. Obesity has been shown to be a low-grade inflammatory state, which may be responsible for many of the comorbidities. The general consensus recommends screening for obesity and counseling to promote weight loss. In some cases, pharmacotherapy and or bariatric surgery may be recommended.
随着肥胖症的流行不断加剧，初级保健临床医生比以往任何时候都更频繁地遇到肥胖症和与肥胖症相关的健康问题。2007 年，41%的女性被归类为肥胖，其身体质量指数（BMI）为 30 或更高。与白人非西班牙裔相比，非裔美国人和西班牙裔更有可能肥胖。一系列广泛的健康问题与肥胖症有关，包括心血管疾病、糖尿病、代谢综合征、骨关节炎和多囊卵巢综合征。肥胖症已被证明是一种低度炎症状态，这可能是许多合并症的原因。普遍共识建议筛查肥胖症并进行咨询以促进减肥。在某些情况下，可能会建议使用药物治疗或减肥手术。
