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超重与肥胖:药物治疗考量

Overweight and obesity: pharmacotherapeutic considerations.

作者信息

Balkon Nancy, Balkon Craig, Zitkus Bruce S

机构信息

Stony Brook University School of Nursing, Stony Brook, New York, USA.

出版信息

J Am Acad Nurse Pract. 2011 Feb;23(2):61-6. doi: 10.1111/j.1745-7599.2010.00587.x. Epub 2011 Jan 11.

Abstract

PURPOSE

This article reviews current trends for using pharmacotherapy in combination with other weight loss modalities and offers points for consideration by clinicians in practice.

DATA SOURCES

Selected evidence-based articles and government websites.

CONCLUSIONS

Pharmacotherapy as a strategy for managing overweight, obese, and extremely obese individuals remains controversial. Risk versus benefit and overall safety of prescription drugs for weight loss management remains a primary focus for consideration among clinicians and a viable topic for evidence-based outcomes research.

IMPLICATIONS FOR PRACTICE

Overweight and obesity are well accepted as critical risk factors and predictors of morbidity and mortality in individuals of all ages from childhood to senescence. In the United States, overweight and obesity exist in epidemic proportions. It is critical that primary care providers be knowledgeable about pharmacologic factors related to obesity.

摘要

目的

本文回顾了药物治疗与其他减肥方式联合使用的当前趋势,并为临床医生在实践中提供了一些需要考虑的要点。

数据来源

精选的循证医学文章和政府网站。

结论

药物治疗作为管理超重、肥胖和极度肥胖个体的一种策略仍存在争议。用于体重管理的处方药的风险与益处及总体安全性仍是临床医生考虑的主要焦点,也是循证医学结局研究的一个可行主题。

对实践的启示

超重和肥胖被广泛认为是从儿童到老年各年龄段个体发病和死亡的关键危险因素及预测指标。在美国,超重和肥胖呈流行态势。基层医疗服务提供者了解与肥胖相关的药理学因素至关重要。

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