肥胖症中高血压和糖尿病的管理：非药物措施
Management of hypertension and diabetes in obesity: non-pharmacological measures.
作者信息
Pappachan Joseph M, Chacko Elias C, Arunagirinathan Ganesan, Sriraman Rajagopalan
机构信息
Department of Medicine, Grantham and District Hospital, NG31 8DG East Midlands, UK.
出版信息
Int J Hypertens. 2011;2011:398065. doi: 10.4061/2011/398065. Epub 2011 Mar 22.
Obesity has become a global epidemic over the past few decades because of unhealthy dietary habits and reduced physical activity. Hypertension and diabetes are quite common among obese individuals and there is a linear relationship between the degree of obesity and these diseases. Lifestyle interventions like dietary modifications and regular exercise are still important and safe first-line measures for treatment. Recently, bariatric surgery has emerged as an important and very effective treatment option for obese individuals especially in those with comorbidities like hypertension and diabetes. Though there are few effective drugs for the management of obesity, their efficacy is only modest, and they should always be combined with lifestyle interventions for optimal benefit. In this paper we aim to outline the non-pharmacological measures for the management of hypertension and diabetes in obesity.
在过去几十年里，由于不健康的饮食习惯和体力活动减少，肥胖已成为一种全球流行病。高血压和糖尿病在肥胖人群中相当常见，而且肥胖程度与这些疾病之间存在线性关系。饮食调整和定期锻炼等生活方式干预仍然是重要且安全的一线治疗措施。最近，减肥手术已成为肥胖人群，尤其是患有高血压和糖尿病等合并症的肥胖人群的一种重要且非常有效的治疗选择。虽然用于治疗肥胖的有效药物很少，其疗效也只是一般，而且为了获得最佳效果，它们应始终与生活方式干预相结合。在本文中，我们旨在概述肥胖人群中高血压和糖尿病管理的非药物措施。
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