Jacob Jubbin J, Isaac Rajesh
Endocrine and Diabetes Unit, Department of Medicine, Christian Medical College, Ludhiana, India.
Indian J Endocrinol Metab. 2012 Jan;16(1):28-32. doi: 10.4103/2230-8210.91180.
Obesity is a major public health problem and is implicated in the rising prevalence of cardiac disease and type 2 diabetes mellitus in India. Management of an obese patient includes therapeutic lifestyle changes of increasing physical activity and reducing calorie intake. This combination can result in about a 10% loss of initial body weight. To reinforce this intervention, behavioral therapy needs to be incorporated into the overall intervention under the belief that obesity is a result of maladaptive eating behaviors and exercise patterns. This review explains the principles of behavioral therapy, including the underlying assumptions and characteristics. The common components of behavioral therapy for obesity are explained. The different settings where behavioral therapy can be administered are mentioned. The review focuses on how behavioral therapy can be incorporated in the routine clinical management of obesity by primary and secondary care physicians who encounter obese patients.
肥胖是一个主要的公共卫生问题，与印度心脏病和2型糖尿病患病率的上升有关。肥胖患者的管理包括增加身体活动和减少卡路里摄入等治疗性生活方式改变。这种组合可导致初始体重减轻约10%。为了加强这种干预措施，需要将行为疗法纳入整体干预中，因为人们认为肥胖是不良饮食行为和运动模式的结果。本综述解释了行为疗法的原则，包括基本假设和特点。阐述了肥胖行为疗法的常见组成部分。提及了可以实施行为疗法的不同环境。本综述重点关注初级和二级保健医生在日常临床管理肥胖患者时如何将行为疗法纳入其中。
