Women's College Hospital, Toronto, Ontario.
Can J Psychiatry. 2012 Jan;57(1):13-20. doi: 10.1177/070674371205700104.
Obesity is associated with early mortality and has overtaken smoking as the health problem with the greatest impact on quality of life, mortality, and morbidity. Despite public health initiatives and numerous commercial enterprises focusing on weight loss, obesity rates continue to rise. In part, this is because obesity is a multifaceted, complex illness, impacted by numerous social, psychological, and behavioural factors that are unrecognized in most current initiatives. One significant factor associated with obesity is mental illness. While having a psychiatric illness does not make weight gain inevitable, it does often require that additional tools be added to lifestyle recommendations around diet and exercise. The following article reviews the common approaches to obesity management and addresses how these strategies can be implemented in psychiatric care. It is important that health professionals involved in the care of people with a mental illness become familiar with the interventions available to control and treat the obesity epidemic, as this will improve treatment compliance and ultimately lead to improved physical and psychological outcomes.
肥胖与早逝有关，它已经超过了吸烟，成为对生活质量、死亡率和发病率影响最大的健康问题。尽管有公共卫生举措和众多专注于减肥的商业企业，但肥胖率仍在继续上升。部分原因是肥胖是一种多方面的、复杂的疾病，受许多社会、心理和行为因素的影响，但这些因素在大多数现有举措中并未得到认识。与肥胖相关的一个重要因素是精神疾病。虽然患有精神疾病并不会使体重增加不可避免，但它通常需要在饮食和运动等生活方式建议中增加额外的工具。本文综述了肥胖管理的常见方法，并探讨了这些策略如何在精神科护理中实施。参与精神疾病患者护理的医疗保健专业人员需要熟悉可用于控制和治疗肥胖流行的干预措施，这将提高治疗依从性，并最终带来更好的身体和心理结果。
