Sherman Ryan, Crocker Ben, Dill Diana, Judge David
The Ambulatory Practice of the Future, Massachusetts General Hospital, Boston, United States.
Glob Adv Health Med. 2013 Jul;2(4):58-60. doi: 10.7453/gahmj.2013.017.
Obesity (and its related comorbidities) is one of the fastest-growing health concerns facing the United States and shows no sign of abating.(1) The Centers for Disease Control and Prevention calculated that nearly 36% of American adults were obese in 2010 and estimates that this number will reach 44% by 2018. The current standard of care for the management of patients with obesity in primary care is often a general recommendation by the physician to lose weight through improved nutrition and increased physical activity. Educational materials may be provided along with a referral to a dietician, nutritionist, or weight management program. Health coaching as an obesity intervention has yet to be fully integrated into primary care practice but has proven to be effective in corporate wellness and behavioral weight loss programs.(2) (-) (5.)
肥胖症(及其相关合并症)是美国面临的增长最快的健康问题之一,且毫无缓解迹象。(1)疾病控制与预防中心计算得出,2010年近36%的美国成年人肥胖,预计到2018年这一数字将达到44%。初级保健中肥胖患者管理的当前护理标准通常是医生给出的通过改善营养和增加体育活动来减肥的一般性建议。可能会提供教育材料,并转介至营养师、营养学家或体重管理项目。健康指导作为一种肥胖干预措施尚未完全融入初级保健实践,但已证明在企业健康和行为减肥项目中有效。(2)(-)(5.)