Stevens J, Bradshaw P T, Truesdale K P, Jensen M D
1] Department of Nutrition, School of Public Health, University of North Carolina, Chapel Hill, NC, USA [2] Department of Epidemiology, School of Public Health, University of North Carolina, Chapel Hill, NC, USA.
Department of Nutrition, School of Public Health, University of North Carolina, Chapel Hill, NC, USA.
Int J Obes (Lond). 2015 Jan;39(1):80-1. doi: 10.1038/ijo.2014.60. Epub 2014 Apr 15.
The Obesity Paradox could result in confusing messages that derail beneficial environmental changes and lead to reduced efforts by physicians to provide healthy lifestyle treatment plans to their obese patients. The Obesity Paradox applies in the main to individuals who have a disease, and therefore observed associations with mortality illustrating the Paradox may be more susceptible to certain types of bias than would be found in healthy individuals. Although individualization of weight loss advice for patients with serious disease is appropriate in medical settings, this does not supplant the need for general efforts to prevent and treat obesity.
肥胖悖论可能会产生令人困惑的信息，这些信息会破坏有益的环境变化，并导致医生为肥胖患者提供健康生活方式治疗计划的努力减少。肥胖悖论主要适用于患有疾病的个体，因此，所观察到的与死亡率相关的情况表明，与健康个体相比，这一悖论可能更容易受到某些类型偏差的影响。虽然在医疗环境中为重症患者提供个性化的减肥建议是合适的，但这并不能取代预防和治疗肥胖的总体努力。
