肥胖与体重减轻的后果：一种唱反调的观点。
Consequences of obesity and weight loss: a devil's advocate position.
作者信息
Brown R E, Kuk J L
机构信息
School of Kinesiology and Health Science, York University, Toronto, ON, Canada.
出版信息
Obes Rev. 2015 Jan;16(1):77-87. doi: 10.1111/obr.12232. Epub 2014 Nov 19.
Abstract
Obesity is associated with multiple negative health consequences and current weight management guidelines recommend all obese persons to lose weight. However, recent evidence suggests that not all obese persons are negatively affected by their weight and that weight loss does not necessarily always improve health. The purpose of this review is not to trivialize the significant health risks associated with obesity, but to discuss subpopulations of obese people who are not adversely affected, or may even benefit from higher adiposity, and in who weight loss per se may not always be the most appropriate recommendation. More specifically, this review will take a devil's advocate position when discussing the consequences of obesity and weight loss for adults with established cardiovascular disease and type 2 diabetes, weight cyclers, metabolically healthy obese adults, youth, older adults and obese individuals who are highly fit.
摘要
肥胖与多种负面健康后果相关，当前的体重管理指南建议所有肥胖者减重。然而，最近的证据表明，并非所有肥胖者都会因其体重受到负面影响，而且体重减轻并不一定总能改善健康状况。本综述的目的不是轻视与肥胖相关的重大健康风险，而是讨论那些未受不利影响、甚至可能因较高肥胖程度而受益的肥胖亚人群，以及那些体重减轻本身可能并非最合适建议的人群。更具体地说，在讨论肥胖和体重减轻对已确诊心血管疾病和2型糖尿病的成年人、体重反复波动者、代谢健康的肥胖成年人、年轻人、老年人以及身体状况极佳的肥胖个体的影响时，本综述将采取唱反调的立场。
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1
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Prog Cardiovasc Dis. 2014 Sep-Oct;57(2):127-33. doi: 10.1016/j.pcad.2014.01.001. Epub 2014 Jan 8.
2
The effects of gastrointestinal surgery on gut microbiota: potential contribution to improved insulin sensitivity.
Curr Atheroscler Rep. 2014 Nov;16(11):454. doi: 10.1007/s11883-014-0454-9.
3
Executive summary: Guidelines (2013) for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Obesity Society published by the Obesity Society and American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Based on a systematic review from the The Obesity Expert Panel, 2013.
Obesity (Silver Spring). 2014 Jul;22 Suppl 2:S5-39. doi: 10.1002/oby.20821.
4
Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013.
Lancet. 2014 Aug 30;384(9945):766-81. doi: 10.1016/S0140-6736(14)60460-8. Epub 2014 May 29.
5
Metabolically-healthy obesity and coronary artery calcification.
J Am Coll Cardiol. 2014 Jun 24;63(24):2679-86. doi: 10.1016/j.jacc.2014.03.042. Epub 2014 Apr 30.
6
The independent and combined effects of intensive weight loss and exercise training on bone mineral density in overweight and obese older adults with osteoarthritis.
Osteoarthritis Cartilage. 2014 Jun;22(6):726-33. doi: 10.1016/j.joca.2014.04.002. Epub 2014 Apr 15.
7
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Eur Heart J. 2015 Mar 1;36(9):551-9. doi: 10.1093/eurheartj/ehu123. Epub 2014 Mar 26.
8
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9
Impact of obesity and the obesity paradox on prevalence and prognosis in heart failure.
JACC Heart Fail. 2013 Apr;1(2):93-102. doi: 10.1016/j.jchf.2013.01.006. Epub 2013 Apr 1.
10
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