Rueda-Clausen Christian F, Ogunleye Ayodele A, Sharma Arya M
Obesity Research & Management, Clinical Research Unit, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, T6G 2E1 Canada; email:
Annu Rev Nutr. 2015;35:475-516. doi: 10.1146/annurev-nutr-071714-034434. Epub 2015 May 13.
Obesity is a chronic and complex medical condition associated with a large number of complications affecting most organs and systems through multiple pathways. Strategies for weight management include behavioral, pharmacological, and surgical interventions, all of which can result in a reduction in obesity-related comorbidities and improvements in quality of life. However, subsequent weight regain often reduces the durability of these improvements. The objective of this article is to review evidence supporting the long-term effects of intentional weight loss on morbidity, mortality, quality of life, and health-care cost. Overall, considerable evidence suggests that intentional weight loss is associated with clinically relevant benefits for the majority of obesity-related comorbidities. However, the degree of weight loss that must be achieved and sustained to reap these benefits varies widely between comorbidities.
肥胖是一种慢性复杂的医学状况,与大量并发症相关,这些并发症通过多种途径影响大多数器官和系统。体重管理策略包括行为、药物和手术干预,所有这些都可以减少与肥胖相关的合并症并改善生活质量。然而,随后的体重反弹往往会降低这些改善的持久性。本文的目的是综述支持有意减肥对发病率、死亡率、生活质量和医疗保健成本的长期影响的证据。总体而言,大量证据表明,有意减肥与大多数肥胖相关合并症的临床相关益处有关。然而,为获得这些益处而必须实现并维持的体重减轻程度在不同合并症之间差异很大。