Castelnuovo Gianluca, Pietrabissa Giada, Manzoni Gian Mauro, Corti Stefania, Ceccarini Martina, Borrello Maria, Giusti Emanuele M, Novelli Margherita, Cattivelli Roberto, Middleton Nicole A, Simpson Susan G, Molinari Enrico
Psychology Research Laboratory, Istituto Auxologico Italiano, Istituti di Ricovero e Cura a Carattere Scientifico , Ospedale San Giuseppe, Verbania, Italy ; Department of Psychology, Catholic University of Milan , Milan, Italy.
Psychology Research Laboratory, Istituto Auxologico Italiano, Istituti di Ricovero e Cura a Carattere Scientifico , Ospedale San Giuseppe, Verbania, Italy ; Faculty of Psychology, eCampus University , Milan, Italy.
Front Psychol. 2015 Oct 15;6:1557. doi: 10.3389/fpsyg.2015.01557. eCollection 2015.
Obesity and being overweight could be real chronic conditions above all if there are other complications such as type 2 diabetes, cardiovascular diseases, hypertension, dyslipidemia, hypercholesterolemia, cancer, and various psychosocial and psychopathological disorders. Due to the multifactorial etiology of obesity, evidence-based interventions to improve weight loss, maintain a healthy weight, and reduce related comorbidities combine different treatment approaches: dietetic, nutritional, physical, behavioral, psychological, and, in some situations, pharmacological and surgical. There are significant limitations in this multidisciplinary chronic care management of obesity, most notably those regarding costs and long-term adherence and efficacy. Programs including eHealth platforms and new technologies could overcome limitations connected to the traditional in-patient chronic care management of obesity, thus providing promising opportunities in enhancing weight reduction and reducing complications in terms of long-term efficacy and effectiveness across clinical, organizational, and economic perspectives.
肥胖和超重首先可能是真正的慢性疾病，如果存在其他并发症，如2型糖尿病、心血管疾病、高血压、血脂异常、高胆固醇血症、癌症以及各种心理社会和精神病理障碍。由于肥胖的多因素病因，基于证据的干预措施，以促进减肥、维持健康体重并减少相关合并症，结合了不同的治疗方法：饮食、营养、身体、行为、心理，在某些情况下还包括药物和手术治疗。肥胖的这种多学科慢性护理管理存在重大局限性，最明显的是在成本、长期依从性和疗效方面。包括电子健康平台和新技术的项目可以克服与传统住院肥胖慢性护理管理相关的局限性，从而在从临床、组织和经济角度提高长期疗效和有效性方面，为增强减肥效果和减少并发症提供了有前景的机会。
