Liu Lucy, Segura Abraham, Hagemann Andrea R
Washington University School of Medicine, Department of Obstetrics and Gynecology, St. Louis, MO 63110.
Washington University - 660 S. Euclid Avenue, Wash U School of Medicine, St. Louis, MO 63110.
Curr Obstet Gynecol Rep. 2015 Dec 1;4(4):249-258. doi: 10.1007/s13669-015-0129-8. Epub 2015 Oct 13.
Obesity is the cause of up to one-third of all cancers affecting women today, most notably endometrial, colon and breast cancer. Women's health providers are poised to advise women on obesity's link to cancer development, but often lack resources or training to provide appropriate counseling. Here, we review obesity's role in increasing the risk of several common reproductive system conditions faced by women, including polycystic ovarian syndrome, infertility, gynecologic surgical complications, and pregnancy complications. These events can be used as teachable moments to help frame the discussion of weight management and promote cancer prevention. We also review national guidelines and existing tangible weight-loss strategies that can be employed within the outpatient women's health setting to help women achieve weight loss goals and affect cancer prevention.
肥胖是当今影响女性的所有癌症中多达三分之一的病因,最显著的是子宫内膜癌、结肠癌和乳腺癌。女性健康服务提供者有意就肥胖与癌症发展的关联向女性提供建议,但往往缺乏提供适当咨询的资源或培训。在此,我们回顾肥胖在增加女性面临的几种常见生殖系统疾病风险方面所起的作用,包括多囊卵巢综合征、不孕症、妇科手术并发症和妊娠并发症。这些情况可作为教育契机,以帮助构建体重管理的讨论并促进癌症预防。我们还回顾了可在门诊女性健康环境中采用的国家指南和现有的切实可行的减肥策略,以帮助女性实现减肥目标并影响癌症预防。