Dawson Rachel S
Pediatr Ann. 2017 May 1;46(5):e176-e179. doi: 10.3928/19382359-20170424-01.
How often do we look at a patient's body mass index (BMI) and only make a comment if the BMI is above normal in the overweight or obese category? As pediatricians, we often do not give it a second thought when the BMI is normal, and we generally do not counsel on healthy eating practices in these cases. However, when people are overweight, obese, and sometimes even normal weight they are told by family, friends, as well as physicians that they need to either not gain any more weight, or that they need to lose weight. As clinicians, we should be aware that comments like that may trigger a disordered pattern of eating for some people, which can lead to an eating disorder. [Pediatr Ann. 2017;46(5):176-e179.].
我们多久会查看一次患者的体重指数(BMI),并且只有当BMI高于正常范围进入超重或肥胖类别时才发表评论呢?作为儿科医生,当BMI正常时,我们常常不会多想,而且在这些情况下通常也不会就健康的饮食习惯提供建议。然而,当人们超重、肥胖,有时甚至体重正常时,家人、朋友以及医生都会告诉他们要么不要再增重,要么需要减肥。作为临床医生,我们应该意识到,这样的评论可能会引发一些人的饮食紊乱模式,进而导致饮食失调。[《儿科年鉴》。2017年;46(5):176 - e179。]