Proietto Joseph
Aust Fam Physician. 2017 Jun;46(6):368-370.
Many women report gaining weight as they transition through menopause. For most, the weight gain is modest and can be reduced with a conscious effort to limit energy intake and increase energy expenditure. However, many women who are already overweight and obese will gain more weight as they approach menopause.
The aims of this paper are to explain the reasons for menopausal weight gain and to detail a method for achieving and sustaining a substantial weight loss.
Weight gain during menopause is predominantly due to a reduction in spontaneous activity. For women who are lean, advice about controlling energy intake and increasing physical activity may be all that is required to prevent weight gain. For women who are overweight and obese rapid weight loss is best achieved with the help of a very low energy diet. This must be followed by lifelong behaviour modification with or without the help of hunger-suppressing pharmacotherapy.
许多女性报告称在经历更年期时体重增加。对大多数人来说，体重增加幅度不大，通过有意识地限制能量摄入和增加能量消耗，体重可以减轻。然而，许多已经超重和肥胖的女性在接近更年期时体重会增加更多。
本文旨在解释更年期体重增加的原因，并详细介绍实现并维持大幅体重减轻的方法。
更年期体重增加主要是由于自发活动减少。对于体型偏瘦的女性，控制能量摄入和增加身体活动的建议可能是预防体重增加所需的全部措施。对于超重和肥胖的女性，借助极低能量饮食能最好地实现快速体重减轻。之后必须在有或没有抑制饥饿药物治疗的帮助下进行终身行为改变。
