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医师视角下肥胖的社会与环境决定因素述评

A Narrative Review of Physician Perspectives Regarding the Social and Environmental Determinants of Obesity.

机构信息

Section of General Internal Medicine, University of Chicago, 5841 S. Maryland Ave., MC2007, Room B221, Chicago, IL, 60637, USA.

Indiana University, 705 Riley Hospital Drive, Riley 5867, Indianapolis, IN, 46202, USA.

出版信息

Curr Diab Rep. 2018 Mar 21;18(5):24. doi: 10.1007/s11892-018-0990-8.

Abstract

PURPOSE OF REVIEW

Diet-related chronic diseases result from individual and non-individual (social, environmental, and macro-level) factors. Recent health policy trends, such as population health management, encourage assessment of the individual and non-individual factors that cause these diseases. In this review, we evaluate the physician's perspective on the individual and non-individual causes and management of obesity.

RECENT FINDINGS

Physicians generally rated individual-level causes (i.e., biology, psychology, and behavior) as more important than social or environmental factors in the development of obesity, and utilized individual-level strategies over social or environmental strategies to manage obesity. This review suggests that clinicians perceive individual characteristics to be more important in the development and management of obesity than social or environmental factors. Additional research is needed to understand why.

摘要

目的综述

饮食相关的慢性疾病是由个体和非个体(社会、环境和宏观层面)因素共同导致的。最近的健康政策趋势,如人口健康管理,鼓励评估导致这些疾病的个体和非个体因素。在这篇综述中,我们评估了医生对肥胖的个体和非个体病因及管理的看法。

最近的发现

医生普遍认为个体层面的原因(即生物学、心理学和行为)在肥胖的发展中比社会或环境因素更为重要,并倾向于使用个体层面的策略来管理肥胖,而不是社会或环境层面的策略。本综述表明,临床医生认为个体特征在肥胖的发生和管理中比社会或环境因素更为重要。需要进一步研究以了解原因。

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