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通过心脏康复方法优化肥胖症患者的治疗效果。

Optimising the Bariatric Patients' Outcome through Cardiac Rehabilitation Approach.

机构信息

Department of Rehabilitation Medicine, Faculty of Medicine, University of Malaya, 59100, Kuala Lumpur, Malaysia.

Department of Orthopedics and Traumatology, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia.

出版信息

Obes Surg. 2018 Jul;28(7):2130-2134. doi: 10.1007/s11695-018-3256-2.

Abstract

Bariatric surgery offers a therapeutic alternative with favourable weight management, cardiovascular, metabolic and functional outcomes. Bariatric individuals often have functional impairments pre-operatively that can be addressed to improve post-operative results and eventual functional independence. Multidisciplinary team offers the best approach to address peri-operative needs and sustainable weight loss thereafter. We exemplified the application of cardiac rehabilitation therapeutic model in managing two bariatric clients with specific bariatric-related challenges. Our approach focuses on adaptive physical activity, sustainable lifestyle changes to promote post-operative weight loss through education and problem solving as well as secondary prevention of cardiovascular disease. Putting emphasis on addressing physical and psychosocial barriers towards physical activity alongside nutritional aspects potentially confers sustained if not better outcomes on weight reduction and functional improvement.

摘要

减重手术提供了一种有利的治疗选择,可实现体重管理、心血管、代谢和功能的改善。减重患者术前通常存在功能障碍,这些障碍可以通过治疗来改善术后结果并最终实现功能独立。多学科团队是解决围手术期需求和可持续减重的最佳方法。我们举例说明了心脏康复治疗模式在管理具有特定减重相关挑战的两名减重患者中的应用。我们的方法侧重于适应性身体活动、可持续的生活方式改变,通过教育和解决问题来促进术后体重减轻,以及心血管疾病的二级预防。强调解决身体和社会心理障碍对身体活动的影响,以及营养方面的问题,可能会对减重和功能改善带来持续甚至更好的效果。

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