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肥胖伴发进食障碍:相关健康风险和治疗方法。

Obesity with Comorbid Eating Disorders: Associated Health Risks and Treatment Approaches.

机构信息

The Boden Institute of Obesity, Nutrition, Exercise & Eating Disorders, Faculty of Medicine and Health, Charles Perkins Centre, The University of Sydney, Camperdown, NSW 2006, Australia.

Faculty of Science, School of Psychology, the University of Sydney, Camperdown, NSW 2006, Australia.

出版信息

Nutrients. 2018 Jun 27;10(7):829. doi: 10.3390/nu10070829.

Abstract

Obesity and eating disorders are each associated with severe physical and mental health consequences, and individuals with obesity as well as comorbid eating disorders are at higher risk of these than individuals with either condition alone. Moreover, obesity can contribute to eating disorder behaviors and vice-versa. Here, we comment on the health complications and treatment options for individuals with obesity and comorbid eating disorder behaviors. It appears that in order to improve the healthcare provided to these individuals, there is a need for greater exchange of experiences and specialized knowledge between healthcare professionals working in the obesity field with those working in the field of eating disorders, and vice-versa. Additionally, nutritional and/or behavioral interventions simultaneously addressing weight management and reduction of eating disorder behaviors in individuals with obesity and comorbid eating disorders may be required. Future research investigating the effects of integrated medical, psychological and nutritional treatment programs addressing weight management and eating disorder psychopathology in individuals with obesity and comorbid eating disorder behaviors—such as binge eating—is necessary.

摘要

肥胖症和饮食失调症均与严重的身心健康后果相关,肥胖症患者以及伴发饮食失调症的患者比仅患有其中一种疾病的患者面临更高的风险。此外,肥胖症可能导致饮食失调行为,反之亦然。在此,我们将对肥胖症和伴发饮食失调行为患者的健康并发症和治疗选择进行讨论。为了改善对这些患者的医疗保健,似乎需要在肥胖症领域和饮食失调领域工作的医疗保健专业人员之间以及反之进行更多的经验交流和专业知识交流。此外,可能需要针对肥胖症和伴发饮食失调症患者的营养和/或行为干预措施,同时解决体重管理和减少饮食失调行为的问题。未来的研究需要调查针对肥胖症和伴发饮食失调行为(如暴食症)患者的体重管理和饮食失调心理病理学的综合医疗、心理和营养治疗方案的效果。

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