School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Callaghan, New South Wales, Australia.
Hunter New England Local Health District, Hunter New England Population Health, Wallsend, New South Wales, Australia.
Obes Rev. 2019 Nov;20 Suppl 2:185-193. doi: 10.1111/obr.12872. Epub 2019 Jul 17.
Few health crises have been as predictable as the unfolding obesity pandemic. Clinical and public health services remain the front line of efforts to reduce the burden of obesity. While a range of clinical practice guidelines exist, the need for clinical interventions exceeds the capacity of health systems to provide care for those affected with obesity, and routine clinical practices fall far short of guidelines recommendations even in high-income countries. In this manuscript, we discuss current recommendations regarding obesity interventions and key challenges facing global health systems in managing the health needs of people with obesity. Improving the provision of obesity-related health care is a considerable challenge and will require changing existing perceptions of obesity as a matter of personal failure to its recognition as a disease, innovative approaches to health system reform, clinician capacity building and implementation support, a focus on prevention, and wise resource allocation. Leadership from governments, the medical profession, and patient and community groups to address the issues raised in this manuscript is urgently needed to address the growing health concern.
几乎没有哪种健康危机像肥胖流行这样具有可预测性。临床和公共卫生服务仍然是减轻肥胖负担努力的第一线。虽然存在一系列临床实践指南，但临床干预的需求超过了卫生系统为肥胖患者提供护理的能力，即使在高收入国家，常规临床实践也远远达不到指南建议。在本文中，我们讨论了关于肥胖干预的当前建议，以及全球卫生系统在管理肥胖人群健康需求方面面临的主要挑战。改善与肥胖相关的医疗保健服务是一项重大挑战，需要将肥胖视为个人失败的问题转变为将其视为一种疾病，采取创新方法进行卫生系统改革，加强临床医生能力建设和实施支持，注重预防，并明智地分配资源。政府、医疗行业以及患者和社区团体的领导层迫切需要采取行动，解决本文提出的问题，以应对日益严重的健康问题。
