Giusti Vittorio
Centre Médico-Chirurgicale de l'obésité de La Source, Lausanne.
Ther Umsch. 2019 Sep;76(3):117-121. doi: 10.1024/0040-5930/a001071.
Obesity: epidemiology, socio-political implications and conventional management Obesity is a chronic and complex psychosomatic disorder of multifactorial origin associated with cardiovascular, metabolic, respiratory, orthopedic and psychological comorbidities. This polimorbidity requires lifelong monitoring and specialized multidisciplinary management. In addition, the silent nature of these diseases, associated with the aging of the population and growing life expectancy, further increases the impact of this chronic disease on the overall morbidity and mortality. In Switzerland, obesity is now epidemic, as it is worldwide, and affects about 11 % of our population. This percentage is gradually increasing to the point that obesity is considered a public health problem. The direct and indirect costs of obesity account for about 8 % of total health consumption. The management of this complex disease must always be long-term and must integrate the dietary, behavioral and psychological aspects according to the profile of the patient.
流行病学、社会政治影响及传统管理方法 肥胖症是一种多因素引发的慢性复杂身心疾病,与心血管、代谢、呼吸、骨科及心理合并症相关。这种多种疾病并存的情况需要终身监测及专业的多学科管理。此外,这些疾病的隐匿性,再加上人口老龄化和预期寿命的增加,进一步加大了这种慢性病对总体发病率和死亡率的影响。在瑞士,肥胖症如今如同在全球范围内一样呈流行态势,约11%的人口受其影响。这一比例正在逐步上升,以至于肥胖症被视为一个公共卫生问题。肥胖症的直接和间接成本约占总医疗消费的8%。对这种复杂疾病的管理必须始终是长期的,并且必须根据患者的情况综合考虑饮食、行为和心理方面。