Center for Women's Health, Mayo Clinic, Rochester, Minnesota.
Division of General Internal Medicine, Mayo Clinic, Rochester, Minnesota.
J Womens Health (Larchmt). 2019 Dec;28(12):1601-1605. doi: 10.1089/jwh.2019.8041. Epub 2019 Sep 24.
The Clinical Update series is intended to help busy providers stay up to date with important and potentially practice changing articles that have been published on topics pertinent to the care of women. The rates of obesity and the resultant morbidities are rising worldwide, making it a high-priority health issue for the medical community. Moreover, the pathophysiology and management of obesity and visceral fat accumulation in women has important nuances, distinct from those in men. It is important to consider the effect of unique female-specific influences such as reproductive stage and pregnancy. Therefore, we have chosen to review six high-impact recent studies relating to obesity and its management in women. These include guidelines for management of obesity in pregnancy, risk of nonmelanoma skin cancer in overweight/obese women, the association of vascular fat and decline in physical function in midlife women, the predictors for weight gain in premenopausal women with early-stage breast cancer, dietary patterns and obesity in postmenopausal women, and finally, normal weight obesity and mortality risk in postmenopausal women.
《临床更新》系列旨在帮助忙碌的医生了解与女性护理相关的重要且可能改变实践的文章，这些文章已在相关主题上发表。肥胖率及其导致的发病率在全球范围内呈上升趋势，这使其成为医学界的一个高度优先事项。此外，肥胖和内脏脂肪堆积的病理生理学和管理在女性中有重要的细微差别，与男性不同。考虑到独特的女性特有影响（如生殖阶段和怀孕）的影响非常重要。因此，我们选择了六篇近期具有重要影响的研究综述，这些研究涉及肥胖及其在女性中的管理。其中包括妊娠期间肥胖管理指南、超重/肥胖女性中非黑色素瘤皮肤癌风险、中年女性血管脂肪与身体功能下降的关联、早期乳腺癌绝经前妇女体重增加的预测因素、绝经后妇女的饮食模式与肥胖以及最后，绝经后妇女正常体重肥胖与死亡率风险。
