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以患者为中心的肥胖症护理——技术、阈值、工具和目标。

Person-centred Obesity Care - Techniques, Thresholds, Tools and Targets.

作者信息

Kalra Sanjay, Kapoor Nitin, Kota Sunil, Das Sambit

机构信息

Department of Endocrinology, Bharti Hospital, Karnal, India.

Department of Endocrinology, Christian Medical College, Vellore, India.

出版信息

Eur Endocrinol. 2020 Apr;16(1):11-13. doi: 10.17925/EE.2020.16.1.11. Epub 2020 Feb 4.

DOI:10.17925/EE.2020.16.1.11
PMID:32595763
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7308102/
Abstract

Obesity is a complex syndrome with multifactorial etiopathogenesis, multifaceted clinical presentations, multidimensional therapeutic approaches, and multipronged treatment strategies. These create the need for a person-centred approach to the management of obesity. This opinion piece explores the spectrum of person-centred obesity care. The authors describe the person-centred nature of techniques used to detect obesity, the thresholds used to diagnose it, the tools (treatment strategies) used to manage it, and the therapeutic outcomes aimed for. The discussion highlights the vast spectrum of obesity and its impact on health, and underscores the need for healthcare professionals to take a person-centred approach to its evaluation and management.

摘要

肥胖是一种具有多因素病因发病机制、多方面临床表现、多维治疗方法和多管齐下治疗策略的复杂综合征。这些因素使得在肥胖管理中需要采取以人为本的方法。这篇观点文章探讨了以人为本的肥胖护理范围。作者描述了用于检测肥胖的技术、用于诊断肥胖的阈值、用于管理肥胖的工具(治疗策略)以及所期望的治疗结果的以人为本的性质。讨论强调了肥胖的广泛范围及其对健康的影响,并强调医疗保健专业人员在对其进行评估和管理时需要采取以人为本的方法。

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2
The BMI-adiposity conundrum in South Asian populations: need for further research.南亚人群中的 BMI-肥胖悖论:需要进一步研究。
J Biosoc Sci. 2019 Jul;51(4):619-621. doi: 10.1017/S0021932019000166. Epub 2019 Apr 4.
3
Ethnicity-specific cut-offs that predict co-morbidities: the way forward for optimal utility of obesity indicators.种族特异性切点预测共病:肥胖指标最佳应用的未来方向。
J Biosoc Sci. 2019 Jul;51(4):624-626. doi: 10.1017/S0021932019000178. Epub 2019 Apr 4.
4
European Practical and Patient-Centred Guidelines for Adult Obesity Management in Primary Care.欧洲实用和以患者为中心的成人肥胖管理初级保健指南。
Obes Facts. 2019;12(1):40-66. doi: 10.1159/000496183. Epub 2019 Jan 23.
5
Genetics of obesity in consanguineous populations - A road map to provide novel insights in the molecular basis and management of obesity.近亲婚配人群中的肥胖遗传学——为肥胖的分子基础及管理提供新见解的路线图
EBioMedicine. 2019 Feb;40:33-34. doi: 10.1016/j.ebiom.2019.01.004. Epub 2019 Jan 10.
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Overweight and Obesity: A major concern for health in India.超重与肥胖:印度健康领域的一大担忧。
Clin Ter. 2018 Sep-Oct;169(5):e199-e201. doi: 10.7417/CT.2018.2078.
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Philosophical determinants of obesity as a disease.肥胖是一种疾病的哲学决定因素。
Obes Rev. 2018 Jan;19(1):41-48. doi: 10.1111/obr.12597. Epub 2017 Sep 29.
8
Metabolically Healthy Obese and Incident Cardiovascular Disease Events Among 3.5 Million Men and Women.代谢健康型肥胖与 350 万男性和女性心血管疾病事件的相关性。
J Am Coll Cardiol. 2017 Sep 19;70(12):1429-1437. doi: 10.1016/j.jacc.2017.07.763.
9
Health Effects of Overweight and Obesity in 195 Countries over 25 Years.25年间195个国家超重和肥胖对健康的影响
N Engl J Med. 2017 Jul 6;377(1):13-27. doi: 10.1056/NEJMoa1614362. Epub 2017 Jun 12.
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Usefulness of the «Edmonton Obesity Staging System» to develop precise medical nutrition.“埃德蒙顿肥胖分期系统”在制定精准医学营养方面的实用性。
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