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能量失衡:肥胖、相关合并症、预防、管理及对公共卫生的影响

Energy imbalance: obesity, associated comorbidities, prevention, management and public health implications.

作者信息

Jehan Shazia, Zizi Ferdinand, Pandi-Perumal Seithikurippu R, McFarlane Samy I, Jean-Louis Girardin, Myers Alyson K

机构信息

Department of Population Health, Center for Healthful Behavior Change, USA.

Somnogen Canada Inc., College Street, Canada.

出版信息

Adv Obes Weight Manag Control. 2020;10(5):146-161. Epub 2020 Oct 29.

Abstract

The prevalence of obesity has been continually increasing, as have its associated comorbidities and health care costs. Effective management of obesity and early intervention measures are necessary to overcome this global issue. The responsibility for preventing and managing this global epidemic does not lie solely on an individual, but also on the entire health care system. Policy makers-nationally and globally-must play their roles to solve the issue. In this review article, we examine methods of controlling and managing obesity through interventions, such as a low caloric diet, physical exercise, pharmacological guidance, and bariatric surgical procedures. While health care professionals should educate patients about all available treatment options for severe obesity, bariatric surgical procedures have increased in popularity and are considered very beneficial with outcomes fruitful in managing severe obesity.

摘要

肥胖症的患病率一直在持续上升,其相关的合并症和医疗保健成本也在增加。有效管理肥胖症和采取早期干预措施对于解决这一全球性问题至关重要。预防和管理这一全球流行病的责任不仅在于个人,还在于整个医疗保健系统。国家和全球的政策制定者必须发挥作用来解决这个问题。在这篇综述文章中,我们研究了通过干预措施控制和管理肥胖症的方法,如低热量饮食、体育锻炼、药物指导和减肥手术。虽然医疗保健专业人员应该向患者介绍所有可用的严重肥胖症治疗方案,但减肥手术越来越受欢迎,并且被认为在管理严重肥胖症方面非常有益,效果显著。

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