Health Management Institute, The Second Medical Center & National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing, China.
Department of Endocrinology, Key Laboratory of Endocrinology of the National Health Commission, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Lancet Diabetes Endocrinol. 2021 Jun;9(6):393-405. doi: 10.1016/S2213-8587(21)00047-4.
China has one of the largest populations with obesity in the world, and obesity has become a major challenge for the country's health-care system. Current guidelines for obesity management are not adequately supported by evidence from clinical studies in Chinese populations. Effective lifestyle interventions suitable for Chinese populations are scarce, insufficient weight-loss medications have been approved by regulatory bodies, and there is low acceptance of non-lifestyle interventions (ie, medications and surgery) among both health-care providers and the general public. Large, well designed, and well implemented clinical trials are needed to strengthen the evidence base for the clinical management of obesity in China. Obesity management can be improved through use of a tiered system involving health management centres, integrated lifestyle interventions and medical treatments, strengthened obesity education and training, and use of advanced electronic health technologies. Resource mobilisation, support from major stakeholders for people with overweight or obesity, and education and changes to social norms among the wider public are also needed. National health policies should prioritise both obesity prevention and improvement of the treatment and management of obesity.
中国是世界上肥胖人口最多的国家之一，肥胖问题已成为中国医疗体系面临的主要挑战。目前，针对肥胖管理的指南并没有得到中国人群临床研究的充分证据支持。适合中国人群的有效生活方式干预措施稀缺，监管机构批准的减肥药物不足，医疗服务提供者和公众对非生活方式干预措施（即药物和手术）的接受程度较低。需要开展大型、精心设计和实施良好的临床试验，以加强中国肥胖临床管理的证据基础。通过使用分层系统，包括健康管理中心、综合生活方式干预和医疗治疗、加强肥胖教育和培训，以及使用先进的电子健康技术，可以改善肥胖管理。还需要资源调动、超重或肥胖人群的主要利益相关者的支持，以及更广泛公众的教育和社会规范的改变。国家卫生政策应优先重视肥胖预防以及改善肥胖的治疗和管理。
