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糖尿病患者的体重管理策略

Weight Management Strategies for the Patient with Diabetes.

作者信息

Jakicic John M, Jackson Ronald E

机构信息

Healthy Lifestyle Institute, Physical Activity and Weight Management Research Center, University of Pittsburgh, 32 Oak Hill Court, Pittsburgh, PA, 15261, USA.

出版信息

Curr Cardiol Rep. 2021 Jul 1;23(8):104. doi: 10.1007/s11886-021-01537-9.

Abstract

PURPOSE OF REVIEW

Obesity is associated with an increased risk for type 2 diabetes, and weight loss in adults with obesity and type 2 diabetes may be indicated to reduce health risk and improve diabetes control. It is important to understand the effectiveness of weight loss interventions for the prevention and treatment of type 2 diabetes.

RECENT FINDINGS

Lifestyle interventions for weight loss show effectiveness for prevention of type 2 diabetes. Weight loss in patients with type 2 diabetes can decrease cardiometabolic risk and improve diabetes control. However, diabetes remission with lifestyle approaches is limited and to achieve this medical approaches such as bariatric surgery that result in greater magnitudes of weight loss may be necessary. Dissemination of lifestyle interventions for weight loss, along with other medical approaches such as bariatric surgery when indicated, are needed to reduce the health burden of type 2 diabetes in patients with obesity.

摘要

综述目的

肥胖与2型糖尿病风险增加相关,肥胖合并2型糖尿病的成年人进行体重减轻可能有助于降低健康风险并改善糖尿病控制。了解体重减轻干预措施对2型糖尿病预防和治疗的有效性很重要。

最新发现

减肥的生活方式干预对预防2型糖尿病有效。2型糖尿病患者体重减轻可降低心血管代谢风险并改善糖尿病控制。然而,通过生活方式实现糖尿病缓解有限,可能需要如减肥手术等能导致更大程度体重减轻的医学方法。需要推广减肥的生活方式干预措施,以及在必要时采用如减肥手术等其他医学方法,以减轻肥胖患者2型糖尿病的健康负担。

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