Department of Health Sciences and Sport Medicine, University of Physical Education, 1123 Budapest, Hungary.
YourPowerMed Health Center, 1015 Budapest, Hungary.
Int J Environ Res Public Health. 2021 Nov 16;18(22):12028. doi: 10.3390/ijerph182212028.
Obesity, or adiposity-based chronic disease (ABCD), is one of the most common health risk factors nowadays. Regular exercise-part of complex lifestyle medicine program-is effective treatment for obesity but is still underestimated. Monitoring andindividualization by an exercise professional is needed to define the accurate dose effect.
The 30-week lifestyle change program of a 65-year-old male patient (body mass index (BMI) 43.8 kg/m) was followed by a medical doctor, exercise physiologist, and nutritionist. Over regular controls and blood tests, each training activity was measured with a heart rate monitor watch, and a diet diary was written.
Bodyweight decreased by 24.1 kg (18.4%) and BMI to 35.8 kg/m. Decreased resting heart rate (from 72 bpm to 63 bpm), diastolic blood pressure (from 72 mmHg to 67 mmHg), and increased systolic blood pressure (from 126 mmHg to 135 mmHg) were reported, besides the reduction in antihypertensive and antidiabetic medicines. Blood test results and fitness level improved, and daily steps and time spent training increased.
Lifestyle medicine with professional support is an effective and long-term treatment for ABCD. Individualized exercise and nutritional therapy are essential, and wearable technology with telemedicine consultation also has an important role.
肥胖，或基于肥胖的慢性疾病（ABCD），是当今最常见的健康风险因素之一。定期运动——作为综合生活方式医学方案的一部分——是肥胖的有效治疗方法，但仍未得到充分重视。需要由运动专业人员进行监测和个体化，以确定准确的剂量效应。
对一名 65 岁男性患者（体重指数（BMI）43.8 kg/m）进行了为期 30 周的生活方式改变计划，由一名内科医生、运动生理学家和营养师进行随访。通过定期控制和血液检查，使用心率监测器手表测量每项训练活动，并记录饮食日记。
体重减轻了 24.1 公斤（18.4%），BMI 降至 35.8 kg/m。报告显示静息心率（从 72 次/分钟降至 63 次/分钟）、舒张压（从 72mmHg 降至 67mmHg）和收缩压（从 126mmHg 降至 135mmHg）降低，同时减少了降压药和降糖药的使用。血液检查结果和健康水平改善，每日步数和训练时间增加。
在专业支持下的生活方式医学是 ABCD 的一种有效且长期的治疗方法。个体化运动和营养治疗至关重要，可穿戴技术与远程医疗咨询也具有重要作用。
