National Center for Weight and Wellness, Washington, DC, USA.
Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Obesity (Silver Spring). 2022 Mar;30(3):577-586. doi: 10.1002/oby.23382.
It has been estimated that, by 2030, nearly 80% of adults in the United States will have pre-obesity or obesity. Despite the continued rise in obesity prevalence and the difficulty for many affected patients to lose weight and maintain lost weight, the use of guideline-supported treatments, including pharmacotherapy, intensive behavioral counseling, and bariatric surgery, remains low. There are many potential barriers to effective use of antiobesity treatments, including limited access to guideline-supported obesity care (often driven by practical challenges, geographic barriers, limited insurance coverage, and high cost of care) and a dearth of specialists and comprehensive treatment teams. Driven in part by the COVID-19 pandemic, the recent expansion of telemedicine offers unique opportunities to mitigate these factors. This review discusses the use of telemedicine to facilitate obesity treatment. Continued growth and utility of telemedicine for obesity care require further formative and experimental research to determine best practices, assess challenges for implementation, and evaluate long-term outcomes, as well as proactive policy changes to promote ongoing use of telemedicine beyond the COVID-19 pandemic.
据估计,到 2030 年,近 80%的美国成年人将患有肥胖前期或肥胖症。尽管肥胖症的患病率持续上升,许多受影响的患者减肥和保持减肥效果也很困难,但指南支持的治疗方法(包括药物治疗、强化行为咨询和减重手术)的使用率仍然很低。有效使用抗肥胖治疗存在许多潜在障碍,包括获得指南支持的肥胖护理的机会有限(通常由实际挑战、地理障碍、有限的保险覆盖范围和高昂的护理费用驱动)以及专家和综合治疗团队的缺乏。部分受 COVID-19 大流行的推动,远程医疗的最近扩张提供了独特的机会来缓解这些因素。这篇综述讨论了使用远程医疗来促进肥胖症治疗。远程医疗在肥胖症护理中的持续增长和实用性需要进一步的形成性和实验研究,以确定最佳实践,评估实施挑战,并评估长期结果,以及积极的政策变化,以促进远程医疗在 COVID-19 大流行之外的持续使用。