Emeritus professor of nutrition in the School of Biological and Population Sciences at Oregon State University in Corvallis.
Associate professor at Western Oregon University in Monmouth.
AMA J Ethics. 2022 May 1;24(5):E345-352. doi: 10.1001/amajethics.2022.345.
Helping patients lose weight can mitigate their risk of chronic disease and improve their quality of life. Over-the-counter dietary supplements for weight loss, however, are not reviewed or approved for safety or efficacy, nor does evidence support their clinical use. This commentary on a case suggests 3 reasons why clinicians cannot ethically recommend these supplements to patients: these products' safety and efficacy are unknown, ingredient lists might not be complete, and advertising could be misleading. This article reviews facts clinicians should know regarding over-the-counter weight loss products and explains how they can support, educate, and promote culturally and individually sensitive weight-management strategies.
帮助患者减肥可以降低他们患慢性病的风险,提高他们的生活质量。然而,非处方减肥膳食补充剂并未经过安全性或疗效的审查或批准,也没有证据支持其临床应用。这篇关于一个案例的评论提出了临床医生不能从伦理上向患者推荐这些补充剂的三个原因:这些产品的安全性和疗效未知,成分清单可能不完整,广告可能具有误导性。本文回顾了临床医生应该了解的关于非处方减肥产品的事实,并解释了他们如何支持、教育和促进文化和个体敏感的体重管理策略。