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食物作为肥胖治疗和管理的药物。

Food as Medicine for Obesity Treatment and Management.

机构信息

Division of General Internal Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Harvard T.H. Chan School of Public Health, Department of Health Policy and Management, Boston, MA, USA.

出版信息

Clin Ther. 2022 May;44(5):671-681. doi: 10.1016/j.clinthera.2022.05.001. Epub 2022 May 23.

Abstract

PURPOSE

Nutrition is an important lifestyle modification used in the treatment of obesity. The purpose of this review is to highlight different dietary interventions used to promote weight loss in both adults and children.

METHODS

A search using PubMed was performed for articles on topics related to nutrition and management and/or treatment of obesity in adults adolescents and children. The literature was reviewed and pertinent sources were used for this narrative review.

DISCUSSION

There are many effective nutrition interventions used to treat obesity, including altering macronutrient composition, implementing different dietary patterns, and changing meal timing. Although these interventions can induce weight loss in adults, management of obesity in children is more difficult given their varied nutrition needs in growth and development. The use of food as medicine in obesity treatment is individualized based on patient's age, food preference, and concurrent medical conditions.

IMPLICATIONS

Given the multifactorial etiology of obesity, treatment requires multidisciplinary care beyond nutrition intervention.

摘要

目的

营养是治疗肥胖症的一种重要生活方式改变。本综述的目的是强调用于促进成人和儿童体重减轻的不同饮食干预措施。

方法

使用 PubMed 对与成人、青少年和儿童营养管理和/或肥胖治疗相关的主题进行了检索。对文献进行了回顾,并为本叙述性综述使用了相关来源。

讨论

有许多有效的营养干预措施可用于治疗肥胖症,包括改变宏量营养素组成、实施不同的饮食模式和改变用餐时间。尽管这些干预措施可在成人中诱导体重减轻,但由于儿童在生长和发育过程中有不同的营养需求,因此儿童肥胖症的管理更为困难。在肥胖症治疗中,将食物作为药物使用是根据患者的年龄、食物偏好和并发疾病状况进行个体化的。

意义

鉴于肥胖症的多因素病因,治疗需要超越营养干预的多学科护理。

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