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美国拉丁裔人群中的肥胖问题:综述。

Obesity among Latinx people in the United States: A review.

机构信息

NYU Grossman School of Medicine, New York, New York, USA.

UT Southwestern Medical Center, Dallas, Texas, USA.

出版信息

Obesity (Silver Spring). 2023 Feb;31(2):329-337. doi: 10.1002/oby.23638.

Abstract

Obesity is a serious, chronic disease that is associated with a range of adiposity-based comorbidities, including cardiovascular disease, type 2 diabetes, and nonalcoholic fatty liver disease. In the United States, obesity is a public health crisis, affecting more than 40% of the population. Obesity disproportionately affects Latinx people, who have a higher prevalence of obesity and related comorbidities (such as cardiovascular disease, type 2 diabetes, and nonalcoholic fatty liver disease) compared with the general population. Many factors, including genetic predisposition, environmental factors, traditional calorie-dense Latinx diets, family dynamics, and differences in socioeconomic status, contribute to the increased prevalence and complexity of treating obesity in the Latinx population. Additionally, significant heterogeneity within the Latinx population and disparities in health care access and utilization between Latinx people and the general population add to the challenge of obesity management. Culturally tailored interventions have been successful for managing obesity and related comorbidities in Latinx people. Antiobesity medications and bariatric surgery are also important options for obesity treatment in Latinx people. As highlighted in this review, when managing obesity in the Latinx population, it is critical to consider the impact of genetic, dietary, cultural, and socioeconomic factors, in order to implement an individualized treatment strategy.

摘要

肥胖是一种严重的慢性疾病,与一系列基于肥胖的合并症有关,包括心血管疾病、2 型糖尿病和非酒精性脂肪肝疾病。在美国,肥胖是一场公共健康危机,影响着超过 40%的人口。肥胖在拉丁裔人群中更为普遍,与一般人群相比,他们的肥胖症和相关合并症(如心血管疾病、2 型糖尿病和非酒精性脂肪肝疾病)的患病率更高。许多因素,包括遗传易感性、环境因素、传统高热量的拉丁裔饮食、家庭动态以及社会经济地位的差异,都导致了拉丁裔人群中肥胖症的患病率增加和治疗的复杂性。此外,拉丁裔人群内部存在显著的异质性,以及拉丁裔人群与一般人群在医疗保健获取和利用方面的差异,这也增加了肥胖症管理的挑战。针对拉丁裔人群的文化适应性干预措施在肥胖症及其相关合并症的管理中取得了成功。抗肥胖药物和减肥手术也是拉丁裔人群肥胖症治疗的重要选择。正如本综述所强调的,在管理拉丁裔人群的肥胖症时,必须考虑遗传、饮食、文化和社会经济因素的影响,以便实施个体化的治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22aa/10108137/f6b60709c0ba/OBY-31-329-g003.jpg

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