Barts Health NHS Trust, London, UK
Young Adult Services, University Hospitals of Derby and Burton NHS Trust, Derby, UK.
Clin Med (Lond). 2023 Jul;23(4):299-303. doi: 10.7861/clinmed.2023-0148.
Obesity is a chronic, progressive and relapsing disease, characterised by the presence of abnormal or excess adiposity that impairs health and social wellbeing. It is associated with obesity-related disease complications, health inequalities and premature death. Clinical evaluation of obesity requires a thorough history and examination. Assessment should focus not only on anthropometric measurements, but also on the mental, metabolic, mechanical and monetary impact of adiposity, including multiple health conditions. Increased awareness and knowledge will help reduce weight stigma and biases. A focused non-judgemental assessment will help guide further investigations, timely referral and management.
肥胖是一种慢性、进行性和复发性疾病，其特征是存在异常或过多的脂肪，损害健康和社会福利。它与肥胖相关疾病的并发症、健康不平等和过早死亡有关。肥胖的临床评估需要详细的病史和体格检查。评估不仅应集中于人体测量学指标，还应集中于肥胖的心理、代谢、机械和货币影响，包括多种健康状况。提高认识和知识将有助于减少体重歧视和偏见。有针对性的、非评判性的评估将有助于指导进一步的检查、及时转诊和管理。
