Anschutz Health and Wellness Center, and Division of General Internal Medicine, University of Colorado School of Medicine, Aurora, Colorado (A.H.G.); Anschutz Health and Wellness Center, and Division of Endocrinology, University of Colorado School of Medicine, Aurora, Colorado (V.A.C.); Anschutz Health and Wellness Center, and Department of Family Medicine, University of Colorado School of Medicine, Aurora, Colorado (J.M.T.).
Ann Intern Med. 2024 May;177(5):ITC65-ITC80. doi: 10.7326/AITC202405210. Epub 2024 May 14.
Obesity is a common condition and a major cause of morbidity and mortality. Fortunately, weight loss treatment can reduce obesity-related complications. This review summarizes the evidence-based strategies physicians can employ to identify, prevent, and treat obesity, including best practices to diagnose and counsel patients, to assess and address the burden of weight-related disease including weight stigma, to address secondary causes of weight gain, and to help patients set individualized and realistic weight loss goals and an effective treatment plan. Effective treatments include lifestyle modification and adjunctive therapies such as antiobesity medications and metabolic and bariatric surgery.
肥胖是一种常见病症，也是发病率和死亡率的主要原因之一。幸运的是，减肥治疗可以减少肥胖相关并发症。本综述总结了医生可以采用的循证策略，以识别、预防和治疗肥胖，包括诊断和咨询患者的最佳实践，评估和解决与体重相关的疾病负担，包括体重耻辱感，解决体重增加的次要原因，并帮助患者设定个性化和现实的减肥目标和有效的治疗计划。有效的治疗方法包括生活方式的改变和辅助疗法，如抗肥胖药物和代谢与减重手术。
