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老年人肥胖的医学减肥法。

Medical weight loss in older persons with obesity.

机构信息

Division of Geriatric Medicine, Department of Medicine, University of Verona, Verona, Italy.

Division of Geriatric Medicine, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.

出版信息

Clin Obes. 2024 Oct;14(5):e12684. doi: 10.1111/cob.12684. Epub 2024 Jun 26.

Abstract

The prevalence of individuals with obesity or overweight has steadily increased over the past decades both worldwide, and in the United States. This trend is also evident in the older adult population, which has experienced a continuous rise in the number of individuals with overweight or obesity. This is relevant due to the impact of obesity in older adults' quality of life, physical function, morbidity, and healthcare costs. This review aims to provide practical guidance and currently available approaches for healthcare professionals in managing this population. Both non-pharmacological methods such as intensive behavioural therapy, nutritional interventions, and physical activity, as well as anti-obesity medications, are discussed, with a focus on their potential positive and negative effects in older adults. Additionally, bariatric therapy is evaluated, including current procedures available and the associated results and risks in the older population.

摘要

在过去几十年中,全球范围内以及美国的肥胖或超重人群的患病率稳步上升。这种趋势在老年人群体中也很明显,超重或肥胖人群的数量不断增加。这是因为肥胖会对老年人的生活质量、身体功能、发病率和医疗保健成本产生影响。本综述旨在为医疗保健专业人员管理这一人群提供实用指导和现有的方法。讨论了非药物方法,如强化行为疗法、营养干预和身体活动,以及抗肥胖药物,重点关注它们在老年人中的潜在积极和消极影响。此外,还评估了减肥治疗,包括当前在老年人中可用的程序以及相关的结果和风险。

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