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波兰初级保健人群中肥胖症的流行情况被认为是健康的。

Prevalence of Obesity among Polish Primary Care Population Considered Healthy.

机构信息

Department of Family Medicine, Wroclaw Medical University, 50-367 Wroclaw, Poland.

MEDFIT Karolina Kłoda, 70-240 Szczecin, Poland.

出版信息

Nutrients. 2024 Sep 3;16(17):2973. doi: 10.3390/nu16172973.

Abstract

Obesity is a complex disease with numerous health complications, influenced by factors such as genetics, lifestyle, mental health, societal impact, economic status, comorbidities, and treatments. This multicenter study included adults aged ≥35 years referred to a CVD prevention program, where sociodemographic data, anthropometric examinations, laboratory tests, and HLPCQ responses were collected. The study analyzed 1044 patients with a mean age of 47.9 years. Among them, 22.2% (232 patients) were diagnosed with obesity. These patients exhibited higher blood pressure, non-HDL cholesterol, triglycerides, and glucose levels (all < 0.001). A comparative analysis showed that obese patients had significantly lower scores in healthy dietary choices, dietary harm avoidance, daily routine, organized physical exercise, and overall HLPCQ scores. These results indicate that individuals considered healthy were actually living with obesity and its associated complications. Consequently, family physicians should proactively identify patients at risk of obesity using existing programs. The Polish healthcare system urgently needs systemic solutions, including effective health promotion and the creation of obesity prevention programs at an early stage of adult life. These measures are essential to address the growing obesity epidemic and improve public health outcomes.

摘要

肥胖是一种复杂的疾病,有许多健康并发症,受遗传、生活方式、心理健康、社会影响、经济状况、合并症和治疗等因素的影响。这项多中心研究纳入了≥35 岁的成年人,他们被转介到 CVD 预防项目,在那里收集了社会人口统计学数据、人体测量检查、实验室测试和 HLPCQ 应答。研究分析了 1044 名平均年龄为 47.9 岁的患者。其中,22.2%(232 名)被诊断为肥胖。这些患者的血压、非高密度脂蛋白胆固醇、甘油三酯和血糖水平均较高(均<0.001)。对比分析显示,肥胖患者在健康饮食选择、饮食回避危害、日常活动、有组织的体育锻炼和总体 HLPCQ 评分方面的得分明显较低。这些结果表明,被认为健康的个体实际上患有肥胖症及其相关并发症。因此,家庭医生应使用现有的项目主动识别有肥胖风险的患者。波兰医疗保健系统迫切需要系统的解决方案,包括有效的健康促进和在成年早期制定肥胖预防计划。这些措施对于应对日益严重的肥胖症流行和改善公众健康结果至关重要。

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Obesity and Dyslipidemia: A Review of Current Evidence.肥胖与血脂异常:当前证据综述。
Curr Obes Rep. 2023 Sep;12(3):207-222. doi: 10.1007/s13679-023-00518-z. Epub 2023 Jul 6.

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