Obstetrics and Gynecology, Alum of the University of Louisville, 252 Whittington Parkway, Louisville, KY 40222, USA.
Nurs Clin North Am. 2024 Dec;59(4):593-609. doi: 10.1016/j.cnur.2024.08.005. Epub 2024 Sep 23.
Obesity is a disease much like any other chronic disease with multiple causes. Therefore, all contributing factors should be addressed to assist in effective weight loss. Women are twice as likely to be affected, starting at puberty. Weight reduction is challenging, in part, because of metabolic adaptations and hormonal changes that favor weight regain and these changes persist for months, if not years. Creating an energy deficit is the core of effective treatment of obesity. Physical activity is especially important to maintain weight reduction. Medications have an important role in reducing food consumption, unless contraindicated.
肥胖是一种与其他许多慢性疾病一样，有多种病因的疾病。因此，应该解决所有促成因素，以帮助实现有效的减重。女性肥胖的可能性是男性的两倍，且通常从青春期开始。部分原因是由于代谢适应和有利于体重反弹的激素变化，使体重减轻具有挑战性，而这些变化会持续数月甚至数年。创造能量亏空是肥胖有效治疗的核心。身体活动对于维持体重减轻尤为重要。除非存在禁忌证，否则药物在减少食物摄入方面具有重要作用。
