Lampman R M, Schteingart D E, Foss M L
Med Sci Sports Exerc. 1986 Feb;18(1):19-24.
The management of the extremely obese patient is best accomplished by a multidisciplinary approach which includes exercise training as an integral component. While diet alone is a potent factor in improving the metabolic complications associated with obesity, the combination of diet and exercise training can further improve these complications and greatly enhance cardiorespiratory function. Although the fitness of extremely obese people is low, individualized exercise programs can be used to safely and progressively train these patients, reduce fatigue, and greatly increase maximum work tolerance. Additional benefits derived from exercise training include improved insulin-mediated glucose utilization, lower serum lipid concentrations, and improved psychological distress scores and anxiety levels. Thus, exercise training can contribute to the success of a weight reducing program by improving metabolic, cardiorespiratory, and psychological factors. Additional important interventions in a multidisciplinary treatment of severe obesity include psychiatric, psychosocial, and vocational counseling.
极肥胖患者的管理最好通过多学科方法来完成，其中运动训练是不可或缺的组成部分。虽然仅靠饮食是改善与肥胖相关的代谢并发症的一个重要因素，但饮食和运动训练相结合可以进一步改善这些并发症，并极大地增强心肺功能。尽管极肥胖者的体能较低，但个性化的运动计划可用于安全、逐步地训练这些患者，减轻疲劳，并大幅提高最大工作耐受能力。运动训练带来的其他益处包括改善胰岛素介导的葡萄糖利用、降低血脂浓度，以及改善心理困扰评分和焦虑水平。因此，运动训练可通过改善代谢、心肺和心理因素，促进减肥计划的成功。对重度肥胖进行多学科治疗的其他重要干预措施包括精神科、心理社会和职业咨询。
