Chao Ariana M, Paul Alexandra, Hodgkins Josef V, Wadden Thomas A
Johns Hopkins School of Nursing, Baltimore, MD.
Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Diabetes Spectr. 2024 Nov 15;37(4):281-295. doi: 10.2337/dsi24-0001. eCollection 2024 Fall.
This article summarizes and compares 18 sets of guidelines for adult obesity treatment, highlighting key recommendations for patient evaluation, lifestyle intervention, anti-obesity medications (AOMs), and metabolic and bariatric surgery. Guidelines are consistent in many regards, although there is divergence regarding preferred AOMs. Metabolic and bariatric surgery is still recognized as the most durable form of obesity treatment, and newer guidelines suggest these procedures at lower BMI thresholds for people with uncontrolled type 2 diabetes. Overall, guidelines for obesity treatment show a high degree of agreement, although updates are needed to incorporate new treatment innovations.
本文总结并比较了18套成人肥胖症治疗指南，重点介绍了患者评估、生活方式干预、抗肥胖药物（AOMs）以及代谢和减肥手术的关键建议。尽管在首选的抗肥胖药物方面存在分歧，但指南在许多方面是一致的。代谢和减肥手术仍然被认为是最持久的肥胖症治疗方式，新的指南建议对2型糖尿病控制不佳的患者在较低的体重指数（BMI）阈值下进行这些手术。总体而言，肥胖症治疗指南显示出高度的一致性，不过仍需要更新以纳入新的治疗创新方法。
