Binnie G A
J R Coll Gen Pract. 1977 Aug;27(181):492-5.
The care of 43 patients with obesity has been reviewed at least ten years after first presentation. In five patients (12 per cent) there was a successful result, 27 patients (63 per cent) were regarded as failures, and the remaining 11 (25 per cent) were only partially successful. These results are similar to reports from hospital obesity clinics but less favourable than those from general practitioners with an interest in obesity.No definite correlation with the ultimate results of weight control was shown with age or a family history of obesity, but patients who coincidentally required tranquillizers and anti-depressants were more successful at long-term weight loss. Initial weight loss on diet alone gave no guidance as to the final result. Patients who received anorectics for periods totalling more than 12 months had poor long-term benefit.
对43例肥胖患者进行了首次就诊至少十年后的回顾。5例患者(12%)治疗成功,27例患者(63%)被视为治疗失败,其余11例患者(25%)仅部分成功。这些结果与医院肥胖门诊的报告相似,但比关注肥胖问题的全科医生的报告结果要差。年龄或肥胖家族史与体重控制的最终结果没有明确关联,但同时需要使用镇静剂和抗抑郁药的患者在长期体重减轻方面更成功。仅通过节食的初始体重减轻情况无法为最终结果提供指导。接受食欲抑制剂总时长超过12个月的患者长期获益不佳。