Brownell K D
J Am Diet Assoc. 1984 Apr;84(4):406-14.
This article examines the psychological and physiological concomitants of obesity and presents practical methods for working with obese patients. Three areas of physiology are covered: fat cell theory, set point theory, and dietary obesity. The social and emotional consequences of obesity are discussed, as are the psychological stages experienced by both patients and professionals during a typical course of weight reduction. Screening is a most important aspect of a program. There are several methods for determining which patients will profit from treatment. Recent advances in treatment include a focus on physical activity, improvements in behavior modification, and the development of aggressive methods for promoting weight loss in moderately and morbidly overweight persons. Finally, social support is discussed, because the social context in which a program is administered may be more important than the nature of the program itself.
本文探讨了肥胖症的心理和生理伴随症状，并介绍了针对肥胖患者的实用治疗方法。涵盖了三个生理学领域：脂肪细胞理论、调定点理论和饮食性肥胖。文中讨论了肥胖症的社会和情感后果，以及患者和专业人员在典型减肥过程中所经历的心理阶段。筛查是项目中最重要的一个方面。有几种方法可用于确定哪些患者将从治疗中获益。治疗方面的最新进展包括注重体育活动、改进行为矫正方法，以及开发积极有效的方法来促进中度和重度超重者的体重减轻。最后，文中讨论了社会支持，因为实施项目的社会环境可能比项目本身的性质更为重要。
