Crisp A H
Int J Obes. 1978;2(1):17-32.
There is some evidence for the existence of a precise weight/fat threshold for puberty. Following puberty, body weight and shape take on important new psycho-social significances for both males and females. Adolescent females usually strive to reduce their 'fatness' even it is not excessive from a biological standpoint. Super-obesity and anorexia nervosa are two human disorders of weight and fatness, more common in women, and importantly related to disturbances of sexual behavior, metabolic, social and experiential. These latter aspects sometimes at least reflect the presence of several factors which have contributed to the development of the disorders. Anorexia nervosa in particular reflects the adaptive psychosocial needs of the person concerned. Attention to this aspect during treatment will often allow the patient to tolerate the major weight gain required for recovery, thereby at the same time providing a paradigm for aspects of the pubertal process which can then be studied. The results of some such investigations together with related studies of the super-obese are reported here.
有证据表明青春期存在一个精确的体重/脂肪阈值。青春期过后，体重和体型对男性和女性都具有重要的新的心理社会意义。青春期女性通常努力减轻自己的“肥胖”，即使从生物学角度来看并不超重。极度肥胖和神经性厌食症是两种与体重和肥胖有关的人类疾病，在女性中更为常见，并且与性行为、代谢、社会和体验方面的紊乱密切相关。这些后期方面至少有时反映了导致这些疾病发展的几个因素的存在。特别是神经性厌食症反映了相关人员适应性的心理社会需求。在治疗过程中关注这一方面通常会使患者能够耐受康复所需的体重大幅增加，从而同时为青春期过程的各个方面提供一个范例，进而可以对其进行研究。本文报告了一些此类调查的结果以及对极度肥胖者的相关研究。
