成人の肥満関連疾患と死亡率を予防するための行動的減量介入:米国予防サービスタスクフォースの勧告声明

, Susan J Curry¹, Alex H Krist^2,3

¹University of Iowa, Iowa City.

JAMA

|October 17, 2018

まとめ

肥満に対する集中的な行動介入は成人の体重減少と2型糖尿病の予防に適度な効果をもたらしますこれらの戦略は,体量指数30以上の成人に推奨されます.

科学分野:

予防医学
公衆衛生
臨床的介入

背景:

肥満はアメリカでは男性の35%,女性の40%以上に影響します
肥満は心臓病や2型糖尿病癌や死亡リスクなどの深刻な健康問題と関連しています
肥満のスクリーニングと介入に関する現在の推奨事項は更新する必要があります.

研究の目的:

大人の肥満検診に関する2012年米国予防サービスタスクフォース (USPSTF) の勧告を更新する.
体重減少と維持の介入に関する証拠を検証する.

主な方法:

USPSTFは,体重管理のための行動療法および薬物療法に関する証拠をレビューした.
検討された介入は,プライマリケアから提供されるものであった.
手術とデバイスベースの介入は,このレビューから除外されました.

主要な成果:

肥満の成人の体重減少と2型糖尿病の発生率の減少に適度な効果を示しています.
行動に基づく減量維持療法も適度な効果があります
これらの行動介入に伴う害はほとんどありません

結論:

USPSTFは,肥満 (BMI ≥30) の成人を集中的な行動介入に提供するか,または紹介することを推奨しています.
これらの介入は肥満の成人に適度な純利益をもたらします
行動に基づく減量維持戦略もサポートされています.

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