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大人 の 肥満 の 管理: レビュー
Arielle Elmaleh-Sachs1,2,3, Jessica L Schwartz4, Carolyn T Bramante5
1Department of Medicine, Division of General Internal Medicine and Clinical Innovation, New York University Grossman School of Medicine, New York, New York.
JAMA
|November 28, 2023
まとめ
肥満は米国の成人の42%に影響し 糖尿病や心臓病のリスクを高めます 効果的な治療には ライフスタイルの変更,薬,手術などがあり 体重は5%から30%減ります
科学分野:
- 肥満 と 代謝 健康
背景:
- 肥満は米国の成人の42%に影響し,2型糖尿病,高血圧,心血管疾患,その他の深刻な健康問題と関連しています.
- ボディマス指数 (BMI) ≥25は過剰体重を定義し,≥30は肥満を定義しますが,BMIだけでは個人のリスクを決定しません. アジア人の場合より低い値が適用されます.
- 肥満の個人は,正常なBMIの個人に比べて心臓血管疾患の発生率が高くなります.
結論:
- 長期的な体重減少を維持することは困難です. ライフスタイルの介入が不十分である場合,臨床ガイドラインは長期の抗肥満薬の使用を支持します.
- 総合的な肥満治療には 行動戦略,栄養調整,身体活動,薬剤療法,または外科介入の組み合わせが必要です.
- 肥満の効果的な管理と 患者の治療成果の改善に 適した証拠に基づいたアプローチが不可欠です
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