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行为减肥干预措施预防成人肥胖相关的发病率和死亡率:美国预防服务工作组建议声明
, Susan J Curry1, Alex H Krist2,3
1University of Iowa, Iowa City.
JAMA
|October 17, 2018
概括
针对肥胖症的强化行为干预措施对减肥和预防成人2型糖尿病具有中等效益. 这些策略推用于体重指数为30或更高的成年人.
科学领域:
- 预防医学
- 公共卫生
- 临床干预
背景情况:
- 美国有超过35%的男性和40%的女性患有肥胖.
- 肥胖与严重的健康问题如心脏病,2型糖尿病,癌症和死亡风险增加有关.
- 目前关于肥胖查和干预的建议需要更新.
研究的目的:
- 更新2012年美国预防服务工作组 (USPSTF) 关于成人肥胖查的建议.
- 审查适用于初级保健机构的减肥和维持干预措施的证据.
主要方法:
- USPSTF审查了体重控制行为和药物治疗干预的证据.
- 考虑的干预措施是可以从初级保健提供或转移的干预措施.
- 手术和基于设备的干预措施被排除在此审查之外.
主要成果:
- 对肥胖成年人减肥和降低2型糖尿病发病率有中等效果的多元行为干预措施.
- 以行为为基础的减肥维持干预也提供了适度的好处.
- 这些行为干预的危害很小,
结论:
- USPSTF建议提供或转介肥胖的成年人 (BMI ≥ 30) 进行密集的行为干预.
- 这些干预措施对肥胖的成年人提供了适度的净益.
- 基于行为减肥维持策略也得到支持.
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