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从哲学上讲,肥胖真的是一种疾病吗?
Margaret Steele1,2, Francis M Finucane2,3,4
1School of Public Health, College of Medicine and Health, University College Cork, Cork, Ireland.
概括
当被视为临床功能障碍时,肥胖是一种疾病,但仅通过身体质量指数 (BMI) 定义时,则不是. 澄清这一区别对于有效的肥胖预防和治疗策略至关重要.
科学领域:
- 医学哲学 医学哲学
- 公共卫生 公共卫生
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 肥胖作为一种疾病的分类是有争议的,部分原因是术语含糊不清.
- "肥胖"一词在临床医学中用于表示代谢功能障碍,在公共卫生环境中作为体重指数 (BMI) 类别.
研究的目的:
- 应用哲学疾病概念来区分肥胖的医学和BMI定义.
- 为了澄清围绕肥胖的疾病状况的模两可.
主要方法:
- 疾病标准的哲学分析.
- 区分临床和基于BMI的肥胖定义.
主要成果:
- 在临床医学中理解的肥胖 (代谢功能障碍) 符合疾病标准.
- 仅用BMI来定义的肥胖不符合已确定的疾病标准.
结论:
- 临床肥胖和高BMI之间的明确区分是必要的,以使公众了解和制定政策.
- 这种区别可以改善预防和治疗肥胖作为一种疾病.
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