关于肥胖的语言达成共识:修改后的德尔菲研究
Cecilie Heerdegen Jepsen1, Jacqueline Bowman-Busato2, Thomas Allvin3
1Novo Nordisk A/S, Søborg, Denmark.
EClinicalMedicine
|August 9, 2023
概括
这项研究强调了在讨论肥胖作为慢性疾病时需要使用一致的语言. 专家的共识显示,他们同意肥胖的复杂性质,但不同意其定义或治疗目标.
科学领域:
- 医学科学 医学科学 医学科学
- 公共卫生 公共卫生
- 慢性疾病管理 慢性疾病管理
背景情况:
- 世界卫生组织承认肥胖是一种慢性疾病.
- 标准化语言对于有关慢性疾病的有效沟通至关重要.
- 目前的肥胖术语可能与已建立的慢性疾病话语不一致.
研究的目的:
- 为了绘制当前用于讨论肥胖的语言.
- 将与肥胖相关的语言与标准慢性疾病术语进行比较.
- 识别肥胖话语中的差异和潜在不足.
主要方法:
- 一个经过修改的Delphi研究,涉及24个国际利益相关者 (患者,医疗保健专业人员,政策制定者,研究人员,行业,付款人).
- 2020年10月20日至30日期间进行了两轮定性调查.
- 共识被定义为至少70%的参与者对有关肥胖的具体陈述的同意.
主要成果:
- 在38个陈述中,28个陈述达成了共识.
- 参与者同意声明承认肥胖的异质性质.
- 关于通过BMI来定义肥胖,将主要原因归因于心理/身体因素,或将减肥作为唯一治疗目标,存在分歧.
结论:
- 专家的共识提供了对描述肥胖症作为慢性疾病的适当语言的洞察.
- 这项研究为统一和准确的肥胖语言奠定了基础.
- 强调对超越简单定义或治疗目标的肥胖症的细微理解.
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