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大人的肥胖管理:一篇综述
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
概括
肥胖影响了42%的美国成年人,增加了糖尿病和心脏病的风险. 有效的治疗包括改变生活方式,药物和手术,减肥率在5%至30%.
科学领域:
- 肥胖和新陈代谢健康
背景情况:
- 肥胖影响了42%的美国成年人,与2型糖尿病,高血压,心血管疾病和其他严重健康问题有关.
- 体重指数 (BMI) ≥25表示超重,≥30表示肥胖,但BMI本身并不能确定个体的风险. 较低的门适用于亚洲人口.
- 与BMI正常的人相比,肥胖的人面临更高的心血管事件率.
结论:
- 维持长期减肥是一项挑战;当生活方式干预不足时,临床指南支持长期使用抗肥胖药物.
- 综合性肥胖治疗需要行为策略,营养调整,体力活动和药物治疗或手术.
- 针对性,基于证据的方法对于有效的肥胖管理和改善患者的结果至关重要.
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