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国际公布的超重和肥胖管理的临床实践指南:范围审查
Cadeyrn J Gaskin1,2, Kelly Cooper1, Lena D Stephens1,2
1Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Australia.
概括
本次对超重和肥胖管理的临床实践指南的审查发现,大多数指南包括营养,体育活动,心理学,药物治疗和减肥手术. 未来的指导方针应该增加消费者参与,并解决重量偏差.
科学领域:
- 公共卫生 公共卫生
- 临床医学 临床医学
- 基于证据的实践.
背景情况:
- 全球肥胖率的上升需要有效的临床实践指南.
- 由于肥胖的流行,医疗保健系统面临着越来越多的需求.
- 专业机构和司法管辖区已经为肥胖管理制定了指导方针.
研究的目的:
- 确定当代临床实践指南中超重和肥胖管理的关键特征.
- 分析现有指南的开发过程和内容.
- 为未来的指导方针制定提供见解.
主要方法:
- 对超重和肥胖的临床实践指南的范围审查.
- 在MEDLINE,指南国际网络和灰色文献中进行的搜索.
- 分析了自2010年以来出版的来自18个国家的38条指导方针.
主要成果:
- 准则由多学科专家委员会制定,消费者代表性有限.
- 通常包含的元素:审查问题,系统审查,证据分级,共识过程.
- 治疗方法包括营养,体力活动,心理学,药物治疗和减肥手术.
- 大多数指南针对的是基于年龄的群体,其中有一些针对怀孕,老年人和饮食障碍的具体建议.
结论:
- 超重和肥胖管理的当代指南在治疗方法方面是全面的.
- 未来的指导方针应该加强消费者参与,特别是那些处于危险的群体.
- 建议在未来制定指南时考虑体重偏差和耻辱感.
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