相关实验视频
Updated: Jan 15, 2026

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Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
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2014年至2023年韩国成年人的临床和临床前肥胖症
Hun Jee Choe1, Jean-Pierre Després2,3, John P H Wilding4
1Department of Internal Medicine, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea.
Diabetes & metabolism journal
|January 14, 2026
概括
临床肥胖框架,评估与器官功能障碍的过度肥胖,在韩国成年人中发现了显著的肥胖率,突出了传统的BMI指标错过的人.
科学领域:
- 临床医学 临床医学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 柳叶刀委员会提出了一个新的临床肥胖框架,通过过度脂肪和器官功能障碍来定义肥胖,这是超出身体质量指数 (BMI) 的功能性评估.
- 这一框架对亚洲人群的适用性,在亚洲人群中,肥胖并发症发生在较低的BMI值时,仍然未经检查.
- 传统的BMI分类可能低估了不同人群中的肥胖患病率和相关健康风险.
研究的目的:
- 将临床肥胖框架应用于大量的韩国成年人群.
- 使用新框架评估临床和临床前肥胖的流行情况.
- 将临床肥胖框架与基于BMI的分类进行比较,并检查趋势.
主要方法:
- 来自2014-2023年韩国国家健康和营养检查调查 (KNHANES) 的57,863名韩国成年人的分析.
- 临床肥胖症的定义是至少有一个并发症或功能限制的过度脂肪;临床前肥胖症是没有并发症的过度脂肪.
- 检查年龄,性别和时间趋势,与BMI分类进行比较,使用复杂的抽样重量和年龄标准化.
主要成果:
- 临床肥胖率为31.2%,临床前肥胖率为8.1%.
- 在BMI定义肥胖 (≥25.0 kg/m2) 个体中,20.1%没有并发症;19.4%的超重个体 (BMI 23.0-24.9 kg/m2) 符合临床肥胖标准.
- 临床肥胖的患病率随着年龄的增长而增加,这是由代谢和功能衰退所驱动的,临床肥胖组的癌症患病率最高 (1.77%). 西部腰围切断将估计的患病率降低到13.1%.
结论:
- 这项研究是亚洲人口中临床肥胖框架的首次大规模应用.
- 临床肥胖框架有效地识别了基于BMI的分类所忽视的高风险个体.
- 该框架在亚洲人口中的实用性凸显了对肥胖评估和管理更具功能性的方法的需要.
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