• 摘要: 中国超重与肥胖病人人数已位居全球第一,特别是儿童肥胖人数更不容忽视。肥胖症的病因和发生发展机制尚不明确,且减重后极易反弹。因此,需要运用多重干预手段和联合治疗方法,以阻止肥胖症的发生发展。饮食、运动、生活方式及心理干预、中西医治疗、以及减重代谢手术等,都是治疗肥胖症的有效手段。目前国内外关于肥胖症的专家共识,多为单学科或双学科共识,且集中于营养及外科手术。然而,需要认识到肥胖是一种慢性疾病,需要终生管理。我们急需制订基于临床的多学科共识,以减少对该疾病诊断与治疗的单学科偏颇。为此,本共识邀请内分泌学、减重外科学、中医药学、营养学、运动医学及心理学等多领域专家共同制订,以期从多学科角度更新优化肥胖症的诊断与治疗观念。期望对肥胖病人进行中心化管理和个体化治疗,以达到改善代谢紊乱和预防肥胖并发症的最终目的。

     

    Abstract: The prevalence of overweight and obesity in China has reached the top globally, especially for children. The etiology and progression of obesity are still unknown, and the relapse of obesity after weight loss is unavoidable. Therefore, multiple interventions and combined therapy are needed to prevent the incidence and development of obesity. Nutrition therapy, activity modification, lifestyle change, psychology therapy, traditional Chinese medicine, as well as bariatric surgery are effective methods for the treatment of obesity. Current domestic or foreign consensus on obesity are only single or double disciplines guided, and focused only on nutrition or surgery. We should realize that obesity is a complex disease and should be treated over lifetime, and multidisciplinary clinical consensus should be made to exclude particular bias induced by single discipline. Thus, we invited experts in endocrinology, bariatric surgery, traditional Chinese medicine, nutrition, sports medicine, and psychology to write and revise the current multidisciplinary consensus. We hope this consensus could update and improve the diagnosis and treatment of obesity from an interdisciplinary perspective. The management of patients with obesity should be centralized and the treatment should be personalized for the improvement of individual metabolic disorders and comorbidities.

     

/

返回文章
返回