Principles and practices in the management of obesity.
Principles and practices in the management of obesity.
复制标题
肥胖管理的原则和实践。
DOI：
10.1164/rccm.200205-456pp
复制
发表时间：
2003
影响因子：
24.7
通讯作者：
Foster,GaryD
中科院分区：
文献类型：
--
作者：
Foster,GaryD
这并不奇怪，这本杂志的读者，肥胖与呼吸功能受损，是阻塞性睡眠呼吸暂停（OSA）的一个重要的危险因素（1，2）。此外，体重减轻似乎与睡眠呼吸障碍的改善有关（3-6）。这是合乎逻辑的，然后，一个一致的临床建议与OSA肥胖患者是减肥（7，8）。Pack强调肺科医生需要认真治疗肥胖症（9），因为对于许多患有阻塞性睡眠呼吸暂停综合症的肥胖男性来说，肺科医生可能是第一个与医疗保健系统接触的人。治疗肥胖不仅会对睡眠呼吸暂停有影响，而且会对肥胖和OSA共有的许多其他心血管后遗症产生影响，例如高血压。本文的目的是（1）提供肥胖及其评估的简要概述;（2）回顾行为，药物和手术治疗肥胖的疗效;（3）描述医生在办公室环境中可以采取的具体步骤，以帮助患者有效地管理他们的体重。
It is no surprise to readers of this journal that obesity is associated with impaired respiratory function and is a significant risk factor for obstructive sleep apnea (OSA)(1, 2). Moreover, weight loss appears to be associated with improvements in sleep-disordered breathing (3–6). It is logical then that a consistent clinical recommendation for obese patients with OSA is to lose weight (7, 8). Pack has highlighted the need for pulmonary physicians to treat obesity seriously (9), as for many obese men with OSA, the pulmonary physician may be the first contact with the healthcare system. Treating obesity will not only have effects on sleep apnea but on the many other cardiovascular sequelae that obesity and OSA share, such as hypertension. The purpose of this article is (1) to provide a brief overview of obesity and its assessment;(2) to review the efficacy of behavioral, pharmacologic, and surgical treatments for obesity; and (3) to describe specific steps that physicians can take in the office setting to help patients effectively manage their weight.