The Most Undertreated Chronic Disease: Addressing Obesity in Primary Care Settings.
The Most Undertreated Chronic Disease: Addressing Obesity in Primary Care Settings.
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DOI：
10.1007/s13679-021-00444-y
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发表时间：
2021-09
影响因子：
8.8
通讯作者：
Jay M
中科院分区：
文献类型：
--
作者：
Tucker S;Bramante C;Conroy M;Fitch A;Gilden A;Wittleder S;Jay M
虽然肥胖相关的合并症经常在初级保健（PC）中得到解决和治疗，但肥胖本身治疗不足。我们回顾了目前的治疗肥胖，并提供潜在的供应商和系统级的策略，整合体重管理和改善长期的肥胖护理在PC设置。我们现在知道，身体会产生多种机制来抵抗体重减轻和促进体重恢复，这使得减肥和减肥维持都具有挑战性。因此，体重管理通常需要医学监督干预，并应长期治疗。然而，在PC环境中改善肥胖护理存在多种障碍。在临床上，利用诸如共同决策方法和5A等策略来讨论治疗方案可以促进制定肥胖治疗计划。利用远程医疗，以团队为基础的方法，和社区合作可以增加病人获得强化行为干预。未来的研究应评估其他成本效益的方法，以实施肥胖护理到PC设置。
While obesity-related comorbidities are frequently addressed and treated in primary care (PC), obesity itself is undertreated. We review the current treatments for obesity and provide potential provider and system-level strategies for integrating weight management and improving longer term obesity care within PC settings. We now understand that the body develops multiple mechanisms to resist weight loss and promote weight regain, making both weight loss and weight loss maintenance challenging. Therefore, weight management often requires medically supervised interventions and should be treated on a long-term basis. However, there are multiple barriers to improving obesity care within PC settings. Clinically, utilizing strategies such as a shared decision-making approach and the 5As to discuss treatment options can facilitate formulating an obesity treatment plan. Utilizing telehealth, a team-based approach, and community partnering can increase patient access to intensive behavioral interventions. Future studies should evaluate other cost-effective methods to implement obesity care into the PC setting.
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影响因子：
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