Treatment of obesity: an overview.

Treatment of obesity: an overview.
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肥胖的治疗:概述。

DOI:
10.1002/dmr.5610040704
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发表时间:
1988
期刊:
Diabetes/metabolism reviews
影响因子:
--
通讯作者:
D. S. Gray
D. S. Gray
中科院分区:
--
文献类型:
--
作者:
G. Bray;D. S. Gray

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治疗有体重问题的人与治疗其他慢性病有许多相似之处。例如,高血压可以通过目前的药物有效地治疗。然而,治疗的副作用以及治疗可能没有高血压症状的个人的需要导致了治疗失败的高水平,包括高血压患者不愿寻求医疗帮助,一旦开完处方就不愿继续治疗,以及由于药物的一些副作用而终止治疗。超重的治疗--就像大多数慢性病和成瘾障碍的治疗一样--是缓解而不是根治的。在目前的知识状态下,我们很少能够治愈与扭曲的能量平衡相关的肥胖。所谓治愈是指一种在终止时产生永久缓解的治疗方法,不需要进一步治疗。一个简单的治愈的例子是阑尾切除术:病人通过手术切除病变的阑尾来治愈。与超重治疗类似的结果很少见。一个例子是对库欣病的有效治疗,因为库欣病的主要症状是肥胖。对于大多数病例,我们寻求的是缓解和缓解与肥胖相关的症状,而不是治愈。累犯,或体重恢复,是肥胖症治疗的第三个现实。在那些通过任何治疗方案减肥的人中,有相当大一部分人将无法保持这种减肥效果。对于那些成功减肥的人,而不是那些成功的人,充其量也是不准确的
Treating individuals with weight problems has many similarities to treatment of other chronic illnesses. For example, hypertension can be treated effectively by current medications. Yet the side-effects of treatment and the need to treat individuals who may have no symptoms of their hypertension lead to high levels of therapeutic failure, including unwillingness of the hypertensive individuals to seek medical help, unwillingness to maintain treatment once prescribed, and termination of treatment because of some of the sideeffects of medications.Treatments for overweight-like those for most chronic illnesses and addictive disordersare palliative, not curative. In the present state of knowledge, we are rarely able to cure obesity associated with distorted energy balance. By cure is meant a treatment which when terminated produces a permanent remission, not requiring further treatment. A simple example of a cure is an appendectomy: the patient is cured by surgical removal of the diseased appendix. Comparable results with treatment for overweight are rare. One example would be effective treatment for Cushing's disease where the primary presenting symptom was obesity. For most cases, we are seeking palliation and alleviation of symptoms associated with obesity, not a cure. Recidivism, or regaining of lost weight, is a third reality of treatment for obesity. Of those who lose weight on any treatment program, a significant percentage will fail to maintain this weight loss.'Identification of those individuals who will be successful in losing weight as opposed to those who will succeed less well is at best an inexact
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DOI: 10.1016/0002-9343(83)90804-5
发表时间: 1983
期刊: The American journal of medicine
影响因子: --
作者:
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发表时间: 1984
期刊: Progress in behavior modification
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DOI: 10.1111/j.1753-4887.1987.tb02684.x
发表时间: 1987
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影响因子: 6.1
作者:
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快速减肥过程中静息代谢率的降低可以通过低剂量甲状腺激素治疗逆转。
DOI: 10.1016/0026-0495(86)90142-3
发表时间: 1986
期刊: Metabolism: clinical and experimental
影响因子: --
作者:
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