Treatment of obesity: theory into practice
Treatment of obesity: theory into practice
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DOI：
10.1079/pns19990008
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发表时间：
1999-02-01
影响因子：
7
通讯作者：
Kirk, SFL
中科院分区：
文献类型：
--
作者：
Kirk, SFL
本文的目的是概述成人肥胖管理的现状，并就参与肥胖治疗的卫生专业人员如何最好地解决这一日益严重的问题提出一些建议。营养学家和营养学家长期以来一直参与肥胖症的治疗，在扭转这一重大公共卫生问题日益普遍的斗争中发挥着至关重要的作用。然而，目前对肥胖的管理远非理想。有证据表明，在一般卫生保健中，即使当时显然是有效的临床干预措施，卫生专业人员也可能不会以最佳方式执业。此外，一些专业人士也可能对肥胖者持负面态度。这些都是关于改善肥胖治疗中卫生专业人员的实践和护理组织的系统审查的主题，其初步结果将在本文件中讨论(Harvey等人。1998a，b)。需要一种新的方法来治疗肥胖，包括有效的治疗和预防战略。还需要更多地了解肥胖者在试图减肥时面临的问题，并提供一系列治疗方法来承认肥胖症的异质性。那些参与肥胖治疗的健康专业人员必须考虑在咨询中给出的饮食建议的影响，以防止患者一离开房间就受到环境提示的影响。应对肥胖症流行病需要在个人和人口层面采取行动，如果我们要看到流行率有所下降的话。
The purpose of the present paper is to outline the current situation in the management of obesity in adults, and to make some suggestions as to how health professionals involved in obesity treatment can best address this growing problem. Dietitians and nutritionists have long been involved in the treatment of obesity, and have a vital role to play in the battle to reverse the increasing prevalence of this major public health problem. However, the current management of obesity is far from ideal. There is evidence to suggest that in general health care, even when then are clearly effective clinical interventions, health professionals may not practise in the best way. Furthermore, some professionals may also hold negative attitudes towards the obese. These are the subject of a systematic review on improving health professionals' practice and organization of care in obesity treatment, the preliminary findings of which will be discussed in the present paper (Harvey et al. 1998a,b). A new approach to obesity is required, encompassing effective treatment and prevention strategies. A greater understanding of the problems faced by the obese individual in attempting to lose weight is also needed, with a range of treatment approaches on offer to acknowledge the heterogeneity of obesity. Those health professionals involved in obesity treatment must consider the impact of dietary advice given in a consultation against the impact of environmental cues that assail the patient as soon as they leave the room. Tackling the obesity epidemic requires action at the individual and population level if we are to see any reduction in prevalence.