Overweight and obesity: Prevalence, consequences, and causes of a growing public health problem

Overweight and obesity: Prevalence, consequences, and causes of a growing public health problem
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DOI:
10.1097/00000441-200604000-00002
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发表时间:
2006-04-01
影响因子:
3.1
通讯作者:
Dubbert, PM
Dubbert, PM
中科院分区:
医学4区
文献类型:
--
作者:
Wyatt, SB;Winters, KP;Dubbert, PM

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本文概述了目前美国肥胖症流行的证据。超重和肥胖在美国成年人中的流行率现在超过60%,而且在儿童和青少年中这一比例正在迅速上升。令人沮丧的医疗、社会和经济后果已经很明显,如果不进行多管齐下的干预,情况可能会恶化。高血压、糖尿病和血脂异常等疾病的发病率增加,可能会使美国人的寿命缩短长达5年。抑郁症的发病率正在增加,专家认为这与肥胖症患病率的增加有关。自1987年以来,除了生产力和收入损失外,与肥胖相关的医疗保健成本也出现了天文数字的增长。需要新的多学科、预防和治疗方法以及社会变革,以解决造成当前肥胖症流行的生物、遗传和社会因素的复杂相互作用。
This paper provides an overview of the evidence on the current epidemic of obesity in the United States. The prevalence of overweight and obesity now exceeds 60% among US adults, and the rate is rapidly increasing among children and adolescents. Dismal medical, social, and economic consequences are already apparent and likely to worsen without multipronged intervention. Increased rates of hypertension, diabetes, and dyslipidemia, among other medical conditions, threaten to shorten the longevity of the American populace by as much as 5 years. The incidence of depression is increasing and experts suggest this is linked with the increased prevalence of obesity. The cost of obesity-related medical care has increased astronomically since 1987, in addition to lost productivity and income. Novel multidisciplinary, preventive, and therapeutic approaches, and social changes are needed that address the complex interplay of biologic, genetic, and social factors that have created the current obesity epidemic.