Racial Disparities in Obesity Treatment.
Racial Disparities in Obesity Treatment.
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DOI：
10.1007/s13679-018-0301-3
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发表时间：
2018-06
影响因子：
8.8
通讯作者：
Stanford FC
中科院分区：
文献类型：
--
作者：
Byrd AS;Toth AT;Stanford FC
美国的肥胖率已达到流行水平，2015-2016年有三分之一的人口肥胖（39.8%的成年人和18.5%的青年人）。这是一个重大的公共卫生问题，了解造成这种情况的因素是谨慎的。在肥胖症的流行和治疗方面，种族和族裔的差异都很明显，必须在防治肥胖症的努力中加以解决。少数种族/族裔的肥胖患病率差异早在学龄前就很明显，必须考虑到遗传、饮食、体育活动、心理因素、压力、收入和歧视等因素。一个多学科的团队优化生活方式和行为干预，药物治疗，并获得减肥手术，以制定最有益和公平的治疗计划。审查的研究概述了存在的差异和种族/民族对疾病患病率和治疗反应的影响。在少数种族和民族中观察到较高的患病率和对生活方式、行为、药物治疗和手术的治疗反应降低。建议在少数种族和少数民族的儿童和成人人群中增加研究、诊断和治疗，以对抗迅速增长的肥胖流行病，并防止差距扩大。
Obesity rates in the USA have reached pandemic levels with one third of the population with obesity in 2015–2016 (39.8% of adults and 18.5% of youth). It is a major public health concern, and it is prudent to understand the factors which contribute. Racial and ethnic disparities are pronounced in both the prevalence and treatment of obesity and must be addressed in the efforts to combat obesity. Disparities in prevalence of obesity in racial/ethnic minorities are apparent as early as the preschool years and factors including genetics, diet, physical activity, psychological factors, stress, income, and discrimination, among others, must be taken into consideration. A multidisciplinary team optimizes lifestyle and behavioral interventions, pharmacologic therapy, and access to bariatric surgery to develop the most beneficial and equitable treatment plans The reviewed studies outline disparities that exist and the impact that race/ethnicity have on disease prevalence and treatment response. Higher prevalence and reduced treatment response to lifestyle, behavior, pharmacotherapy, and surgery, are observed in racial and ethnic minorities. Increased research, diagnosis, and access to treatment in the pediatric and adult populations of racial and ethnic minorities are proposed to combat the burgeoning obesity epidemic and to prevent increasing disparity.
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影响因子：
5.5
作者：
Cohen, Deborah A.;Han, Bing;Derose, Kathryn Pitkin;Williamson, Stephanie;Marsh, Terry;McKenzie, Thomas L.
通讯作者：
McKenzie, Thomas L.
DOI：
10.1056/nejmoa1309753
发表时间：
2014-01-30
期刊：
The New England journal of medicine
影响因子：
--
作者：
Cunningham SA;Kramer MR;Narayan KM
通讯作者：
Narayan KM
影响因子：
3.1
作者：
Coleman, Karen J.;Huang, Yii-Chieh;Brookey, John
通讯作者：
Brookey, John
影响因子：
8
作者：
Hansen, Andrew R.;Duncan, Dustin T.;Zhang, Jian
通讯作者：
Zhang, Jian
影响因子：
3.2
作者：
Egan, Brent M.;White, Kellee
通讯作者：
White, Kellee