The Salmon lecture. Some perspectives on human obesity: its causes.
The Salmon lecture. Some perspectives on human obesity: its causes.
复制标题
鲑鱼讲座。
DOI：
--
复制
发表时间：
1988
期刊：
影响因子：
--
通讯作者：
A. Stunkard
中科院分区：
文献类型：
--
作者：
A. Stunkard
我想感谢托马斯威廉鲑鱼委员会给我这个机会回顾30多年后的肥胖研究，并与你们分享这些思考的成果。这些反思来自一个特殊的、享有特权的Vantage位置--临床研究者。临床研究者既是医生，又是科学家，他们有宝贵的机会照顾人数少到足以系统地调查他们的问题的病人。这是一个极好的Vantage点，因为它提醒我们探究的目标--减轻人类的痛苦。也许开始关于肥胖的讨论，以一个痛苦的人的描述开始，以同一个病人20年的随访结束，是合适的。我这位病人，我叫他赫伯特马克思，30年前我见到他时，他21岁，刚刚进入大学四年级，非常痛苦。他是一个矮小笨拙的年轻人，慢慢走进我的办公室，身体有点向后倾斜，就像一个孕妇在平衡她增大的腹部。他有一个小脑袋下面的双下巴和一个年轻的脸光滑的粉红色的脸颊，没有胡子的痕迹。他身高5英尺5英寸，体重205磅，体重正在迅速增加。这位病人说，他是来寻求帮助的，他说，他的肥胖已经完全失控。然后他解释了为什么他认为这已经发生了。“我是一个Jekyll-Hyde角色。我总是走极端。对我来说没有中间地带。我要么100%节食，要么100%暴饮暴食。如果我打破我的饮食，即使是一点点，那么我觉得一整天都毁了。我感觉很糟糕，我无情地诅咒自己，但我还是继续吃。它已经支配了我的整个生活。如果我感到被轻视，我不会像其他人那样思考，'好吧，这是因为我是犹太人，但只是我已经结束了-
I would like to thank the Thomas William Salmon Committee for this opportunity to look back after more than 30 years of the study of obesity, and to share with you the fruits of these reflections. These reflections come from a special, privileged vantage point-that of the clinical investigator. Part physician, part scientist, the clinical investigator is given the precious opportunity to care for patients in numbers small enough to permit systematic inquiry into their problems. It is a wonderful vantage point, for it reminds us of the goal of our inquiry-the relief of human suffering. It is perhaps appropriate to begin this discussion of obesity with a description of someone in pain and to end it with a 20-year follow-up of this same patient. I The patient, whom I will call Herbert Marx, was 21 years old when I met him 30 years ago, just entering hissenior year of college and thoroughly miserable. A short, awkward young man, he walked slowly into my office, leaning backward a little like a pregnant woman balancing her enlarged abdomen. He had a double chin beneath a small head and a youthful face with smooth pink cheeks and no trace of a beard. He was 5' 5" tall, weighed 205 pounds, and was rapidly gaining weight. The patient said that he had come for help with his obesity which, he said, had gotten completely out of control. Then he explained why he thought that this had happened. "I'm a Jekyll-Hyde character. I'm always going to extremes. There's no middle ground for me. I'm either dieting 100% or gorging 100%. If I break my diet, even a little bit, then I feel that the whole day is ruined. And I feel so terrible that I curse myself mercilessly, but I go right on eating. It's gotten so that this thing dominates my whole life. If I feel slighted, I don't think like other people do, 'Well, it's because I'm Jewish but only that I'm over-
双胞胎肥胖的混合分析。
影响因子：
1.8
作者：
Price,RA;Stunkard,AJ
通讯作者：
Stunkard,AJ
遗传对人类肥胖的贡献：一项收养研究。
DOI：
10.1176/ajp.144.8.1003
发表时间：
1987
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Price,RA;Cadoret,RJ;Stunkard,AJ;Troughton,E
通讯作者：
Troughton,E