日本肥胖症的人文和社会影响:有针对性的文献综述

IF 1.3 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM
Wataru Ogawa, Palvi Gupta
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引用次数: 0

摘要

肥胖症是日本公共卫生政策的重点,因为日本人很容易患上与体重有关的疾病。与全球的定义不同,日本的肥胖定义为体重指数(BMI)≥25 kg/m2。尽管公众做出了努力,但肥胖率在过去十年中并未下降。为了更好地了解肥胖症对社会的影响,我们研究了日本肥胖症对经济、生活质量(QoL)和并发症造成的负担。我们在电子数据库中检索了 2005 年至 2020 年 12 月期间有关日本成人肥胖症的英文和日文出版物;排除了其他疾病,对干预措施没有限制。研究结果包括成本或资源使用、QoL、并发症风险以及其他临床结果。我们确定了 137 项研究,其中 19 项报告了经济证据,8 项报告了 QoL,115 项报告了肥胖与并发症或死亡风险之间的关系。这些研究一致表明,与体重正常的成年人相比,肥胖(体重指数≥25 kg/m2)的日本成年人患并发症的风险更高。研究还证实,与体重正常的成年人相比,肥胖成年人的总费用和医疗费用、资源使用和住院费用更高。此外,研究还证实肥胖对身体和精神方面的 QoL 有相当大的影响。总之,这项研究发现,肥胖症在日本造成了巨大的负担。即使 BMI ≥25-<30 kg/m2 的日本人也面临着风险,而这在其他国家通常被视为肥胖前期。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The humanistic and societal impact of obesity in Japan: a targeted literature review

Obesity is a focus of Japanese public health policy, due to Japanese individuals’ high susceptibility to weight-related conditions. In contrast to global definitions, obesity is defined as a body-mass-index (BMI) of ≥25 kg/m2 in Japan. Despite public efforts, rates of obesity have not decreased over the past decade. To better understand its societal impact, we examined the economic, quality of life (QoL), and complications burden of obesity in Japan. Electronic databases were searched for English and Japanese-language publications from 2005 to December 2020 reporting on adults with obesity in Japan; other diseases were excluded, with no restriction on intervention. Outcomes of interest included costs or resource use, QoL, risk of complications, and other clinical outcomes. We identified 137 studies, including 19 reporting on economic evidence, eight reporting on QoL, and 115 reporting on the relationship between obesity and the risk of complications or mortality. The studies consistently showed that Japanese adults with obesity (BMI ≥25 kg/m2) are at increased risk of complications vs. normal weight adults. They also confirmed higher total and medical costs, resource use, and hospitalization costs among adults with obesity vs. normal weight adults. In addition, the studies confirmed a considerable impact of obesity on physical and mental aspects of QoL. Overall, this study found that obesity in Japan is associated with a substantial burden. Japanese people are at risk even with BMI ≥25–<30 kg/m2, which are generally considered as pre-obese in other countries.

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来源期刊
Endocrine journal
Endocrine journal 医学-内分泌学与代谢
CiteScore
4.30
自引率
5.00%
发文量
224
审稿时长
1.5 months
期刊介绍: Endocrine Journal is an open access, peer-reviewed online journal with a long history. This journal publishes peer-reviewed research articles in multifaceted fields of basic, translational and clinical endocrinology. Endocrine Journal provides a chance to exchange your ideas, concepts and scientific observations in any area of recent endocrinology. Manuscripts may be submitted as Original Articles, Notes, Rapid Communications or Review Articles. We have a rapid reviewing and editorial decision system and pay a special attention to our quick, truly scientific and frequently-citable publication. Please go through the link for author guideline.
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