现代肥胖症治疗策略概述

Aleksandra Jędrasek, Marta Barg, Julia Biały-Karbowniczek, Agata Bartela, Klaudia Wojtyła
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引用次数: 0

摘要

导言:过去几年,肥胖症已成为一个核心问题,全球有超过 26 亿人超重或肥胖。尽管肥胖症的相关风险及其日益凸显的重要性已广为人知,但人们对其筛查和治疗的关注效果仍不尽如人意。本文探讨了多种治疗策略,并评估了它们在预防肥胖相关并发症方面的效果。 综述方法:我们以文献综述的形式进行研究,通过 PubMed 和 Embase 收集数据。 知识现状:体育锻炼、行为疗法和适当的营养仍然是肥胖症治疗的基础。然而,在很多情况下,这些方法都是不够的。最近,减肥手术和新药物得到了蓬勃发展,与改变生活方式相比,它们能带来更好的长期效果和生活质量。袖带胃切除术和可调节胃束带术等新的手术方法已被证明是最有效的方法之一,但仍有并发症的风险。作为替代方案,可考虑使用药物疗法,目前使用的药物包括利拉鲁肽、赛马鲁肽、替泽帕肽、芬特明-托吡酯、奥利司他和安非他酮-纳曲酮。 结论越来越多的治疗方案允许医生根据患者的风险因素、整体健康状况和依从性选择更有针对性的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An Overview of Modern Strategies for Treating Obesity
Introduction: In the last few years, obesity has become a central issue with more than 2.6 billion people worldwide being overweight or obese. While the risks associated with this condition and its rising significance are widely known, the effect of this attention on screening and treatment remains unsatisfying. This paper explores multiple treatment strategies and evaluates their effectiveness in preventing obesity-related complications.   Review methods: We conducted our study as a literature review, with data being gathered via PubMed and Embase.  The state of knowledge: Physical activity, behavioral therapy, and proper nutrition remain the foundation for obesity therapy. However, in many cases these approaches are insufficient. Recently, there has been a dynamic development of bariatric surgery and new drugs, which in comparison to lifestyle modification, result in better long-term results and improved quality of life. New surgery procedures, such as sleeve gastrectomy and adjustable gastric banding, have shown to be one of the most effective but still carry a risk of complications. As an alternative pharmacotherapy could be considered with currently used medications including liraglutide, semaglutide, tirzepatide, phentermine-topiramate, orlistat, and bupropion-naltrexone.   Conclusions: Growing treatment options allow physicians to choose more targeted approaches, based on the patient’s risk factors, overall health status, and compliance.
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