Disease Burden, Mechanism and Management of Obesity – Where Do We Stand?

Irfan Sharif Shakoori, Gohar Ashraf, F. Aslam, H. Akram
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Abstract

Abstract The role of increased body mass index in general morbidity and mortality is well documented. This global public health issue continues to represent a major burden and threat to health systems and the population’s wellbeing. Global statistics show that the prevalence of obesity has increased about three times since the mid-1970s, and an upward trend is still observed, not only in developed but also in developing countries. We used several databases, including PubMed, ProQuest, and Google Scholar, to perform a literature search and review on obesity. Keywords such as “obesity”, “overweight”, and “BMI” were used in combination with multiple keywords such as “mechanism”, “factors”, “socio-economic”, “environmental”, “social determinants”, “management”, “treatment”, “non-traditional treatment”, “alternative therapies”, “non-pharmaceutical treatment” etc. and related phrases. According to the literature, the management of obesity is difficult due to the complex nature of this problem in terms of its course, complications, risks, and etiological factors. The role of alternative therapies in obesity management is still unclear, and further research is needed in this area. Recently introduced weight-loss and -management devices can also help in losing excess bodyweight. The present article summarizes relevant information related to obesity, collected from different regions of the world, and discusses diverse interventional approaches to treat obesity.
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肥胖的疾病负担、机制和管理——我们在哪里?
体重指数增加在一般发病率和死亡率中的作用已得到充分证明。这一全球公共卫生问题继续对卫生系统和人民福祉构成重大负担和威胁。全球统计数据表明,自20世纪70年代中期以来,肥胖的流行率增加了约三倍,而且不仅在发达国家,而且在发展中国家,仍有上升趋势。我们使用了几个数据库,包括PubMed、ProQuest和Google Scholar,来进行关于肥胖的文献检索和综述。“肥胖”、“超重”、“BMI”等关键词与“机制”、“因素”、“社会经济”、“环境”、“社会决定因素”、“管理”、“治疗”、“非传统治疗”、“替代疗法”、“非药物治疗”等关键词及相关短语结合使用。根据文献,由于肥胖问题在病程、并发症、风险和病因方面的复杂性,管理肥胖是困难的。替代疗法在肥胖管理中的作用尚不清楚,需要在该领域进行进一步的研究。最近推出的减肥和管理设备也可以帮助减掉多余的体重。本文综述了从世界不同地区收集的有关肥胖的相关信息,并讨论了治疗肥胖的各种干预方法。
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