Management of obesity in menopause.

IF 2.9 4区 医学 Q1 OBSTETRICS & GYNECOLOGY Climacteric Pub Date : 2024-08-01 Epub Date: 2024-07-17 DOI:10.1080/13697137.2024.2374760
Santiago Palacios, Peter Chedraui, Rafael Sanchez-Borrego, Pluvio Coronado, Tommaso Simoncini, Katrin Schauding, Tim Hillard, Rossella E Nappi
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Abstract

The increasing prevalence of obesity imposes significant health challenges, particularly in women undergoing menopause. Effective obesity management is essential to mitigate associated comorbidities and improve quality of life. The pillars of obesity treatment encompass lifestyle modifications, pharmacotherapy and surgical interventions. Pharmacotherapy may be considered for women who do not achieve adequate weight loss through lifestyle changes alone and have obesity or overweight with risk factors. Bariatric surgery is reserved for individuals with severe obesity or those with obesity-related complications. During menopause, hormonal changes contribute to weight gain and fat redistribution, complicating obesity management. Tailored treatment strategies are necessary to address the unique challenges faced by this population. The role of physicians and gynecologists is pivotal in the multidisciplinary approach to obesity management during menopause. Gynecologists are often the primary health-care providers for menopausal women and are in a unique position to offer guidance on weight management. They can provide personalized counseling, coordinate with nutritionists, endocrinologists and bariatric specialists, and monitor the effects of obesity and its treatment on reproductive health. By integrating obesity management into routine gynecological care, gynecologists can significantly impact the overall health and well-being of menopausal women.

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更年期肥胖管理。
肥胖症的发病率越来越高,给人们的健康带来了巨大的挑战,尤其是更年期妇女。有效的肥胖管理对于减轻相关并发症和提高生活质量至关重要。肥胖症治疗的支柱包括改变生活方式、药物治疗和手术干预。如果仅靠改变生活方式无法达到足够的减肥效果,且肥胖或超重伴有风险因素,则可考虑采用药物疗法。减肥手术只适用于严重肥胖或有肥胖相关并发症的患者。在更年期,荷尔蒙的变化会导致体重增加和脂肪重新分布,使肥胖症的治疗更加复杂。有必要采取量身定制的治疗策略,以应对这一人群所面临的独特挑战。在更年期肥胖管理的多学科方法中,内科医生和妇科医生的作用至关重要。妇科医生通常是更年期妇女的主要医疗服务提供者,在提供体重管理指导方面具有独特的优势。她们可以提供个性化咨询,与营养学家、内分泌专家和减肥专家协调,并监测肥胖及其治疗对生殖健康的影响。通过将肥胖管理纳入常规妇科护理,妇科医生可以极大地影响更年期妇女的整体健康和福祉。
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来源期刊
Climacteric
Climacteric 医学-妇产科学
CiteScore
1.70
自引率
7.10%
发文量
53
审稿时长
1 months
期刊介绍: Climacteric is the official journal of the International Menopause Society (IMS). As an international peer-reviewed journal it publishes original research and reviews of all aspects of aging in women. Climacteric was founded by the IMS in 1998 and today has become a leading journal in the publication of peer-reviewed papers on the menopause, climacteric and mid-life health. Topics covered include endocrine changes, symptoms attributed to the menopause and their treatment, hormone replacement and alternative therapies, lifestyles, and the counselling and education of peri- and postmenopausal women. Climacteric, published bimonthly, also features regular invited reviews, editorials and commentaries on recent developments. The editorial review board of Climacteric includes leading scientific and clinical experts in the field of midlife medicine and research and is headed by its Editor-in-Chief, Professor Rod Baber of Australia. He and his team of Associate Editors act independently to set a clear editorial policy, co-ordinate peer review, and ensure a rapid response to submitted papers.
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