Obesity management for cardiovascular disease prevention

Rama Hritani , Mahmoud Al Rifai , Anurag Mehta , Charles German
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引用次数: 2

Abstract

Background

Obesity is a complex disease that leads to higher morbidity and mortality and its rate in the United States is rapidly rising. Targeting obesity management is one of the cornerstones of preventive medicine. Early intervention can significantly reduce the risk of developing cardiovascular disease. While it is well known that lifestyle interventions such as healthful nutrition and routine physical activity are the first and most important step in management, some do not achieve the desired results and require further therapies.

Methods

A literature review was conducted, that included clinical documents, public scientific citations and peer review articles to evaluate anti-obesity medications, endoscopic procedures and bariatric surgeries in the management of obesity. We also included effects of these interventions on weight loss, cardiovascular disease risk reduction and side effects.

Results

This clinical review summarizes recent evidence for the different approaches in obesity management including medications, common endoscopic procedures and bariatric surgeries. For more detailed review on the different management options discussed, we recommend reviewing Obesity Medicine Association Clinical Practice Statement [1].

Conclusion

Management of obesity reduces cardiovascular risk, improves metabolic parameters and other important health outcomes. Different management approaches are available, hence, a high level of awareness of the growing epidemic of obesity is needed to ensure timely referrals to obesity medicine specialists.

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预防心血管疾病的肥胖管理
背景肥胖是一种复杂的疾病,导致更高的发病率和死亡率,在美国其发病率正在迅速上升。针对性肥胖管理是预防医学的基石之一。早期干预可以显著降低患心血管疾病的风险。众所周知,健康营养和日常体育活动等生活方式干预措施是管理的第一步,也是最重要的一步,但有些干预措施没有达到预期效果,需要进一步治疗。方法进行文献综述,包括临床文献、公共科学引文和同行评审文章,以评估抗肥胖药物、内镜手术和减肥手术在肥胖管理中的作用。我们还包括了这些干预措施对减肥、降低心血管疾病风险和副作用的影响。结果本临床综述总结了肥胖管理的不同方法的最新证据,包括药物治疗、常见的内镜手术和减肥手术。为了更详细地回顾所讨论的不同管理方案,我们建议回顾肥胖医学协会临床实践声明[1]。结论肥胖的管理可以降低心血管风险,改善代谢参数和其他重要的健康结果。有不同的管理方法,因此,需要对日益流行的肥胖有高度的认识,以确保及时转诊给肥胖医学专家。
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