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Liver Cirrhosis Improvement by Weight Loss Prior Bariatric Surgery 术前减重对肝硬化的改善
Pub Date : 2017-02-07 DOI: 10.4172/2165-7904.1000334
H. Spieker, I. Sändig, C. Wittekind, M. Blueher, A. Dietrich
Non-alcoholic fatty liver disease (NAFLD) as a phenotype of metabolic syndrome can lead to non-alcoholic steatohepatitis (NASH) and liver cirrhosis. Bariatric surgery in patients with liver cirrhosis can be related to possible bleeding complications due to resultant hypocoagulability. Therefore lifestyle-changing programmes are necessary in order to improve liver function until (bariatric) surgery is performed.
非酒精性脂肪性肝病(NAFLD)作为代谢综合征的一种表型可导致非酒精性脂肪性肝炎(NASH)和肝硬化。肝硬化患者的减肥手术可能与由此引起的低凝血性出血并发症有关。因此,生活方式的改变是必要的,以改善肝功能,直到(减肥)手术进行。
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引用次数: 1
Simultaneous Treatment of Gastroesophageal Reflux Disease and Obesity 胃食管反流病与肥胖的同时治疗
Pub Date : 2017-01-27 DOI: 10.4172/2165-7904.1000332
O. Ospanov, G. Eleuov
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引用次数: 0
Four Decades of Bariatric Surgery in a Community Hospital of Spain 西班牙一家社区医院40年的减肥手术
Pub Date : 2017-01-27 DOI: 10.4172/2165-7904.1000331
A. Baltasar, R. Bou, M. Bengochea, C. Serra, N. Pérez, F. Is, R. Martínez, L. Cipagauta
Introduction: Bariatric surgical practice changes in the community setting may be under-reported. We present the developments in a Spanish bariatric surgical practice in the community setting of Alcoy from its origin in 1977 through the present. Methods: Bariatric surgical techniques employed in a country community setting over the course of nearly four decades were reviewed retrospectively and qualitatively. Results: Surgeons and medical professionals from Alcoy, Spain were involved in the evolution of bariatric surgery patient management and surgical technique from 1977s through 2017. During the last 40 years, 1,475 patients were treated in our clinics. Spanish bariatric surgeons contributed to advances in gastric bypass in the 1970s, vertical banded gastroplasty in the 1980s, bilio-pancreatic diversion/duodenal switch in the 1990s, and innovations associated with laparoscopy from the 1990s onward. Outcomes and approaches to prevention and treatment of bariatric surgical complications are reviewed from a community perspective. Contributions to the bariatric surgical nomenclature and weight-loss reporting are noted. Conclusions: The practice of bariatric surgery in the community setting must be updated continuously, as in any human and surgical endeavor. Medical professionals in community bariatric practices should contribute their experiences to the field through all avenues of scientific interaction and publication.
前言:在社区环境中减肥手术实践的改变可能被低估。我们介绍了西班牙减肥手术实践的发展,在社区设置的Alcoy从它的起源在1977年到现在。方法:回顾性和定性地回顾了近四十年来在农村社区环境中使用的减肥手术技术。结果:从1977年到2017年,来自西班牙Alcoy的外科医生和医疗专业人员参与了减肥手术患者管理和手术技术的演变。在过去的40年里,1475名患者在我们的诊所接受了治疗。西班牙减肥外科医生在20世纪70年代促进了胃分流术的发展,在20世纪80年代促进了垂直带状胃成形术的发展,在20世纪90年代促进了胆胰转流/十二指肠转换术的发展,并在20世纪90年代以后促进了与腹腔镜相关的创新。从社区的角度回顾了减肥手术并发症的预防和治疗的结果和方法。注意到对减肥手术命名法和减肥报告的贡献。结论:在社区环境中,减肥手术的实践必须不断更新,就像在任何人类和外科努力中一样。社区减肥实践的医疗专业人员应该通过各种科学互动和出版途径为该领域贡献他们的经验。
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引用次数: 1
Postpartum Weight: A Guide for Calculation of the Expected Prepregnancy Weight to Study the Risk of Maternal Overweight and Obesity on Congenital Anomalies 产后体重:孕前预期体重计算指南研究产妇超重和肥胖对先天性畸形的风险
Pub Date : 2016-12-30 DOI: 10.4172/2165-7904.1000330
Zaid Al-Ani, Al-Dulaimy Wz, Allen Km, AlAzbah Sa, A. Yar, Alimetov AKh, Al-Obaidi BKh
Objectives: To study the risk of maternal overweight and obesity on congenital anomalies (CAs) using the expected prepregnancy body mass index (EPPBMI) calculated from the postpartum weight. Methods: By deciding four difference factors, one for low, normal, overweight, and obese mothers as 60% of the pregnancy weight gain, then subtracting each factor from the corresponding postpartum weight to calculate the EPPBMI, to study the risk of overweight and obesity on CAs, applied retrospectively on mothers examined in the birth defect center of Al-Ramadi city, Iraq. For every mother delivered CA-affected baby, two mothers delivered healthy neonates were selected randomly as controls. Calculated EPPBMI of the cases compared with controls to study the risk of maternal obesity on CAs using the Odd's ratio and 95% confidence interval as a measure of the risk significance. Results: Enrolled mothers were 184 delivered 184 CA-affected neonates, 115 male and 69 female. Mother's age was 16-44 years (mean 28.3 years), their postpartum weight was 52-108 kg (mean 74.6 kg). Both postpartum BMI and EPPBMI in cases showed higher overweight and obesity than in controls. Obesity and overweight found risk factors for studied CAs. Obesity found a risk factor for development of VSD, ASD, congenital hip dislocation, hydrocephalus, meningomyelocele, lip & palate defects, and down's syndrome, while overweight found a risk factor for ASD. Conclusion: EPPBMI calculation from the postpartum weight is easy and will make the study of the risk of maternal obesity on CAs simple, especially in areas with poor antenatal care. Overweight and obesity found risk factors for certain CAs. Social education about the early antenatal care and control of obesity before pregnancy are important to reduce the prevalence of CAs.
目的:利用产后体重计算的预期孕前体重指数(EPPBMI),探讨产妇超重和肥胖对先天性异常(CAs)的影响。方法:将低、正常、超重、肥胖4个差异因素分别确定为孕期体重增加的60%,然后从相应的产后体重中减去每个差异因素计算出EPPBMI,回顾性应用于伊拉克Al-Ramadi市出生缺陷中心检查的母亲,研究超重和肥胖对新生儿的影响。对于每一名分娩ca患儿的母亲,随机选择两名分娩健康新生儿的母亲作为对照。计算病例与对照组比较的EPPBMI,采用Odd’s ratio和95%置信区间作为风险显著性度量,研究产妇肥胖对CAs的风险。结果:184名母亲共分娩184名ca影响新生儿,其中115名男性,69名女性。产妇年龄16 ~ 44岁(平均28.3岁),产后体重52 ~ 108 kg(平均74.6 kg)。与对照组相比,这些病例的产后BMI和EPPBMI均显示出更高的超重和肥胖。研究发现,肥胖和超重是心血管疾病的危险因素。肥胖是室间隔缺损、ASD、先天性髋关节脱位、脑积水、脊膜膨出、唇腭裂和唐氏综合症的危险因素,而超重是ASD的危险因素。结论:通过产后体重计算EPPBMI较为简便,可使产妇肥胖风险的研究变得简单,特别是在产前保健较差的地区。超重和肥胖是某些ca的危险因素。早期产前保健和孕前肥胖控制的社会教育对降低ca的发生率具有重要意义。
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引用次数: 1
Obesity Treatment in Children with Intellectual Impairment: Outcome of a Multidisciplinary Inpatient Program 智力障碍儿童的肥胖治疗:一个多学科住院项目的结果
Pub Date : 2016-12-09 DOI: 10.4172/2165-7904.1000328
Verreussel Mjt, Dieleman Jp, S. Rasenberg, J. Veen-Roelofs, van Baak Ma
Background: Obesity is common in children and adolescents with intellectual impairment. In this study the effects of an inpatient multidisciplinary weight control program on BMI-SDS, body weight and BMI in children and adolescents with overweight/obesity and intellectual impairment with or without behavioural problems were evaluated. Methods: 101 overweight and obese children/adolescents with intellectual impairment with or without behavioural problems that were referred to an inpatient obesity treatment programme were included. The treatment was planned to last 9 months, but could be shortened or extended on an individual basis (mean 355 d, range 95 to 761 d). Data on age, sex, height, body weight and BMI were collected at entry and at the end of treatment. Results: Initial BMI-SDS was 3.9 ± 0.9 (range 2.0 to 8.4). BMI-SDS was reduced by -1.4 ± 0.7 (P<0.001). Age, gender and the presence of psychiatric disorders did not affect treatment outcome. Being of non-Dutch ethnic origin had a negative effect on the change in BMI-SDS (P=0.029) and longer treatment duration was associated with a larger reduction in BMI-SDS (P=0.002). Conclusions: The treatment program was effective in obtaining substantial and clinically relevant weight reduction in an inpatient setting in children with intellectual impairment with or without behavioural/psychiatric problems with different causes of obesity.
背景:肥胖在智力障碍儿童和青少年中很常见。本研究评估了住院患者多学科体重控制项目对超重/肥胖和智力障碍伴或不伴行为问题的儿童和青少年BMI- sds、体重和BMI的影响。方法:纳入101名超重和肥胖儿童/青少年,伴有或不伴有行为问题的智力障碍,这些儿童/青少年被转介到肥胖症住院治疗方案。治疗计划持续9个月,但可以根据个人情况缩短或延长(平均355天,范围95至761天)。在治疗开始时和治疗结束时收集年龄、性别、身高、体重和BMI数据。结果:初始BMI-SDS为3.9±0.9(范围2.0 ~ 8.4)。BMI-SDS降低-1.4±0.7 (P<0.001)。年龄、性别和精神障碍的存在对治疗结果没有影响。非荷兰裔对BMI-SDS的变化有负面影响(P=0.029),较长的治疗时间与较大的BMI-SDS下降相关(P=0.002)。结论:该治疗方案在有或没有不同肥胖原因的行为/精神问题的智力障碍儿童的住院环境中有效地获得了实质性的和临床相关的体重减轻。
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引用次数: 2
Effects of Self-efficacy on Health Behavior and Body Weight 自我效能感对健康行为和体重的影响
Pub Date : 2016-12-09 DOI: 10.4172/2165-7904.1000329
P. Faghri, J. Simon, Tania B. Huedo-Medina, A. Gorin
Objective: Overweight and obesity is a major public health in the U.S. Self-efficacy plays a significant role in health behavior (exercise and diet) and lack of could contribute to obesity. Our purpose was to evaluate perceived self-efficacy as it relates to eating, exercise and BMI in individuals with overweight and obesity. Methods: 99 employees from 4 nursing-homes in Northeast U.S. participated, all with a body mass index (BMI)>25.0 kg/m2. Eating and exercise self-efficacy (Eat-SE, Ex-SE), Healthy Eating Scores (HES), and physical activity (PA) were assessed using questionnaire responses. Correlation and mediation analysis examined the influence of Eat-SE and Ex-SE on PA, HES and BMI. Results: Higher HES predicted higher Eat-SE (p=0.02) and in turn, a lower BMI (p=0.02). Increased frequencies of moderate and vigorous PA predicted higher Ex-SE (p=0.01, p=0.00). Moderate PA further predicted lower BMI (p=0.05). 44% of the total effect of vigorous PA on BMI was mediated by Ex-SE (p=0.01). Conclusion(s): Our models combining self-efficacy and behavioral variables captured variations in BMI in overweight and obese individuals. Future obesity interventions should incorporate improvement in self-efficacy for overcoming barriers to weight management.
目的:超重和肥胖是美国主要的公共健康问题。自我效能感在健康行为(运动和饮食)中起着重要作用,缺乏自我效能感会导致肥胖。我们的目的是评估超重和肥胖个体的感知自我效能感,因为它与饮食、运动和BMI有关。方法:来自美国东北部4家养老院的99名员工参与,体重指数(BMI)均为25.0 kg/m2。饮食和运动自我效能(Eat-SE, Ex-SE)、健康饮食评分(HES)和身体活动(PA)采用问卷调查的方式进行评估。通过相关和中介分析检验Eat-SE和Ex-SE对PA、HES和BMI的影响。结果:HES越高,Eat-SE越高(p=0.02), BMI越低(p=0.02)。中度和重度PA频率增加预测Ex-SE升高(p=0.01, p=0.00)。中度PA进一步预测较低的BMI (p=0.05)。剧烈PA对BMI的总影响中有44%是由Ex-SE介导的(p=0.01)。结论:我们的模型结合了自我效能和行为变量,捕获了超重和肥胖个体的BMI变化。未来的肥胖干预措施应包括自我效能的提高,以克服体重管理的障碍。
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引用次数: 6
Irregular External Gastric Stimulation is Associated with Suppression of Serum Ghrelin Levels and Prolonged Decrease in Weight: A Novel Method for Sustaining Weight Loss 不规律的胃外刺激与抑制血清胃饥饿素水平和延长体重下降有关:一种维持体重减轻的新方法
Pub Date : 2016-12-06 DOI: 10.4172/2165-7904.1000327
T. Khoury, A. Elbaz, D. Rotnemer-Golinkin, Y. Shabat, Lidya Zolotarovya, Y. Ilan
Introduction: Weight regain is a major obstacle for most dietary procedures. Gastric stimulation has been shown to affect hormone levels. Aim: The aim of the present study was to determine the effect of irregular external gastric stimulation on longterm weight reduction. Methods: External gastric stimulation was performed by holding a rotator device on the abdomen of mice for 5 minutes in a regular or irregular manner. Mice were assessed for body weight and serum ghrelin levels. Results: External gastric stimulation was associated with a significant decrease in serum ghrelin levels. Irregular external gastric stimulation was associated with a prolonged effect on body weight reduction compared with regular stimulation. By the end of week 5, the body weight of untreated control mice had increased compared with a slight weight increase in mice treated with regular stimulation, while there was a significant continued decrease in the body weight of mice treated with irregular stimulation. Conclusions: Irregular gastric stimulation is associated with a prolonged effect on weight loss and provides a method for overcoming the brain-gut axis accommodation of weight loss.
体重反弹是大多数饮食程序的主要障碍。胃刺激已被证明会影响激素水平。目的:本研究的目的是确定不规律的胃外刺激对长期减肥的影响。方法:用旋转器固定于小鼠腹部,按规律或不规律进行5分钟的胃外刺激。评估小鼠的体重和血清生长素水平。结果:胃外刺激与血清胃饥饿素水平显著降低有关。与常规刺激相比,不规律的胃外刺激对体重减轻的影响更持久。到第5周结束时,未经治疗的对照组小鼠体重有所增加,而定期刺激的小鼠体重略有增加,而不定期刺激的小鼠体重持续显著下降。结论:不规律的胃刺激与长期的减肥效果有关,并为克服减肥的脑肠轴调节提供了一种方法。
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引用次数: 1
Healthy Lifestyle Program in Malaysian National Service Camp 马来西亚国家服务营健康生活方式计划
Pub Date : 2016-11-29 DOI: 10.4172/2165-7904.1000325
N. Salimin, Amin, Taff, G. Elumalai, Yusop Ahmad, Y. Almigo, M. IzwanShahril
National Service Training Program is a characters development platform for the Malaysian teenagers. This program indirectly promote healthy lifestyle to create a better trainees quality. Healthy Lifestyle Program implementation among obese adolescents whom followed the training program are expected to address the issue of healthy lifestyles among Malaysian and helps to boost the country's economic and social performance. The implementation of Healthy Lifestyle Program involves obese trainees with Body Fat Percentage (male=24 and above; female=36 and above), measured using Omron Krada Scan HBF 375 with Height Scale. The physical training program consist of 18 Low Intensity Activities, 40 Moderate Intensity Activities, 14 High Intensity Activities Training sessions and eight relaxation therapy sessions continuously for eight weeks. The Heart Rate Monitor i- Sport Model W118 HRM watch with chest strap is used to monitor the heart rate before and after exercise and calories burned off during the intervention period. The study conducted among 2445 obese trainees and the result showed decrease of Body Fat Percentage (BFP) in 425 trainees (22.91%). The continuous implementation of this program is expected to reduce the weight, BFP and BMI of 31680 obese trainees in 10 years and to give knowledge to 792 000 Malaysians. The 22% result impact involves a total of 174240 people who lose weight and BFP successfully, which involves 0.62% of the population of Malaysians. Based on the findings, the National Service Healthy Lifestyle Program successfully helps the obese trainees to lose weight and Body Fat Percentage. The implementation of National Service Healthy Lifestyle Program among the obese adolescents is expected to solve the healthy lifestyles issues among Malaysians as well as to improve the economic performance and social development in our country.
国家服务培训计划是马来西亚青少年性格发展的平台。本项目间接推广健康生活方式,提升学员素质。在参加培训方案的肥胖青少年中实施《健康生活方式方案》,预计将解决马来西亚人健康生活方式的问题,并有助于促进国家的经济和社会绩效。实施健康生活方式方案的对象为体脂率(男性=24及以上)的肥胖学员;女性=36岁及以上),使用欧姆龙克拉达扫描HBF 375身高量表测量。体能训练计划包括18个低强度活动,40个中等强度活动,14个高强度活动训练课程和8个放松治疗课程,持续8周。心率监测器i-运动型W118 HRM腕表带胸带,用于监测运动前后的心率和干预期间消耗的卡路里。对2445名肥胖学员进行了研究,结果显示425名学员体脂率(BFP)下降,占22.91%。该计划的持续实施预计将在10年内减少31680名肥胖学员的体重、BFP和BMI,并向79.2万马来西亚人传授知识。22%的结果影响涉及总共174240人成功减肥和BFP,这涉及马来西亚人口的0.62%。根据调查结果,国民服务健康生活方式计划成功地帮助肥胖学员减肥和降低体脂率。在肥胖青少年中实施国家服务健康生活方式方案,有望解决马来西亚人的健康生活方式问题,并改善我国的经济绩效和社会发展。
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引用次数: 3
The Determinants of Obesity among Students of the University of Venda, Limpopo Province of South Africa 南非林波波省文达大学学生肥胖的决定因素
Pub Date : 2016-11-23 DOI: 10.4172/2165-7904.1000324
Aghanenu Godfrey Chukwudi
Background: Obesity is a serious public health issue, recognised as a global epidemic affecting millions of people worldwide. The prevalence of obesity has been established among all age groups of different countries of the world. Numerous researches have confirmed the increasing prevalence rate of overweight and obesity globally. Overweight and Obesity are also prevalent amongst University students. The researcher observed that many students at the University of Venda look overweight; this might indicate the possibility of high prevalence of obesity among the student population. More so, majority of students that look overweight do not utilise the physical exercise equipment at the gym provided by the University or engage in any sporting activity. The purpose of the study was to describe the determinants of obesity among students of the University of Venda. Materials and Methods: A quantitative approach using a descriptive correlational survey design was adopted. A questionnaire was used as Instrument for data collection from a cross-section of the students. Simple random sampling and systematic sampling methods was used to select the participants. A total of 338 students (155 male and 183 female) were selected to constitute the sample size. The data collected was analysed using Statistical Package for Social Science (SPSS), version 22. Descriptive analyses were performed to show frequency distributions. Chi–square test was used to compare relationship between obesity and socio-demographic; dietary and environmental variables among students. Results: Overweight and obesity is prevalent among student population with 20% of the participants being overweight and 9.5% obese. Unhealthy eating practices were found among the participants. There was statistical significant difference in BMI between male and female gender with female (66%) being more obese than male (34%). In terms of socio-demographic variable this study found gender and age of participants as important factor of overweight and obesity. Discussion and Conclusion: This study found that malnutrition among participants exists in the form of under and over nutrition. The study also revealed gender differences among the types of malnutrition. Wherein female participants were more underweight, overweight and obese than their male participants, notably more male participants have normal bodyweight than that their female counterparts. These findings were similar to the findings of Murray in South Africa, study by Pengpid and Peltzer among University students in India. On the contrary to these findings, study by Sardinha et al. On Portuguese adults; show that overweight and obesity were predominantly prevalent among the male than in the female. This study therefore recommends that regular nutrition education campaign be carried out in the University in order to motivate more healthy food choices. Also consistent Moderate to Vigorous Physical Activities (MVPA) lifestyle is recommended.
背景:肥胖是一个严重的公共卫生问题,被认为是影响全世界数百万人的全球性流行病。肥胖的流行已经在世界不同国家的所有年龄组中确立。大量研究证实,全球超重和肥胖的患病率正在上升。超重和肥胖在大学生中也很普遍。研究人员发现,文达大学的许多学生看起来都超重了;这可能表明学生群体中肥胖的高患病率的可能性。此外,大部分看起来超重的学生既不使用大学提供的健身房的体育器材,也不参加任何体育活动。这项研究的目的是描述文达大学学生肥胖的决定因素。材料和方法:采用描述性相关调查设计的定量方法。问卷被用作工具,从学生的横截面收集数据。采用简单随机抽样和系统抽样的方法进行调查。共有338名学生(男155名,女183名)被选中构成样本量。收集的数据使用社会科学统计软件包(SPSS),版本22进行分析。描述性分析显示频率分布。采用卡方检验比较肥胖与社会人口学的关系;学生的饮食和环境变量。结果:超重和肥胖在学生群体中普遍存在,20%的参与者超重,9.5%的参与者肥胖。在参与者中发现了不健康的饮食习惯。男女BMI差异有统计学意义,女性(66%)比男性(34%)更肥胖。在社会人口变量方面,本研究发现性别和年龄是超重和肥胖的重要因素。讨论与结论:本研究发现参与者营养不良以营养不足和营养过剩的形式存在。该研究还揭示了营养不良类型的性别差异。其中,女性参与者体重过轻、超重和肥胖的比例高于男性参与者,男性参与者体重正常的比例明显高于女性参与者。这些发现与南非的默里的发现相似,彭皮德和佩尔策对印度大学生进行了研究。与这些发现相反,沙丁鱼等人的研究。葡萄牙成年人;超重和肥胖在男性中比在女性中更为普遍。因此,这项研究建议在大学定期开展营养教育活动,以激励人们选择更健康的食物。此外,建议保持适度到剧烈的体育活动(MVPA)的生活方式。
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引用次数: 2
The Mind-Body Connection: Its Impacts on Obesity 身心联系:对肥胖的影响
Pub Date : 2016-10-30 DOI: 10.4172/2165-7904.1000323
S. Vasudeva
This workshop is a hands-on, interactive experience supporting the research of Malkina-Pykh, I.G. (2012) and the works of authors Kelly, Michael, McCarthy, Patrick, and Milne, Hugh. Their works cover associations between the mind-body connection and the importance of integrating a holistic approach to reach optimal levels of fitness, thereby, impacting levels of obesity in individuals. Focus is placed on a health based movement practice within the scope of the client’s abilities. The workshop will cover breathing techniques, beginning and simple movement, and the promotion of a positive and nonjudgmental support system. The methods will be taken from personal experience of teaching movement based practices since 2004 successfully with elementary to college aged students. The combination of the three allows for awareness of the human body and how truly interconnected it is. When we as people eat, we put food into the human body. When we breathe and move, we train the human body. When we connect with other like-minded people, we are connecting to other human bodies. Through this awareness, practice and connection students can start to have a sense of belonging and thereby impacting levels of obesity.
这个工作坊是一个亲身实践的互动体验,支持Malkina-Pykh, I.G.(2012)的研究以及作者Kelly, Michael, McCarthy, Patrick和Milne, Hugh的作品。他们的研究涵盖了身心联系之间的联系,以及整合整体方法以达到最佳健康水平的重要性,从而影响个人的肥胖水平。重点放在一个基于健康的运动练习在客户的能力范围内。工作坊将涵盖呼吸技巧,开始和简单的动作,并促进积极和非判断的支持系统。该方法将从2004年以来在小学至大学年龄段学生中成功进行的基于运动的教学实践的个人经验中汲取。这三者的结合让我们意识到人体,以及它是如何真正相互联系的。当我们作为人吃东西时,我们把食物放进人体。当我们呼吸和运动时,我们在训练人体。当我们与其他志同道合的人联系时,我们是在与其他人类的身体联系。通过这种意识、实践和联系,学生们可以开始有一种归属感,从而影响肥胖水平。
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引用次数: 1
期刊
Journal of obesity and weight loss therapy
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