肥胖症:问题现状,多学科方法。(根据世界胃肠病学组织 "肥胖症 2023 "共识和欧洲胃肠道和肝脏疾病患者肥胖症护理指南,2022 年)。

M. Livzan, E. A. Lyalyukova, I. Druk, S. S. Safronova, A. A. Khalashte, K. A. Martirosian, V. Y. Petrosian, Ya. S. Galakhov
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摘要

肥胖症是世界上最大的流行病,其发病率持续上升。本出版物旨在提高医生对现代肥胖症诊断方法和治疗方法的认识,采用的跨学科团队方法与糖尿病、心脏病和癌症等其他慢性疾病的治疗方法类似。文章介绍了世界胃肠病学组织(2023 年)和《欧洲胃肠道和肝脏疾病患者肥胖症治疗指南》(2022 年)中的数据。根据现代方法,肥胖症应被视为一种慢性复发性进展性疾病,其治疗需要心理学家和精神科医生、营养学家/营养师、治疗师、内窥镜医生和外科医生共同参与的跨学科综合方法,包括改变生活方式、明确的饮食和运动方案、药物治疗、内窥镜或手术治疗方法。结论为了阻止日益增长的肥胖浪潮及其多种并发症和费用,医生、保险公司和卫生当局应做出系统努力,提高公众对肥胖带来的不良健康风险以及通过综合治疗方法降低风险的潜力的认识。
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Obesity: current state of the problem, multidisciplinary approach. (based on the consensus of the World Gastroenterological Organization “Obesity 2023” and the European guideline on obesity care in patients with gastrointestinal and liver diseases, 2022)
Obesity is the largest pandemic in the world, and its prevalence continues to increase. The purpose of the presented publication is to raise awareness of doctors about modern methods of diagnosing obesity and approaches to therapy, using an interdisciplinary team approach similar to that used in other chronic diseases, such as diabetes, heart disease and cancer. The article presents data from the World Gastroenterological Organization (2023) and the European Guidelines for the Treatment of Obesity in patients with diseases of the gastrointestinal tract and liver (2022). According to modern approaches, obesity should be considered as a chronic recurrent progressive disease, the treatment of which requires a comprehensive interdisciplinary approach involving psychologists and psychiatrists, nutritionists/nutritionists, therapists, endoscopists and surgeons, including lifestyle changes, a well-defined diet and exercise regimen, drug therapy, endoscopic or surgical methods of treatment. Conclusions. In order to stop the growing wave of obesity and its many complications and costs, doctors, insurance companies and health authorities should make systematic efforts to raise public awareness of both the adverse health risks associated with obesity and the potential reduction of risks through a comprehensive approach to therapy.
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