尼日利亚的肥胖症和减肥手术需求:综述。

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Nigerian Postgraduate Medical Journal Pub Date : 2024-07-01 Epub Date: 2024-09-02 DOI:10.4103/npmj.npmj_157_24
Adedire Timilehin Adenuga, Iliya Karniliyus Salu, Usman Mohammed Bello, Abuchi Okaro
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引用次数: 0

摘要

肥胖症主要被认为是发达国家的一种疾病,但目前在非洲发展中国家,肥胖症患者的人数正在不断增加。体重指数达到或超过 30 kg/m2 即被视为肥胖症,并可能伴有代谢和心血管疾病、骨科和精神疾病以及癌症等并发症。有确凿的科学证据表明,肥胖是由复杂的社会心理、遗传和环境因素造成的。仅靠饮食和运动无法有效治疗严重肥胖症。减肥手术是对所有类型肥胖症最具成本效益的最终治疗方法,相关的体重减轻可改善或完全消除与肥胖相关的并发症,提高生活质量,降低全因死亡率。据估计,尼日利亚约有 15%的成年人肥胖,据报道,到 2023 年,当地仅完成了 214 例减肥手术,其中 134 例(62.6%)为胃球囊植入手术,75 例(35.1%)为初级减肥手术,5 例为翻修手术(2.3%)。在这篇文章中,我们讨论了尼日利亚现有的减肥方案、减肥手术的现状、改善尼日利亚肥胖者减肥手术实践的必要性以及肥胖并发症。
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Obesity and the Need for Bariatric Surgery in Nigeria: A Review.

Obesity was mainly regarded as a disease of developed countries, but currently there is a growing rise in the population of patients with obesity in developing countries of Africa. A body mass index of 30 kg/m2 or higher is regarded as obesity, and this may be associated with comorbidities such as metabolic and cardiovascular diseases, orthopaedic and psychiatric conditions, and cancer. There is conclusive scientific evidence that shows that obesity is caused by complex psychosocial, genetic and environmental factors. Diet and exercise are not effective as sole management of severe obesity. Bariatric surgery is the most cost-effective definitive treatment for all classes of obesity, and the associated weight reduction causes improvement or complete resolution of obesity-associated comorbidity, improves the quality of life and reduces all-cause mortality. It is estimated that about 15% of adults in Nigeria are obese, and in the year 2023, it was reported that only 214 bariatric procedures were done locally, with 134 (62.6%) being gastric balloon insertions, 75 (35.1%) primary weight loss surgeries and 5 revisional surgeries (2.3%). In this article, we discussed the existing weight loss options in Nigeria, the current state of bariatric surgery and the need to improve the practice of bariatric surgery for obese Nigerians and complications of obesity.

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来源期刊
Nigerian Postgraduate Medical Journal
Nigerian Postgraduate Medical Journal MEDICINE, GENERAL & INTERNAL-
CiteScore
1.90
自引率
0.00%
发文量
52
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