肥胖治疗的基本原则PPT课件.ppt

《肥胖治疗的基本原则PPT课件.ppt》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、BasicPrinciplesofObesityTherapyObesityTherapyAdiposetissueEnergyIntakeEnergyExpenditureRelationshipBetweenRateofWeightLossandGallstoneFormationIncidenceofGallstoneFormation(%subjects/wk)Weinsieretal.AmJMed1995;98:115.ReprintedwithpermissionfromExcerptaMedica.RateofWeightLoss(kg/wk)00.511.52

2、2.5123456789PreventionofGallstoneFormationbyUrsodeoxycholicAcidDuringRapidWeightLossNewGallstones(%)*Shiffmanetal.AnnInternMed1995;122:899.†Sugermanetal.AmJSurg1995;169:91.UrsodeoxycholicAcid(mg/d)0300600120003006001200VLCD=very-low-caloriediet.16wkofVLCD*6moaftergastricbypassprocedure†28%8%3

3、%2%32%13%2%6%Short-termObesityTherapyDoesNotResultinLong-termWeightLossChangeinWeight(kg)Waddenetal.IntJObes1989;13(Suppl2):39.5-yearFollow-up1-yearFollow-upEndofTreatmentBaselineDietaloneBehaviortherapyCombinedtherapyLong-termWeightLossisImprovedwithLong-termMaintenanceTherapyWeightLoss(%)

4、Perrietal.JConsultClinPsychol1988;56:529.0123456789101112Time(mo)1314151617P<0.05NomaintenancetxMaintenancetxDietandbehaviormodificationtherapyObesityTreatmentPyramidDietPhysicalActivityLifestyleModificationPharmacotherapySurgeryObesityTreatmentGuidelinesThePracticalGuidecanbefoundat:NHLBI

5、website:www.nhlbi.nih.govNAASOwebsite:www.naaso.orgGuideforSelectingObesityTreatmentThePracticalGuide:Identification,Evaluation,andTreatmentofOverweightandObesityinAdults.October2000,NIHPub.No.00-4084Treatment25-26.927-29.930-34.935-39.9>40Diet,Exercise,BehaviorTx+++++Pharmaco-therapyWithco-

6、morbidities+++SurgeryWithco-morbidities+BMICategory(kg/m2)