应建议肥胖患者遵守肥胖治疗指南。[1]Jensen MD, Ryan DH, Apovian CM, et al; American College of Cardiology/American Heart Association Task Force on Practice Guidelines; Obesity Society. 2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society. Circulation. 2014 Jun 24;129(25 suppl 2):S102-38.http://circ.ahajournals.org/content/129/25_suppl_2/S102.longhttp://www.ncbi.nlm.nih.gov/pubmed/24222017?tool=bestpractice.com 患者治疗包括:
低卡路里饮食
体育运动
辅助心理治疗(作为饮食以及运动的辅助治疗)
由医师考虑,进行辅助药物治疗
病理性肥胖患者考虑减重手术。
临床人员可能希望考虑将超重或肥胖患者转至商业减重项目。[119]Gudzune KA, Doshi RS, Mehta AK, et al. Efficacy of commercial weight-loss programs: an updated systematic review. Ann Intern Med. 2015 Apr 7;162(7):501-12.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4446719/http://www.ncbi.nlm.nih.gov/pubmed/25844997?tool=bestpractice.com
网站的在线患者须知可能有用。NHS Choices: obesityNHS: obesity decision aid