JAMA:美国减肥声明,不推荐使用减肥药物,建议使用强化的行为干预措施

2018-09-24 文韬 中国循环杂志

月18日,JAMA在线发表了美国预防服务工作组(USPSTF)近期对减肥以预防肥胖相关疾病的最新声明,明确指出不推荐使用减肥药物。

月18日,JAMA在线发表了美国预防服务工作组(USPSTF)近期对减肥以预防肥胖相关疾病的最新声明,明确指出不推荐使用减肥药物。

美国食品和药物管理局曾批准五种肥胖药物,奥利司他是唯一批准可在美国长期使用的肥胖药。

声明指出,虽然有研究证实,药物与行为干预结合,与单独行为干预相比,可更多的减轻体重。

但工作组说,“每种药物的试验数量有限,无法汇总结果。但更重要的问题是,我们知道药物有危害,但这些危害尚未得到很好的研究。”

该声明建议,临床医生应向肥胖(体重指数≥30 kg / m2)的成年人推荐强化的行为干预措施。

糖尿病健康行动(Look AHEAD)研究是一项随机临床试验,比较了强化生活方式干预对超重/肥胖和2型糖尿病患者的影响。

工作组说,“尽管强化生活方式干预并未显示可改善血管发病率和死亡率,但改善了睡眠呼吸暂停、尿失禁、抑郁症和慢性肾病的进展。”

工作组指出,虽然新建议的重点是没有疾病的人,但他们“仍然用于有疾病的患者”。

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    2018-09-25 一个字-牛

    学习了谢谢分享

    0

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    2018-09-24 CHANGE

    什么时候有懒人用的减肥神药?

    0

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