中医减重远离癌症从实证医学谈起.PDF

中醫減重遠離癌症…從實證醫 學談起 臺北醫學大學 傳統醫學科 林恭儀主任 學經歷 • 臺北醫學大學附設醫院傳統醫學科內科主任醫師 • 臺大預防醫學研究所公衛碩士 • 中國醫藥大學學士後中醫學系醫學士 • 臺北市中醫師公會 理事 • 臺灣中醫家庭醫學會理事 • 中西醫整合醫學會會員 • 臺灣中醫家庭醫學會專科醫師 • 考試院中醫師專技高考題務委員 • 臺北市立聯合醫院中醫醫療部內科主治醫師針灸主治 醫師 （中醫院區、仁愛院區） • 國立臺灣大學醫學系PBL小組引導老師 • 國立陽明大學醫學系PBL小組引導老師 In the beginning…都是肥胖都是肥胖 都是肥胖都是肥胖 惹的禍惹的禍 惹的禍惹的禍 肥胖重要的流行病死因…Obesity is an increasingly prevalent chronic condition that is associated with serious morbidity and mortality. 過重增加癌症等危險因子…Excess bodyweight is the sixth most important risk factor contributing to the overall burden of disease worldwide. (Hslam, 2005 Lancet) 猜一猜有多少胖小孩猜一猜有多少胖小孩？？ 猜一猜有多少胖小孩猜一猜有多少胖小孩？？ Indeed, a total of 1.1 billion adults and 10% of children are now classified as overweight or obese. (Hslam, 2005 Lancet) Risks Obesity Average life expectancy is already diminished; the main adverse consequences are cardiovascular disease, type 2 diabetes, and several cancers. The complex pathological processes reflect environmental and genetic interactions, and individuals from disadvantaged communities seem to have greater risks than more affluent individuals partly because of fetal and postnatal imprinting Effective on “NO Weight” 有效的減重策略是…Effective long-term weight loss depends on permanent changes in dietary quality, energy intake, and activity. 當醫療遇上行為…Neither the medical management nor the societal preventive challenges are currently being met. Definition Obesity may be defined as the degree of fat storage associated with clearly elevated health risks. The graded classification of obesity and