肥胖症的诊断和治疗进展1ppt课件.pptVIP

肥胖症的诊断和治疗进展;肥胖症的定义;病 因;病因与发病机制;亚太地区肥胖流行病学特点; 韩国 (1995年WHO标准） 超重：20.5% 肥胖：1.5% 日本（1990-1994国家营养普查） 超重：男性 24.3% 女性 20.2%  肥胖：1.5% 我国（1998年中年人口的调查） 各地超重和肥胖发生率存在极大的差异 北方南方 城市农村 严重地区 超重：50% 大多数地区 肥胖：10% 太平洋岛国人群体形健壮，BMI较高◆肥胖与超重的患病率受地区、种族及文化 背景的影响; 在BMI较低时肥胖相关性疾病 的发生率即可增高; 定义肥胖的切点主要根据;;香港女性; 同一BMI水平，亚洲人倾向于腹型肥胖 ;肥胖和超重的患病或发生率急速上升;肥胖与相关疾病的关系;WHO成人BMI标准、腰围及相关疾病危险;亚洲成人BMI标准、腰围及相关疾病危险;肥胖的治疗;; Treatment options for different levels of BMI and other risk factors in Asian populations Diet Activity Drug VLCD Surgery BMI 23-25 kg/m 2 : No additional risk √ √ × Increased WC ? √ √ × DM / CHD / HT / HL * √ √ √ BMI 25-30 kg/m 2 : No additional risk √ √ √(consider) Increased WC √ √ √(consider) DM/CHD/HT/HL √ √ √ BMI 30 kg/m 2 : No additional risk √ √ √(consider) √(consider) √(consider) Increased WC √ √ √(consider) √(consider) √(consider) DM/CHD/HT/HL √( intensive) √( intensive) √ √(consider) √(consider) KEY: ? Waist circ u m f e rence 90 cm (men), 80 cm (women) *Specific therapies relating to the risk factor or condition (DM, CHD, HT, HL) may be necessary N O T E : If two or more diseases present eg. hypertension, then an anti-obesity drug may be used.;肥胖的饮食治疗;;Principles of nutrition related to obesity * Food selection should be guided by available foods which vary from country to country in the Asia-Pacific region . * Distribution of food intake should be as even as possible throughout the day and meals should not be ‘skipped’ as a weight control method. * Meals should be adequately sized so that snacks are not needed be