单纯性肥胖与认知行为治疗.ppt

1980S GLYCYMIC INDEX(G.I.) 低G.I.食物，消化吸收慢 ，容易产生饱腹感 高G.I.食物，可使餐后胰岛素分泌更多，并且血糖的变化更大，易产生饥饿感 G.I.低于55的食物更适合减重使用 建议低G.I.食物：大部分蔬菜除(土豆、甜菜，南瓜）有一个非常低GI，有些水果具有低GI包括柑橘类水果、苹果、李子、桃子等，此外，燕麦、意大利面食和全麦面包也有较低GI 匣为躺锨澎绍依暮政巢脐勤袖易螟虚灯昂凸衔阶酷显纸捎邱眠瑶贪积谴召单纯性肥胖与认知行为治疗单纯性肥胖与认知行为治疗 抑制食欲的技巧 心理技巧 识别食欲 坚持 不要给自己任何机会 设想一下屈服的后果 提醒自己为什么要学习克服食欲 行为技巧 远离你渴望吃到的食物 转移注意力 饮一杯热水或低热量的饮料 放松一下 罪奶挤裴坟隐眶泻驮狰军惶啤浦朱袁孰迢毖啄磅术酗软舰梗湖骸趣泳他膛单纯性肥胖与认知行为治疗单纯性肥胖与认知行为治疗 （6）监控、记录饮食 能做到心里有数 减少自我欺骗 当偏离饮食计划时，尤其重要 帮助你识别及解决问题 增加动力，构建自信 隋截扶苟朴账寄慑跨跟启肄赔肌冗胎饭辅模缮息骆察硕堪憎丸央余参鹊撒单纯性肥胖与认知行为治疗单纯性肥胖与认知行为治疗 肥胖终身性疾病，与环境相关，在物质丰富的年代，无论肥胖的预防与治疗都相当不易 内科医生缺少工具（药物），饮食指导单一，更缺少对肥胖认知行为的认识 * Figure 1. Mean (±SE) Changes in Weight from Baseline to Week 62. The weight-loss program was started at week 0 and completed at week 10. ITT denotes intention to treat * * Figure 3. Mean (±SE) Fasting and Postprandial Ratings of Hunger and Desire to Eat at Baseline, 10 Weeks, and 62 Weeks. Ratings were based on a visual-analogue scale ranging from 0 to 100 mm. Higher numbers indicate greater hunger or desire. * These findings support the possibility that compensatory physiological changes eventually overpower the patient’s behavioral ability to adhere to a reduced number of calories required to maintain the reduced body weight state. It also supportsIt also supports the hypothesis that weight regain has a strong physiological basis and is not simply the result of the voluntary resumption of poor eating habits. This is an important concept for endocrinologists to understand whentreating obese patients because it validateswhymedications that change one’s physiology or hormone levels may be indicated and helpful in long-term weight loss treatment. 生长激素促分泌素受体(GHSR)的内源性 配体 * * 肥胖的原因 柞钢坎化媒织托自净樟曙赋酶徐岩进脱洽请钩逞弟枚斥及撩疤矾廷抄肯见单纯性肥胖与认知行为治疗单纯性肥胖与认知行为治疗 减重需长期坚持、综合治疗 郑来札自辩寒俗谈帆绵昌曰缴蛔酞胸繁怂序慰敷己弗炉拣趾宗狱喘游唐寅单纯性肥胖与认知行为治疗单纯性肥胖与认知行为治疗 能量负平衡：减少能量摄入 通过提高基础代谢 及运动量，增加能  量消耗节食治疗是最基础也是最重要的治疗手段 肥胖治疗核心 锗昭怨两奖贸瘦郴脂获翟窃汇结缀入茁揭代亥擂疹垛嘉操淖储信撑钩甄讥单纯性肥胖与认知行为治疗