【医学课件】肥胖治疗的基本原则ppt课件.ppt

1、Basic Principles of Obesity Therapy,天马行空官方博客： ；QQ:1318241189；QQ群：175569632,Obesity Therapy,Adipose tissue,Energy Intake,Energy Expenditure,天马行空官方博客： ；QQ:1318241189；QQ群：175569632,Relationship Between Rate of Weight Loss and Gallstone Formation,Incidence of Gallstone Formation (% subjects/wk),Weinsier

2、 et al. Am J Med 1995;98:115. Reprinted with permission from Excerpta Medica.,Rate of Weight Loss (kg/wk),0,0.5,1,1.5,2,2.5,1,2,3,4,5,6,7,8,9,Prevention of Gallstone Formation by Ursodeoxycholic Acid During Rapid Weight Loss,New Gallstones (%),*Shiffman et al. Ann Intern Med 1995;122:899.Sugerman et

3、 al. Am J Surg 1995;169:91.,Ursodeoxycholic Acid (mg/d),0,300,600,1200,0,300,600,1200,VLCD = very-low-calorie diet.,16 wk of VLCD*,6 mo after gastricbypass procedure,28%,8%,3%,2%,32%,13%,2%,6%,Short-term Obesity Therapy Does Not Result in Long-term Weight Loss,Change in Weight (kg),Wadden et al. Int

4、 J Obes 1989;13 (Suppl 2):39.,5-yearFollow-up,1-yearFollow-up,End ofTreatment,Baseline,Diet alone Behavior therapy Combined therapy,Long-term Weight Loss is Improved with Long-term Maintenance Therapy,Weight Loss (%),Perri et al. J Consult Clin Psychol 1988;56:529.,P 0.05,No maintenance tx Maintenan

5、ce tx,Diet andbehaviormodificationtherapy,Obesity Treatment Pyramid,Obesity Treatment Guidelines,The Practical Guidecan be found at:,NHLBI web site: NAASO web site:,Guide for Selecting Obesity Treatment,The Practical Guide: Identification, Evaluation, and Treatment of Overweight