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双语|肥胖题目不行只看体重!加拿大新临床指南对医师发出警觉

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平素从此,群众都以为减肥即是“少吃众运动”,然则加拿大新发表的临床指南指出,休养肥胖更应当合注肥胖的本原,加倍要杜绝对肥胖者的轻视。

Obesity should be defined by a person's health - not just their weight, says a new Canadian clinical guideline.

加拿大的一份新临床指南称,肥胖与否应当视强壮情景而定,而不仅是体重。

It also advises doctors to go beyond simply recommending diet and exercise. Instead, they should focus on the root causes of weight gain and take a holistic approach to health.

该指南还创议医师不要只是就伙食和陶冶给出医嘱,而应当合注肥胖的本原,从具体的视角来对付强壮题目。

The guideline, which was published in the Canadian Medical Association Journal on Tuesday, specifically admonished weight-related stigma against patients in the health system.

8月4日揭晓正在《加拿大医学协会期刊》上的这一指南迥殊对医疗编制中针对肥胖症患者的轻视发出了警觉。

Ximena Ramos-Salas, the director of research and policy at Obesity Canada and one of the guideline's authors, said research shows many doctors discriminate against obese patients, and that can lead to worse health outcomes irrespective of their weight.

该指南的作家之一、加拿大肥胖结构的磋商和战略主任西米娜·拉莫斯-萨拉斯称,磋商显示很多医师都轻视肥胖症患者,而这种轻视会令强壮恶化,无论患者体重众少。

''Weight bias is not just about believing the wrong thing about obesity,'' she told the BBC. ''Weight bias actually has an effect on the behaviour of healthcare practitioners.''

她告诉BBC说:“体重轻视不只是对肥胖有误会,本质上还会对保健医师的动作发作影响。”

The rate of obesity has tripled over the past three decades in Canada, and now about one in four Canadians is obese according to Statistics Canada.

过去三十年间,加拿大的肥胖率上升了两倍,依照加拿大统计局的数据,当前约有四分之一的加拿大人是肥胖者。

Although the latest advice still recommends using diagnostic criteria like the body mass index (BMI) and waist circumference, it acknowledges their clinical limitations and says doctors should focus more on how weight impacts a person's health.

即使最新指南仍创议人们采用身体质地指数和腰围来行为诊断准绳,但指南招供了临床休养的限定性,并外示医师应当更众地合注体重是何如影响一片面的强壮的。

Small reductions in weight, of about 3-5%, can lead to health improvements and an obese person's ''best weight'' might not be their ''ideal weight'' according to BMI, the guideline says.

指南指出,体重微降(大约3%到5%)可能革新强壮,况且一个肥胖者的“最佳体重”不妨不是他们依照身体质地指数算出的“梦想体重”。

It emphasises that obesity is a complex, chronic condition that needs lifelong management.

指南夸大,肥胖是一个必要终身约束的杂乱的慢性病。

''For a long time we've associated obesity as a lifestyle behaviour... It's been a lot of shame and blame before,'' Ms Ramos-Salas says.

拉莫斯-萨拉斯姑娘称:“长时代从此咱们平素将肥胖与存在格式合联正在沿途……肥胖正在过去陪伴着很多羞辱和指谪。”

''People living with obesity need support like people living with any other chronic disease.''

“患有肥胖症的人必要和患有其他慢性病的人相似的声援。”

But instead of simply advising patients to ''eat less, move more'', the guideline encourages doctors to provide supports along the lines of psychological therapy, medication and bariatric surgery like gastric-bypass surgery.

这一指南没有粗略地创议肥胖患者“少吃众动”,而是胀励医师供给心境休养、药物休养和胃分流术等减肥手术云云的声援。

The guideline doesn't completely do away with standard weight-loss advice.

然而该指南也没有一律舍弃准绳的减肥创议。

''All individuals, regardless of body size or composition, would benefit from adopting a healthy, well-balanced eating pattern and engaging in regular physical activity,'' it says.

指南称:“悉数个人,无论是什么体型或体质,都邑从强壮平均的饮食民俗和按期运动中获益。”

However, it notes that keeping the weight off is often difficult because the brain will compensate by feeling more hungry, thus encouraging people to eat more.

然则,它指出,减肥寻常很贫乏,由于大脑会通过饥饿感来积蓄,从而胀励人们吃更众东西。

Many studies have shown that most people who lose weight on a diet gain it back.

很多磋商都显示,大大批通过节食来减肥的人自后体重又反弹了。

''Diets don't work,'' Ms Ramos-Salas says.

拉莫斯-萨拉斯姑娘称:“节食没有效。”

Physicians should also ask permission before discussing a patient's weight, and work with them to focus on health goals that matter to them, instead of just telling them to cut calories.

医师应当先征得应允材干研究患者的体重,并和患者沿途合注对其蓄谋义的强壮方向,而不仅是让他们少吃。

图片原因:pexels

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