国家版减肥指南来了！
<section data-role="outer" label="edit by 135editor"><section data-role="outer" label="edit by 135editor"><section><section class="js_underline_contentautoTypeSetting24psection"><section><section data-role="paragraph"><section style="text-align: center;line-height: 2em;"><p style="line-height:2em;"><span style="font-size: 16px;letter-spacing: 0px;font-family:微软雅黑, Microsoft YaHei;">10月17日</span></p><p style="line-height:2em;"><span style="font-size: 16px;letter-spacing: 0px;font-family:微软雅黑, Microsoft YaHei;">国家卫生健康委</span><span style="font-size: 16px;letter-spacing: 0px;caret-color: red;font-family:微软雅黑, Microsoft YaHei;">印发</span></p><p style="line-height:2em;"><strong style="font-size: 16px;letter-spacing: 0px;caret-color: red;font-family:微软雅黑, Microsoft YaHei;">《肥胖症诊疗指南（2024年版）》</strong></p></section><section style="text-align: center;line-height: 2em;"><p style="line-height:2em;"><span style="font-size: 16px;letter-spacing: 0px;font-family:微软雅黑, Microsoft YaHei;">这是<strong>国内首部</strong></span></p></section><section style="text-align: center;line-height: 2em;"><p style="line-height:2em;"><span style="font-size: 16px;letter-spacing: 0px;font-family:微软雅黑, Microsoft YaHei;">肥胖多学科诊疗的权威指南</span></p></section><section style="text-align: center;line-height: 2em;"><p style="line-height:2em;"><span style="font-size: 16px;letter-spacing: 0px;font-family:微软雅黑, Microsoft YaHei;">如何减肥才更科学？</span></p></section><section style="text-align: center;line-height: 2em;"><p style="line-height:2em;"><span style="font-size: 16px;letter-spacing: 0px;font-family:微软雅黑, Microsoft YaHei;">国家出手教你减肥！速速收藏</span></p></section><section data-role="title" data-tools="135编辑器" data-id="147406"><section style="margin: 10px auto;display: flex;justify-content: center;"><section><section style="display: flex;transform: skew(-10deg);-webkit-transform: skew(-10deg);-moz-transform: skew(-10deg);-o-transform: skew(-10deg);"><section style="flex-shrink: 0;display: flex;align-items: center;"><section style="width: 6px;height: 50%;background-color: rgb(255, 232, 191);overflow: hidden;"><br/></section><section style="width: 6px;height: 80%;background-color: rgb(240, 191, 125);margin-right: 4px;margin-left: 4px;overflow: hidden;"><br/></section></section><section style="background-color: rgb(46, 82, 164);padding: 9px 20px;"><section style="transform: skew(10deg);-webkit-transform: skew(10deg);-moz-transform: skew(10deg);-o-transform: skew(10deg);"><p style="text-align:center;font-size: 16px;color: rgb(255, 255, 255);line-height: 2em;"><span style="font-size: 17px;font-family:微软雅黑, Microsoft YaHei;"><strong data-brushtype="text">我国肥胖症患病率持续上升！</strong></span></p><p style="text-align:center;font-size: 16px;color: rgb(255, 255, 255);line-height: 2em;"><span style="font-size: 17px;font-family:微软雅黑, Microsoft YaHei;"><strong>呈现出哪些特点？</strong></span></p></section></section><section style="flex-shrink: 0;display: flex;align-items: center;"><section style="width: 6px;height: 80%;background-color: rgb(240, 191, 125);margin-right: 4px;margin-left: 4px;overflow: hidden;"><br/></section><section style="width: 6px;height: 50%;background-color: rgb(255, 232, 191);overflow: hidden;"><br/></section></section></section><section style="margin-right: 20px;margin-left: 20px;"><section style="width: 90%;height: 1px;background-color: rgb(240, 191, 125);margin-left: auto;margin-top: 4px;overflow: hidden;max-width: 90% !important;" data-width="90%"><br/></section></section></section></section></section></section><section data-tools="135编辑器" data-id="131868"><section style="margin: 10px auto;display: flex;justify-content: center;"><section><section style="padding-left: 4px;margin-top: -6px;"><section style="width: 100%;height: 4px;background-color: rgb(221, 239, 249);overflow: hidden;" data-width="100%"><br/></section></section></section></section></section><section data-role="paragraph"><p style="text-indent: 2em;line-height: 2em;"><span style="font-size: 16px;font-family:微软雅黑, Microsoft YaHei;">《指南》指出，近年来，<strong>我国超重和肥胖人群的患病率呈持续上升趋势</strong>。成年人的肥胖症患病率达16.4%。在6<span style="letter-spacing: 0.578px;">—</span>17岁的青少年儿童中，超重率和肥胖症患病率分别为11.1%和7.9%。6岁以下儿童的超重率和肥胖症患病率，分别为6.8%和3.6%。</span></p><p style="text-indent: 2em;line-height: 2em;"><span style="font-size: 16px;font-family:微软雅黑, Microsoft YaHei;"><br/></span></p></section><section>//bbs.221700.com/plugin.php?id=wcn_editor:player&url=https%3A%2F%2Fmp.weixin.qq.com%2Fmp%2Freadtemplate%3Ft%3Dpages%2Fvideo_player_tmpl%26action%3Dmpvideo%26auto%3D0%26vid%3Dwxv_3684828954650345477&org=https%3A%2F%2Fmp.weixin.qq.com%2Fs%2Fdi7w-9691UahxX10u2N7dQ</section><section><br/></section><section data-role="paragraph"><section data-role="title" data-tools="135编辑器" data-id="148443"><section style="margin: 10px auto;display: flex;align-items: center;"><section style="flex-shrink: 0;display: flex;align-items: center;"><section style="width: 40px;margin-left: -40px;"><br/></section></section><section style="flex-shrink: 0;display: flex;align-items: center;margin-right: -13px;z-index: 5;"><section style="width: 30px;"><br/></section></section><section style="width: 100%;background-color: rgb(120, 184, 255);" data-width="100%"><section style="padding: 6px 15px;display: flex;justify-content: space-between;align-items: center;"><section style="font-size: 16px;color: #ffffff;text-align: left;"><p style="line-height:2em;"><span style="font-family:微软雅黑, Microsoft YaHei;"><strong data-brushtype="text"><strong style="letter-spacing: 0.578px;text-indent: 34px;text-wrap: wrap;">我国人群肥胖症的流行病学特征呈现以下特点：</strong></strong></span></p></section><section style="flex-shrink: 0;"><section style="width: 35px;"><br/></section></section></section></section></section></section><section data-role="list"><ul class=" list-paddingleft-2" style="list-style-type: square;"><li><p style="line-height: 2em;"><span style="font-size: 16px;font-family:微软雅黑, Microsoft YaHei;">男性超重率和肥胖症患病率比例，均高于女性；</span></p></li><li><p style="line-height: 2em;text-indent: 0em;"><span style="font-size: 16px;font-family:微软雅黑, Microsoft YaHei;">男性肥胖症患病率在35<span style="letter-spacing: 0.578px;">—</span>39岁达到峰值，而女性则为70<span style="letter-spacing: 0.578px;text-indent: 34px;text-wrap: wrap;background-color: rgb(255, 255, 255);">—</span>74岁；</span></p></li><li><p style="line-height: 2em;"><span style="font-size: 16px;letter-spacing: 0.034em;font-family:微软雅黑, Microsoft YaHei;">超重率和肥胖症患病率存在明显的地域差异，北方地区普遍高于南方地区；</span></p></li><li><p style="line-height: 2em;"><span style="font-size: 16px;font-family:微软雅黑, Microsoft YaHei;">受教育程度较低的女性超重率和肥胖症患病率较高，男性则相反。</span></p></li></ul></section></section><section data-role="paragraph"><section style="text-align: center;line-height: normal;"><br/></section><section data-role="title" data-tools="135编辑器" data-id="148443"><section style="margin: 10px auto;display: flex;align-items: center;"><section style="flex-shrink: 0;display: flex;align-items: center;"><section style="width: 40px;margin-left: -40px;"><br/></section></section><section style="flex-shrink: 0;display: flex;align-items: center;margin-right: -13px;z-index: 5;"><section style="width: 30px;"><br/></section></section><section style="width: 100%;background-color: rgb(120, 184, 255);" data-width="100%"><section style="padding: 6px 15px;display: flex;justify-content: space-between;align-items: center;"><section style="font-size: 16px;color: #ffffff;text-align: left;"><p style="line-height:2em;"><span style="font-family:微软雅黑, Microsoft YaHei;"><strong data-brushtype="text">如何判断自己是否肥胖？</strong></span></p></section><section style="flex-shrink: 0;"><section style="width: 35px;"><br/></section></section></section></section></section></section><section style="margin-top: 8px;margin-bottom: 16px;"><section style="color: rgb(16, 28, 92);padding-right: 8px;padding-left: 8px;"><section style="text-indent: 2em;line-height: normal;"></section><p style="text-indent: 2em;line-height: 2em;"><span style="font-size: 16px;color: #000000;font-family:微软雅黑, Microsoft YaHei;">体质指数是评估全身性肥胖的通用标准，计算方式为：<strong>体重（kg）除以身高（m）的平方</strong>。我国成年人群的标准：</span></p><section style="text-indent: 2em;line-height: normal;"></section><section data-role="list"><ul class=" list-paddingleft-2" style="list-style-type: square;"><li><section style="line-height: 1.75em;"><p style="line-height:2em;"><span style="font-size: 16px;color: #000000;font-family:微软雅黑, Microsoft YaHei;">低体重状态：BMI<18.5kg/㎡</span></p></section></li><li><section style="line-height: 1.75em;"><p style="line-height:2em;"><span style="font-size: 16px;color: #000000;font-family:微软雅黑, Microsoft YaHei;">正常体重：18.5kg/㎡≤BMI<24kg/㎡</span></p></section></li><li><section style="line-height: 1.75em;"><p style="line-height:2em;"><span style="font-size: 16px;color: #000000;font-family:微软雅黑, Microsoft YaHei;">超重：24kg/㎡≤BMI<28kg/㎡</span></p></section></li><li><section style="line-height: 1.75em;"><p style="line-height:2em;"><span style="font-size: 16px;color: #000000;font-family:微软雅黑, Microsoft YaHei;">肥胖症：BMI≥28kg/㎡</span></p></section></li></ul></section><section style="line-height: 1.75em;text-indent: 2em;"><p style="line-height:2em;"><span style="color: #000000;font-size: 16px;font-family:微软雅黑, Microsoft YaHei;">腰围是反映中心性肥胖的常用指标，基于我国成年人群特点和健康风险评估，正常腰围定义为<85cm（男性）和<80cm（女性），<strong>腰围>90cm（男性）和>85cm（女性）即可诊断为中心性肥胖</strong>。</span></p></section><section style="line-height: 1.75em;text-indent: 2em;"><p style="line-height:2em;"><span style="color: #000000;font-size: 16px;font-family:微软雅黑, Microsoft YaHei;">根据有关行业标准，对于7岁以下儿童，可以性别年龄别BMI的标准差作为评价方法；对于6<span style="letter-spacing: 0.578px;text-wrap: wrap;background-color: rgb(255, 255, 255);">—</span>18岁学龄儿童青少年，可以性别年龄别BMI作为筛查超重与肥胖标准，并与中国成人超重、肥胖筛查标准接轨。</span></p></section></section></section></section><section data-role="paragraph"><section data-role="paragraph"><section style="text-align: center;line-height: normal;"><br/></section><section data-role="title" data-tools="135编辑器" data-id="147406"><section style="margin: 10px auto;display: flex;justify-content: center;"><section><section style="display: flex;transform: skew(-10deg);-webkit-transform: skew(-10deg);-moz-transform: skew(-10deg);-o-transform: skew(-10deg);"><section style="flex-shrink: 0;display: flex;align-items: center;"><section style="width: 6px;height: 50%;background-color: rgb(255, 232, 191);overflow: hidden;"><br/></section><section style="width: 6px;height: 80%;background-color: rgb(240, 191, 125);margin-right: 4px;margin-left: 4px;overflow: hidden;"><br/></section></section><section style="background-color: rgb(46, 82, 164);padding: 9px 20px;"><section style="transform: skew(10deg);-webkit-transform: skew(10deg);-moz-transform: skew(10deg);-o-transform: skew(10deg);"><section style="font-size: 16px;color: rgb(255, 255, 255);line-height: 1.5em;"><p style="text-align:center;"><strong data-brushtype="text"><span style="font-size: 17px;font-family:微软雅黑, Microsoft YaHei;">如何科学减肥？</span></strong></p><p style="text-align:center;"><strong data-brushtype="text"><span style="font-size: 17px;font-family:微软雅黑, Microsoft YaHei;">权威《指南》来支招！</span></strong></p></section></section></section><section style="flex-shrink: 0;display: flex;align-items: center;"><section style="width: 6px;height: 80%;background-color: rgb(240, 191, 125);margin-right: 4px;margin-left: 4px;overflow: hidden;"><br/></section><section style="width: 6px;height: 50%;background-color: rgb(255, 232, 191);overflow: hidden;"><br/></section></section></section><section style="margin-right: 20px;margin-left: 20px;"><section style="width: 90%;height: 1px;background-color: rgb(240, 191, 125);margin-left: auto;margin-top: 4px;overflow: hidden;max-width: 90% !important;" data-width="90%"><br/></section></section></section></section></section></section><section data-tools="135编辑器" data-id="131868" style="letter-spacing: 0.578px;text-wrap: wrap;"><section style="margin: 10px auto;display: flex;justify-content: center;"><section><section style="margin-top: -6px;padding-left: 4px;"><section data-width="100%" style="width: 0px;height: 4px;background-color: rgb(221, 239, 249);overflow: hidden;"><br/></section></section></section></section></section></section><section data-role="paragraph"><section style="line-height: 1.75em;text-indent: 2em;"><p style="line-height:2em;"><span style="font-size: 16px;font-family:微软雅黑, Microsoft YaHei;">作为多种慢性疾病的重要致病因素，肥胖症已成为我国第六大致死致残主要危险因素。如何科学减肥？《指南》对规范我国肥胖症临床诊疗有哪些作用？戳视频，一同了解</span></p></section></section><section><br/></section><section>//bbs.221700.com/plugin.php?id=wcn_editor:player&url=https%3A%2F%2Fmp.weixin.qq.com%2Fmp%2Freadtemplate%3Ft%3Dpages%2Fvideo_player_tmpl%26action%3Dmpvideo%26auto%3D0%26vid%3Dwxv_3684829205503410177&org=https%3A%2F%2Fmp.weixin.qq.com%2Fs%2Fdi7w-9691UahxX10u2N7dQ</section></section></section></section></section><section data-role="outer" label="edit by 135editor"><section data-role="paragraph"><section data-role="outer" label="edit by 135editor"><section><section><section data-role="outer" label="edit by 135editor"><section data-role="paragraph"><section style="line-height: 1.75em;text-indent: 2em;"><p style="line-height:2em;"><span style="font-size: 16px;font-family:微软雅黑, Microsoft YaHei;"><span style="letter-spacing: 0.578px;text-wrap: wrap;">《指南》</span>明确了肥胖症的治疗原则，指出：</span></p></section></section><section data-role="paragraph" data-width="100%" style="width: 100%;flex: 0 0 100%;"></section><section data-tools="135编辑器" data-id="124012"><section style="margin: 10px auto;"><section style="display: flex;"><section style="display: flex;align-items: center;letter-spacing: 1.5px;background-color: rgb(244, 248, 255);border-radius: 30px;"><section style="background-color: rgb(14, 115, 220);color: rgb(255, 255, 255);padding: 4px 6px;"><p style="line-height:2em;"><span style="font-size: 15px;font-family:微软雅黑, Microsoft YaHei;"><strong>01</strong></span></p></section><section style="color: rgb(13, 76, 191);line-height: 1.75em;font-size: 16px;padding-right: 15px;padding-left: 15px;"><p style="line-height:2em;"><span style="font-family:微软雅黑, Microsoft YaHei;"><strong data-brushtype="text">肥胖症治疗的主要目的</strong></span></p></section></section></section></section></section><section data-role="list"><section style="line-height: normal;"></section><section data-role="list"><ul class=" list-paddingleft-2" style="list-style-type: square;"><li><p style="line-height: 2em;"><span style="color: rgb(51, 51, 51);font-size: 16px;text-shadow: none;letter-spacing: 1px;font-family:微软雅黑, Microsoft YaHei;">减少蓄积在体内过多的脂肪；</span></p></li><li><section data-role="list"><p style="line-height: 2em;"><span style="color: rgb(51, 51, 51);font-size: 16px;text-shadow: none;letter-spacing: 1px;font-family:微软雅黑, Microsoft YaHei;">降低肥胖症相关疾病的发生风险。</span></p></section></li></ul></section></section><section data-role="paragraph"></section><section data-tools="135编辑器" data-id="124012"><section style="margin: 10px auto;"><section style="display: flex;"><section style="display: flex;align-items: center;letter-spacing: 1.5px;background-color: rgb(244, 248, 255);border-radius: 30px;"><section style="background-color: rgb(14, 115, 220);color: rgb(255, 255, 255);padding: 4px 6px;"><p style="line-height:2em;"><span style="font-size: 15px;font-family:微软雅黑, Microsoft YaHei;"><strong>02</strong></span></p></section><section style="color: rgb(13, 76, 191);line-height: 1.75em;font-size: 16px;padding-right: 15px;padding-left: 15px;"><p style="line-height:2em;"><span style="font-family:微软雅黑, Microsoft YaHei;"><strong data-brushtype="text">减重过程中需关注</strong></span></p></section></section></section></section></section><section data-role="list"><section data-role="list"><ul class=" list-paddingleft-2" style="list-style-type: square;"><li><p style="line-height: 2em;"><span style="color: #333333;font-size: 16px;text-shadow: none;letter-spacing: 1px;font-family:微软雅黑, Microsoft YaHei;">脱水、肌少症和内分泌系统的变化；</span></p></li><li><section data-role="list"><p style="line-height: 2em;"><span style="color: #333333;font-size: 16px;text-shadow: none;letter-spacing: 1px;font-family:微软雅黑, Microsoft YaHei;">建议每3<span style="letter-spacing: 0.578px;text-indent: 34px;text-wrap: wrap;background-color: rgb(255, 255, 255);">—</span>6个月，对减重效果和代谢指标进行评估。</span></p></section></li></ul></section></section><section data-role="paragraph"></section><section data-tools="135编辑器" data-id="124012"><section style="margin: 10px auto;"><section style="display: flex;"><section style="display: flex;align-items: center;letter-spacing: 1.5px;background-color: rgb(244, 248, 255);border-radius: 30px;"><section style="background-color: rgb(14, 115, 220);color: rgb(255, 255, 255);padding: 4px 6px;"><p style="line-height:2em;"><span style="font-size: 15px;font-family:微软雅黑, Microsoft YaHei;"><strong>03</strong></span></p></section><section style="color: rgb(13, 76, 191);line-height: 1.75em;font-size: 16px;padding-right: 15px;padding-left: 15px;"><p style="line-height:2em;"><span style="font-family:微软雅黑, Microsoft YaHei;"><strong data-brushtype="text">减重目标应进行分层设定</strong></span></p></section></section></section></section></section><section data-role="list"><section data-role="list"><ul class=" list-paddingleft-2" style="list-style-type: square;"><li><p style="line-height: 2em;text-indent: 0em;"><span style="color: #333333;font-size: 16px;text-shadow: none;letter-spacing: 1px;font-family:微软雅黑, Microsoft YaHei;">对于大多数超重和轻度肥胖症患者，可设定为在3</span><span style="color: rgb(51, 51, 51);font-size: 16px;text-shadow: none;font-family:微软雅黑, Microsoft YaHei;"><span style="letter-spacing: 0.578px;">—</span><span style="letter-spacing: 1px;">6个月之内，至少将体重降低5%</span><span style="letter-spacing: 0.578px;text-indent: 34px;text-wrap: wrap;background-color: rgb(255, 255, 255);">—</span><span style="letter-spacing: 1px;">15%并维持；</span></span></p></li><li><section data-role="list"><p style="line-height: 2em;"><span style="color: #333333;font-size: 16px;text-shadow: none;letter-spacing: 1px;font-family:微软雅黑, Microsoft YaHei;">对于中、重度肥胖症患者，则可设定更高的减重目标。</span></p></section></li></ul></section></section><section data-role="paragraph"><section></section></section><section data-role="paragraph"><p style="text-indent: 2em;line-height: 2em;"><span style="font-size: 16px;font-family:微软雅黑, Microsoft YaHei;">肥胖症的病因复杂，干预治疗手段多样，包括：<strong>心理干预、运动干预、临床营养治疗、药物治疗</strong>等。《指南》指出，对于肥胖症的诊断和治疗，应当积极倡导“以患者为中心的多学科协作诊疗模式”。</span></p><section style="text-indent: 2em;line-height: normal;"></section><section style="line-height: 1.75em;text-indent: 2em;"><p style="line-height:2em;"><span style="font-family:微软雅黑, Microsoft YaHei;"><span style="font-size: 16px;">临床营养治疗是肥胖症综合治疗的基础疗法，</span><span style="text-indent: 2em;letter-spacing: 0.034em;font-size: 16px;">可分四步，即<strong>营养筛查及评估、干预、监测、 营养教育与管理</strong>。医学减重膳食是为了满足肥胖症患者的基本能量需求和减重需求而采取的调整营养素比例的膳食方式，主要包括</span><strong style="text-indent: 2em;font-size: var(--articleFontsize);letter-spacing: 0.034em;"><span style="font-size: 16px;">限能量饮食、高蛋白饮食、</span><span style="font-size: 16px;text-indent: 2em;letter-spacing: 0.034em;">轻断食模式、低碳水化合物饮食</span></strong><span style="font-size: 16px;text-indent: 2em;letter-spacing: 0.034em;">等方式。</span></span></p></section><section style="text-indent: 2em;line-height: normal;"></section><p style="text-align:center;line-height: 2em;"></p><p style="text-align:center;line-height: 2em;"></p><section style="text-indent: 2em;line-height: 1.75em;"><p style="line-height:2em;"><span style="font-size: 16px;font-family:微软雅黑, Microsoft YaHei;">医学减重膳食应注意，一种膳食方案并非适于所有肥胖症患者，应根据代谢状态和身体状况在临床营养（医）师指导和临床监测下进行。<strong>目前的临床研究显示，<strong style="letter-spacing: 0.578px;text-wrap: wrap;">如果体重反复波动，可能</strong>让寿命更短。</strong></span></p></section><section style="text-indent: 2em;line-height: normal;"><br/></section></section><section data-role="paragraph"><p style="text-indent: 2em;line-height: 2em;"><span style="font-size: 16px;font-family:微软雅黑, Microsoft YaHei;">首都医科大学附属北京友谊医院副院长张忠涛说：“我们特别强调<strong>多学科协作诊疗模式</strong>，未来可能会在一些大的医院<strong>建立体重管理中心</strong>，更方便肥胖患者诊治。<span style="letter-spacing: 0.578px;">”</span></span></p><p style="text-indent: 2em;line-height: 2em;"><br/></p></section><section style="text-align: center;line-height: 2em;"><br/></section></section></section></section><section style="text-align: center;line-height: 2em;"><span style="font-size: 15px;letter-spacing: 2px;"></span></section><section><span style="font-size: 16px;"></span></section><section style="font-size: 15px;color: rgb(0, 0, 0);line-height: 2;"><section style="line-height: 2;"><section><section style="color: rgb(109, 109, 109);line-height: 2;height: 0px;overflow: hidden;"><br/></section></section></section></section></section></section></section><section label="edit by 135editor"><section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;letter-spacing: 0.544px;color: rgb(34, 34, 34);visibility: 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href="//bbs.221700.com/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_lHt" id="wcn_editor_css"/> 现在人的摄入热量都过剩
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