PLoS Med：减肥手术降低心血管疾病发病率

2016-01-02 MedSci MedSci原创

最近发表在PLos medcine上的一篇研究称英国国内的肥胖人群可以通过手术的方式减去脂肪，从而改善身体状况。肥胖人群是指BMI达到40或40以上的人群（编者注：BMI,Body Mass Index,身体质量指数，体质指数（BMI）=体重（kg）÷身高^2（m）），而一般情况下，BMI达到30就可以被称为肥胖。这一手术可以帮助那些通过改变生活方式但起不到很好的减肥效果的人进行减肥治疗。来自伦敦

最近发表在PLos medcine上的一篇研究称英国国内的肥胖人群可以通过手术的方式减去脂肪，从而改善身体状况。肥胖人群是指BMI达到40或40以上的人群（编者注：BMI,Body Mass Index,身体质量指数，体质指数（BMI）=体重（kg）÷身高^2（m）），而一般情况下，BMI达到30就可以被称为肥胖。这一手术可以帮助那些通过改变生活方式但起不到很好的减肥效果的人进行减肥治疗。

来自伦敦卫生与热带医学院的一个研究团队检查了3882名接受过减脂手术的患者以及对照组人群4年以来的健康记录。他们发现接受减脂治疗后的患者在起初的4个月内体重快速地减轻（5kg/月），之后体重则以较低的速率下降。

在这一发现的基础上，该团队提出了一个假设：如果全英国范围内140万肥胖人群都能够接受减脂手术的话：

1.将会减少80000例高血压的病例的发生；
2. 减少40000例II型糖尿病病例的发生；
3. 4年内心脏病的病例会减少4000例左右；

他们同时认为将会有110000名II型糖尿病患者与13000名高血压患者身体状态会得到改善；
该研究团队的负责人，Ian Douglas博士认为：“肥胖是我们这一代人最为严重的健康问题，虽然心血管疾病的发病率呈现缓慢的下降趋势，而II型糖尿病发病率仍十分严峻，影响了英国范围内350万居民。因此，找到有效的治疗肥胖的方法是如今最为重要的健康问题之一。”

“术后有效的防护措施也是十分重要的。我们的发现证明减脂手术不但能够帮助患者降低体脂，同时也能够降低许多由肥胖带来的健康问题。接受了减脂手术的患者心脏病发病率降低70%，另外对于患有II型糖尿病的患者来说，术后糖尿病的病情减轻了9倍”。

英国心脏协会的高级护理Maureen Talbot认为这项研究与之前我们的常识是相通的，即维持合理的体重能够有效降低各类心血管疾病的发病率。

"减脂手术主要是通过减去肥胖患者腹部过多的赘肉达到减轻体重与体脂的目的。不论该手术的效果由多好，我们都要同时保持一个良好的生活习惯，比如戒烟，吃健康食品以及每周150分钟左右的运动”。

原始出处：

Douglas IJ, Bhaskaran K, Batterham RL, Smeeth L.Bariatric Surgery in the United Kingdom: A Cohort Study of Weight Loss and Clinical Outcomes in Routine Clinical Care. PLoS Med. 2015 Dec 22;12(12):e1001925.

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2016-02-06 lifestar

#发病率#

84 0
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2016-01-10 syscxl

#疾病发病率#

72 0
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2016-01-26 doctording1

这个值得关注

160 0
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2016-01-09 medsic

胖子们要收藏起来哦，

135 0
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2016-01-09 medsic

哈哈

173 0
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2016-01-09 medsic

对胖子来说是好消息，

153 0
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2016-01-04 ms3994565386320060

#Med#

41 0
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2016-01-04 andy2090

#血管疾病#

69 0
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2016-01-03 1de21b99m60(暂无匿称)

分享

148 0
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2016-01-03 milkshark

那一定的

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