摘要
肥胖作为一种慢性疾病,可对女性各个生命周期产生诸多影响,此外肥胖女性面临体重偏见、污名和被歧视的问题.在体重管理中要注意文化敏感性,谈及肥胖问题时采用适当的语言和创伤知情护理的方式.在孕前、孕期和产后进行体重和健康管理,可改善母婴不良结局.体重管理的重点在于改善健康状况.应重视肥胖相关疾病,如非酒精性脂肪肝病、胆石症、微量营养素缺乏、肥胖相关肿瘤、肾脏疾病、阻塞性睡眠呼吸暂停和深静脉血栓等.肥胖与生殖健康息息相关,可进行预防性保健措施、早期筛查和干预以提高肥胖女性的生命质量.肥胖女性的精神心理健康也不容忽视,应进行适当的筛查和管理.肥胖的患病率正在增加,未来的研究工作应集中在跨专业管理并探索肥胖的根源,及发现有效的干预措施,以优化健康结局.
Abstract
Obesity,as a chronic disease,Have many effects on women's life cycle.In addition,obese women face more weight bias,stigma,and discrimination.It is important to be culturally sensitive in weight management and use appropriate language and trauma-informed care when discussing obesity.Weight and health management during pre-pregnancy,pregnancy,and postpartum can improve adverse outcomes for mothers and babies.Weight management focuses on improving health status.Obesity-related diseases,such as nonalcoholic fatty liver disease,cholelithiasis,micronutrient deficiencies,obesity-related cancers,kidney disease,obstructive sleep apnoea,and deep vein thrombosis.Obesity is closely related to reproductive health.Preventive health care measures,early screening,and intervention can improve the quality of life of obese women.The mental health of obese women is not negligible and should be screened and managed appropriately.The prevalence of obesity is increasing and future research should focus on managing and exploring the root causes of obesity across disciplines and identifying effective interventions to optimize health outcomes.