[1]姬秋和 陈莉明 郗光霞 余学锋 洪天配 邹大进 秦贵军7 杨刚毅8.2型糖尿病患者体重管理专家共识[J].国际内分泌代谢杂志,2022,42(01):78-86.[doi:10.3760/cma.j.cn121383-20211102-11004]
 Ji Qiuhe,Chen Liming,Xi Guangxia,et al.Expert consensus on weight management for type 2 diabetes mellitus[J].International Journal of Endocrinology and Metabolism,2022,42(01):78-86.[doi:10.3760/cma.j.cn121383-20211102-11004]
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2型糖尿病患者体重管理专家共识()
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《国际内分泌代谢杂志》[ISSN:1673-4157/CN:12-1383/R]

卷:
42
期数:
2022年01期
页码:
78-86
栏目:
指南与共识
出版日期:
2022-01-20

文章信息/Info

Title:
Expert consensus on weight management for type 2 diabetes mellitus
作者:
姬秋和1 陈莉明2 郗光霞3 余学锋4 洪天配5 邹大进6 秦贵军7 杨刚毅8
Author(s):
Ji Qiuhe1 Chen Liming2 Xi Guangxia3 Yu Xuefeng4 Hong Tianpei5 Zou Dajing6 Qin Guijun7 Yang Gangyi8
关键词:
糖尿病2型 体重波动 内脏脂肪 肌少症 营养不良
Keywords:
Diabetes mellitus type 2 Body weight fluctuation Visceral fat Sarcopenia Malnutrition
DOI:
10.3760/cma.j.cn121383-20211102-11004
摘要:
2型糖尿病(T2DM)的体重管理重要且复杂。临床实践中,T2DM合并超重或肥胖者常见,应予以充分重视。另一方面,在控制超重或肥胖的基础上,还应注重体重管理的质量。单纯以体重指数作为肥胖的评价指标不够全面和客观,因此,减重治疗还应评估患者身体成分(尤其是内脏脂肪)的改变,以“减脂增肌”为目的; 同时,尽量减少或避免减重过程中的体重波动,使体重长期维持在目标水平。
Abstract:
Weight management is pivotal and complicated in the comprehensive management of type 2 diabetes mellitus(T2DM). In clinical practice, T2DM combined with overweight or obesity is more common, but simply using body mass index as evaluating indicator of obesity is not comprehensive and objective. Therefore, the dynamic changes of body composition especially visceral fat should be evaluated for the purpose of reducing fat and increasing muscle; Meanwhile, avoiding the weight fluctuation during weight loss can contribute to long term target of body weight.

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备注/Memo

备注/Memo:
通信作者:母义明, Email:muyiming@301hospital.com.cn; 赵家军,Email:jjzhao@sdu.edu.cn 基金项目:国家重点研发计划(2017YFC1309800,2017YFC1309803)
更新日期/Last Update: 2022-01-20