最近审阅: 25 十月 2020
最近更新: 28 一月 2020

小结

定义

病史和体格检查

危险因素

  • 甲状腺功能减退
  • 皮质醇增多症
  • 年龄≥40岁
  • 围绝经期
  • 妊娠前
  • 已婚
  • 睡眠减少
  • 吸烟史
  • 缺少正规教育
  • 宫内营养不良
  • 低等社会经济状况
  • 久坐不动的生活方式
  • 每日超过2-3小时看电视和玩电子游戏
  • 高糖饮食、高胆固醇、高脂饮食和快餐
  • 过量饮酒(>2杯/天)
  • 暴食症
  • 夜食综合征
  • 瘦素缺乏
  • 皮质类固醇疗法
  • 抗抑郁药物治疗
  • 抗精神病治疗
  • Beta受体阻滞剂治疗
  • 乳腺癌的辅助治疗
  • 诊断精神病

诊断性检查

需考虑的检查

  • 全血细胞计数 (FBC)
  • 血清氨基转移酶
  • 甲状腺功能检测
  • 心电图 (ECG)
  • 腹部超声扫描
  • 多导睡眠监测
更多 需考虑的检查

治疗流程

撰稿人

Constantine T. Frantzides

Director, Chicago Institute of Minimally Invasive Surgery (CIMIS)

Director, Laparoscopic and Bariatric Fellowship Program

Clinical Professor of Surgery, University of Illinois

Chicago

IL

利益声明

CTF declares that he has no competing interests.

Minh B. Luu

Site Director, General Surgery Residency Program

Elmhurst Memorial Healthcare

Elmhurst

IL

Adjunct Associate Professor of Surgery

Department of General Surgery

Rush University Medical Center

Chicago

IL

利益声明

MBL declares that he has no competing interests.

Dr Constantine T. Frantzides and Dr Minh B. Luu would like to gratefully acknowledge Dr Scott N. Welle and Dr Mark A. Carlson, previous contributors to this topic.

利益声明

SNW declares that he has no competing interests. MAC declares that he is the author of the Daily Diet Score, a freely available online weight loss method.

同行评议者展开全部内容

Consultant in Metabolic Medicine

Imperial College London

Charing Cross Hospital

London

UK

利益声明

CLR declares that he has no competing interests.

Professor of Medicine

Chair for Obesity Research & Management

University of Alberta

Royal Alexandra Hospital

Edmonton

Canada

利益声明

AMS declares that he has no competing interests.

Chair in Surgery

Division of Gastrointestinal and Endocrine Surgery

University of Texas

Southwestern Medical Center

Dallas

TX

利益声明

EHL declares that he has no competing interests.

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