中国全科医学 ›› 2023, Vol. 26 ›› Issue (28): 3471-3476.DOI: 10.12114/j.issn.1007-9572.2023.0105

• 思辨与争鸣 • 上一篇    下一篇

运动是减重之本

王倩倩1, 王晓航2, 周潇滢1, 邱山虎3,*(), 孙子林1,*()   

  1. 1.210009 江苏省南京市,东南大学附属中大医院内分泌科 东南大学糖尿病研究所
    2.225000 江苏省扬州市,扬州大学附属医院内分泌科
    3.210009 江苏省南京市,东南大学附属中大医院全科医学科
  • 收稿日期:2023-03-10 修回日期:2023-05-08 出版日期:2023-10-05 发布日期:2023-06-15
  • 通讯作者: 邱山虎, 孙子林
  • 【通信作者简介】 孙子林,主任医师,东南大学二级教授,特聘教授,博士生导师,国家重点研发计划首席科学家,东南大学糖尿病研究所所长,江苏省医学领军人才,全国优秀科技工作者。兼任中华医学会内分泌分会委员、中国医师协会内分泌代谢科医师分会委员、中华医学会糖尿病学分会第七届委员会糖尿病教育与管理学组副组长、中国微循环学会糖尿病与微循环专业委员会主任委员。长期致力于糖尿病筛查、教育管理模式研究。构建糖尿病自我管理教育/支持体系;发起中国糖网筛防工程、并发症筛查工作站,推动"两筛三防"策略。

    王倩倩和王晓航为共同第一作者

    作者贡献:王倩倩和王晓航撰写并修改文章;周潇滢检查、审校全文;邱山虎提供全文思路并负责文章的质量控制;孙子林提供文章构思与设计,对全文负责。
  • 基金资助:
    江苏省重点研发计划项目(BE2022828); 全国医学专业学位研究生教育指导委员全科医学教育教学研究课题(B-YXGP20210301-02)

Exercise is the Foundation of Weight Loss

WANG Qianqian1, WANG Xiaohang2, ZHOU Xiaoying1, QIU Shanhu3,*(), SUN Zilin1,*()   

  1. 1. Department of Endocrinology, Zhongda Hospital, Institute of Diabetes, School of Medicine, Southeast University, Nanjing 210009, China
    2. Department of Endocrinology, Affiliated Hospital of Yangzhou University, Yangzhou 225000, China
    3. Department of General Practice, Zhongda Hospital, School of Medicine, Southeast University, Nanjing 210009, China
  • Received:2023-03-10 Revised:2023-05-08 Published:2023-10-05 Online:2023-06-15
  • Contact: QIU Shanhu, SUN Zilin
  • About author:
    WANG Qianqian and WANG Xiaohang are the first authors

摘要: 超重和肥胖的患病率逐年攀增,已成为危害全球的公共卫生问题,造成的一系列后果也引起了人们广泛关注。减重可以降低2型糖尿病、心血管疾病的发病率和全因死亡率。目前常见的减重方式有药物、手术及包括饮食、运动在内的生活方式干预,但运动干预仍然是最为健康且最为基础的减重方式。运动可减少脂肪,增加肌肉含量,改善代谢。当运动与其余减重方式相结合,可减少减重的不良反应,效果更好。在减重过后进行持续运动,还可以有效阻止反弹,保持减重效果。本文从"运动是减重之本"的定义、机制、效应和管理四个层面探索,并结合"中大医院经验"为运动减重提供参考。

关键词: 肥胖症, 超重, 运动, 运动疗法, 肥胖管理, 减重

Abstract:

The prevalence of overweight and obesity has been increasing yearly and become a global public health problem with a range of consequences causing widespread concern. Weight loss can reduce the incidence of type 2 diabetes, cardiovascular risk, and all-cause mortality. The most common approaches of weight loss are drug therapy, surgery and lifestyle interventions including diet and exercise, however, exercise intervention remains the healthiest and most fundamental approach of weight loss. Exercise can reduce cellulite, increase muscle mass and improve metabolism. The combination of exercise and other weight loss approaches can reduce adverse reactions and produce better results. Continuing exercise after weight loss can also effectively prevent rebound and maintain weight loss effects. This paper reviews the definition, mechanism, effect, and management of "exercise is the foundation of weight loss", and provide a reference for weight loss through exercise in the context of the experience of Zhongda Hospital.

Key words: Obesity, Overweight, Exercise, Exercise therapy, Obesity management, Reducing