2型糖尿病患者体重管理专家共识  

Expert consensus on weight management for type 2 diabetes mellitus

作　　者：姬秋和 陈莉明[2] 郗光霞[3] 余学锋 洪天配[5] 邹大进 秦贵军[7] 杨刚毅[8] 匡洪宇[9] 杨静[10] 李一君 刘建萍[12] 母义明 赵家军[13] Ji Qiuhe;Chen Liming;Xi Guangxia;Yu Xuefeng;Hong Tianpei;Zou Dajing;Qin Guijun;Yang Gangyi;Kuang Hongyu;Yang Jing;Li Yijun;Liu Jianping;Mu Yiming;Zhao Jiajun(Deparment of Endocrinology,Xjing Hospital of Air Force Medical University,Xi'an 710032,China;Department of Endocrinology,Chu Hisen-I Memorial Hospital of Tianjin Medical Uninersity,Tianjin 300134,China;Department of Senile Endocrinology,Second Hospital of Shanxi Medical Uniersiy,Taiyuan 03000,China;Deparment of Endocrinology,Tongji Hospital,Tongi Medical College of Huazhong University of Science and Technology,Wuhan 430030,China;Department of Endocrinology,Peking University Third Hospital,Bejying 100191,China;Center of Thyroid Disease,Tenth People's Haspital of Tongji University,Shanghai 200072,China;Department of Endocrinology,First Afiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Endocrinology,Second Afilited Hospital of Chongqing Medical Uninersity,Chongqing 400010,China;Department of Endocrinology,First Afliated Hospital of Harbin Medical Uniersity,Harbin 150001,China;Department of Endocrinology,First Hospital of Shanxi Medical University,Taiyuan 030001,China;Department of Endocrinology,the First Medical Center of PLA General Hospital,Bejing 100853,China;Department of Endocrinology,the Second Afilited Hospital of Nanchang Uniersity,Nanchang 3000,China;Department of Endocrinology,Shandong Provincial Haspial,Jinan 250021,China)

机构地区：[1]空军军医大学西京医院内分泌代谢科,西安710032 [2]天津医科大学朱宪彝纪念医院,300134 [3]山西医科大学第二医院老年内分泌科,太原030001 [4]华中科技大学同济医学院附属同济医院内分泌科,武汉430030 [5]北京大学第三医院内分泌科,100191 [6]上海第十人民医院甲状腺疾病诊治中心,200072 [7]郑州大学第一附属医院内分泌科,450052 [8]重庆医科大学附属第二医院内分泌科,400010 [9]哈尔滨医科大学附属第一医院内分泌科,150001 [10]山西医科大学第一医院内分泌科,太原12030001 [11]中国人民解放军总医院第一医学中心内分泌科,北京100853 [12]南昌大学第二附属医院内分泌代谢科,330006 [13]山东省立医院内分泌科,济南250021

出　　处：《国际内分泌代谢杂志》2022年第1期78-86,共9页International Journal of Endocrinology and Metabolism

基　　金：国家重点研发计划(2017YFC1309800,2017YFC1309803)。

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。

关 键 词：糖尿病 2型 体重波动 内脏脂肪 肌少症 营养不良 

分 类 号：R587.1[医药卫生—内分泌]