身体成分测量在减重代谢手术疗效评价中的应用和价值  

Application and value of body composition measurement in the evaluation of efficacy of bariatric and metabolic surgery

作　　者：钟潇潇 崔贝贝 汤海波 朱利勇[1] 朱晒红[1] Xiaoxiao Zhong;Beibei Cui;Haibo Tang;Liyong Zhu;Shaihong Zhu(Department of Bariatric and Metabolic Surgery,the Third Xiangya Hospital,Central South University,Changsha 410013,China;Department of Gastrointestinal Surgery,the Second Xiangya Hospital,Central South University,Changsha 410013,China)

机构地区：[1]中南大学湘雅三医院减重代谢外科,长沙410013 [2]中南大学湘雅二医院胃肠外科,长沙410013

出　　处：《中华胃肠外科杂志》2023年第11期1028-1034,共7页Chinese Journal of Gastrointestinal Surgery

基　　金：2021年中南大学湘雅三医院汇智育才项目(YX202102)。

摘　　要：减重代谢手术是治疗肥胖的重要措施,接受手术治疗的人数正在逐年增加,但疗效评价体系仍未完全统一。体质指数(BMI)是衡量肥胖程度的常用指标,普遍应用于代谢领域的研究,由于其存在无法权衡脂肪分布等局限对研究结果的影响,故目前争议较大。近年来,身体成分变化与代谢疾病风险的关联受到广泛关注,减重代谢手术对身体成分变化的影响逐渐成为减重代谢外科领域的研究热点,身体成分测量作为BMI的潜在替代指标,其有望改善和规范减重代谢手术的疗效评价,因此,身体成分测量的方法和标准化也迫在眉睫。本文将回顾现有研究证据,对身体成分测量在减重代谢手术疗效评估中的应用进行剖析,以提供新的见解并探索未来的研究方向。The use of bariatric and metabolic surgery as a central treatment for obesity has been steadily increasing.BMI,as a widely used metric for assessing obesity,has considerable relevance in the field of metabolic research.However,its limitations,such as its inability to account for variations in fat distribution,remain a subject of considerable controversy.In recent years,there has been a surge of interest in the relationship between changes in body composition and the risk of metabolic disease.Consequently,the study of the effects of bariatric and metabolic surgery on changes in body composition has become a major focus of bariatric and metabolic surgery research.As a potential replacement for BMI,body composition measurements are expected to improve and standardize the assessment of the effectiveness of bariatric and metabolic surgery.This underscores the urgent need for the development of methods and standards for body composition measurement.This paper undertakes a comprehensive review of the existing evidence on the application of body composition measurement techniques for the efficacy evaluation of bariatric and metabolic surgery.The intent is to provide new insights and pave the way for the exploration of future research directions in this area.

关 键 词：肥胖 减重代谢手术 身体成分 体质指数 疗效评价 

分 类 号：R656.61[医药卫生—外科学]