The American Association of Clinical Endocrinologists and American College of Endocrinology have created a new diagnostic term, Adiposity-Based Chronic Disease (ABCD), to emphasize a complications-centric approach and to facilitate the comprehensive management of obesity. Key elements to further the care of patients using this new ABCD term are: (1) positioning lifestyle medicine in the promotion of overall health, not only as the first algorithmic step, but as the central, pervasive action; (2) standardizing protocols that comprehensively and durably address weight loss and management of adiposity-based complications; (3) approaching patient care through contextualization (e.g., primordial prevention to decrease obesogenic environmental risk factors and transculturalization to adapt evidence-based recommendations for different ethnicities, cultures, and socio-economics); and lastly, (4) developing evidence-based strategies for successful implementation, monitoring, and optimization of patient care over time. The approach spans primordial/primary prevention to decrease the risks and adverse effects of abnormal adiposity mass, distribution, and/or function, to secondary/tertiary prevention to decrease the risks and adverse effects of adiposity-based complications. Source: http://journals.aace.com/
美国临床内分泌学家协会和美国内分泌学会创造了一个新的诊断术语，基于肥胖的慢性病，强调以并发症为中心，并促进肥胖的综合处理。应用该新术语进一步照料患者的关键是：（1）定位生活方式医学对促进整体健康，不仅作为首要步骤，而且作为中心性，普遍性措施; （2）标准化方案，全面，持久地解决减肥和处理基于肥胖的并发症; （3）通过具体化措施照料患者（例如，原始预防减少致肥环境风险因素，和跨文化，以适应不同种族，文化和社会经济学循证的建议）;最后，（4）制定循证策略，以便随着时间的推移成功实施，监测和优化病人照顾。该方法跨越原始/一级预防，以减少异常肥胖在量，分布和/或功能上的风险和不良影响，以及二级/三级预防以降低基于肥胖并发症的风险和不良作用。来源：http://journals.aace.com/