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肥胖在全球范围的高发病率已经成为一项严峻的公共卫生问题。近期国内外关于肥胖和超重与慢性阻塞性肺疾病(COPD)发病、预后的相关性研究取得了诸多进展。目前公认与肥胖相关的慢性疾病包括心血管疾病和糖尿病等。此外,不合理膳食也是多种慢性疾病的危险因素之一,而合理的膳食及营养素的摄入能够用来防治并管理包括COPD在内的多种慢性疾病。本文综述了现有肥胖和营养素对COPD发病及预后影响的证据,为我国公共卫生管理针对防治COPD,减少COPD患者的死亡率提供理论依据。
The high global incidence of obesity has become a serious public health problem. Recent research at home and abroad on obesity and overweight and chronic obstructive pulmonary disease (COPD) incidence and prognosis of the study made a lot of progress. Currently recognized as chronic obesity-related diseases, including cardiovascular disease and diabetes. In addition, unreasonable diets are also a risk factor for many chronic diseases, and reasonable dietary and nutrient intake can be used to control and manage a variety of chronic diseases, including COPD. This review summarizes the existing evidence of the effects of obesity and nutrients on the pathogenesis and prognosis of COPD and provides a theoretical basis for our country’s public health management to prevent and treat COPD and reduce the mortality of patients with COPD.