日大医学雑誌
Online ISSN : 1884-0779
Print ISSN : 0029-0424
ISSN-L : 0029-0424
特  集 「各種病態における栄養管理・治療の最近の展開」
肥満症の食事療法とその管理
藤城 緑
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キーワード: 肥満症, 食事療法
ジャーナル フリー

2019 年 78 巻 4 号 p. 223-229

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Sedentary lifestyles and dietary changes have resulted in an increasing number of obese subjects in Japan, as in Western countries. The number of complications affecting Japanese adults increases in relation to the body mass index (BMI), with a progressive increase in BMI ≥ 25, as well as 100 cm2 or greater visceral fat area. Thus, the Japan Society for the Study of Obesity has defined obesity as a BMI ≥ 25 and coined the term ‘obesity disease’ as a condition characterized by the presence of associated complications or their likely occurrence in an obese person. What is critically important is that a person in this situation needs to lose weight for medical reasons. To achieve clinically meaningful weight loss, lifestyle interventions together with reducing dietary calories, regardless of which macronutrients the patients emphasize, is the optimal approach. Herein, we explain how to treat people with obesity disease using diet therapy in Japan.

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