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cover of episode Rethinking Obesity: A Chronic Condition, Not a Choice

Rethinking Obesity: A Chronic Condition, Not a Choice

2025/6/19
logo of podcast Health Discovered

Health Discovered

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Michelle Tedder
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Robert Kushner
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Michelle Tedder: 我一生都在与体重作斗争,并因此患上了多种健康问题,包括2型糖尿病、高血压、关节问题和睡眠呼吸暂停。我尝试过各种饮食方法,但都没有成功。我的医生告诉我,我的体重问题不是我的错,而是潜在的代谢问题。通过减肥手术和GLP-1药物的帮助,我成功减掉了80磅,并且保持了七年。我认为我们应该像对待其他慢性疾病一样对待肥胖,不要责怪患者。 Robert Kushner: 肥胖治疗领域正在经历一场变革,这主要归功于新型GLP-1受体激动剂的开发和应用。对肥胖的生物学基础的探索,促使人们逐渐认识到肥胖是一种慢性疾病,而非单纯的生活方式选择。遗传是决定体重的多种因素之一,遗传因素在决定体重中所占的比例约为35%至60%。BMI在群体层面上是评估健康风险的良好指标,但在个体层面上存在局限性。当患者因超重而出现健康问题,或者通过改变生活方式仍无法达到减肥目标时,可以考虑使用药物治疗。GLP-1药物通过影响食欲来帮助人们减肥,但最常见的副作用是胃肠道反应。停止服用GLP-1药物后,体重很可能会反弹,就像停止服用降压药或降糖药一样。我们应该提倡健康饮食、均衡饮食和增加体力活动。

Deep Dive

Chapters
Michelle Tedder shares her lifelong struggle with weight and related health issues, highlighting the shift in understanding obesity from a lifestyle choice to a chronic condition. She emphasizes the need for stigma-free care and effective treatments.
  • Michelle Tedder's personal journey with obesity and its impact on her health
  • The outdated view of obesity as a matter of willpower
  • The role of genetics, hormones, and biology in determining weight
  • The importance of stigma-free care for obesity

Shownotes Transcript

Obesity) is far more complex than willpower. In this episode, we spoke with Robert F. Kushner, MD), renowned weight management expert, to explore how the medical community’s understanding of obesity has shifted – from a perceived lifestyle choice to a recognized chronic condition shaped by biology, genetics, and environment. Our guest expert breaks down modern diagnostic tools, new treatments like GLP-1 receptor agonists, and how to create stigma-free care. We also spoke to patient guest, Michele Tedder, RN), host of Dear Healthcare Provider, who shares her lifelong struggle with weight and related health issues, how GLP-1 medication helped her, and how obesity should be treated with the same compassion and seriousness as other chronic diseases. 

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