肥胖或超重成人的生活方式干预与耳鼻咽喉科诊疗
Lifestyle Interventions and Otolaryngologic Care for Adults with Obesity or Overweight.
文献信息
| PMID | 42869733 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Daniel Suarez |
| 作者单位 | Department of Otolaryngology, State University of New York (SUNY) Downstate Health Sciences University, Brooklyn, NY, USA. Electronic address: Daniel.suarez@downstate.edu. |
| 期刊 | Otolaryngologic clinics of North America |
| SCI 分区 | Q2 |
| IF | 1.8 |
| 研究类型 | 综述 Meta · 临床 |
| 所属专科 | 咽喉科 |
中文摘要
背景： 肥胖通过慢性炎症、免疫失调、机械性气道受压和代谢失调等机制与多种耳鼻咽喉科疾病相关，包括阻塞性睡眠呼吸暂停、慢性鼻窦炎、中耳炎和咽喉反流性疾病。本综述探讨了肥胖与耳鼻咽喉科疾病相关的证据，并探索了与耳鼻咽喉科诊疗相关的生活方式干预。虽然最强的证据支持减重用于阻塞性睡眠呼吸暂停，但其获益也扩展至其他疾病。本文讨论了将生活方式医学筛查、咨询和转诊路径整合到耳鼻咽喉科实践中的实用策略。
英文摘要
Obesity is associated with numerous otolaryngologic conditions, including obstructive sleep apnea, chronic rhinosinusitis, otitis media, and laryngopharyngeal reflux disease, through mechanisms involving chronic inflammation, immune dysregulation, mechanical airway compromise, and metabolic dysregulation. This review examines the evidence linking obesity to otolaryngologic disorders and explores lifestyle interventions relevant to otolaryngologic care. While the strongest evidence supports weight loss for obstructive sleep apnea, benefits extend to other conditions. Practical strategies for integrating lifestyle medicine screening, counseling, and referral pathways into otolaryngology practice are discussed.