亚洲肥胖管理标准需重新划定界限
肥胖是中国及亚洲地区的主要公共卫生问题，但既往采用非亚洲人群标准的BMI阈值限制了识别与治疗。亚洲人群在较低BMI时即出现代谢并发症风险增加，反映其在总脂肪量相对较低时内脏脂肪堆积倾向更明显。中国肥胖问题工作组(WGOC)采用更低的BMI阈值：超重定义为24–<28 kg/m²，肥胖定义为≥28 kg/m²。
要点
- 亚洲人群在较低BMI时代谢并发症风险已高于白种人群
- 中国及台湾地区采用低于WHO全球标准的BMI阈值定义超重和肥胖
- WGOC标准：超重24–<28 kg/m²，肥胖≥28 kg/m²
核心结论
- 亚洲人群需采用低于全球标准的BMI阈值来定义超重和肥胖
主要发现
- 亚洲人群在较低BMI时即出现代谢并发症风险增加
- 亚洲人群在总脂肪量相对较低时倾向于内脏脂肪堆积增加
关键数值与推荐
- 中国肥胖问题工作组(WGOC)标准：超重定义为BMI 24–<28 kg/m²
- 中国肥胖问题工作组(WGOC)标准：肥胖定义为BMI≥28 kg/m²
临床怎么用
- 中国及台湾地区应使用低于WHO全球标准的BMI阈值识别和治疗肥胖
以上解读依据论文摘要（全文未开放获取或许可不允许翻译转载）。
原文
Obesity and excess adiposity are major public health problems in China and Asia,1 but recognition and treatment have been constrained by BMI thresholds defining obesity derived from standards defined against non-Asian populations. Asian people have a greater risk of metabolic complications at a lower BMI than reference White populations, reflecting a tendency towards increased visceral adiposity at comparatively modest levels of total adiposity. Recognising this difference in the relationship between BMI and metabolic complications, definitions of overweight and obesity in China and Taiwan use lower BMI thresholds than global WHO cutoffs; for example, overweight is defined as a BMI of 24–<28 kg/m2, and obesity is defined as at least 28 kg/m2 using the Working Group on Obesity in China (WGOC) criteria.
引用
- The Lancet Diabetes and Endocrinology：[Comment] Redrawing the lines for the management of obesity in Asia
供执业医师工作参考，不替代临床判断；数值与分级以指南原文为准。