Abstract：
The increasing prevalence of obesity imposes significant health challenges, particularly in women undergoing menopause. Effective obesity management is essential to mitigate associated comorbidities and improve quality of life. The pillars of obesity treatment encompass lifestyle modifications, pharmacotherapy and surgical interventions. Pharmacotherapy may be considered for women who do not achieve adequate weight loss through lifestyle changes alone and have obesity or overweight with risk factors. Bariatric surgery is reserved for individuals with severe obesity or those with obesity-related complications. During menopause, hormonal changes contribute to weight gain and fat redistribution, complicating obesity management. Tailored treatment strategies are necessary to address the unique challenges faced by this population. The role of physicians and gynecologists is pivotal in the multidisciplinary approach to obesity management during menopause. Gynecologists are often the primary health-care providers for menopausal women and are in a unique position to offer guidance on weight management. They can provide personalized counseling, coordinate with nutritionists, endocrinologists and bariatric specialists, and monitor the effects of obesity and its treatment on reproductive health. By integrating obesity management into routine gynecological care, gynecologists can significantly impact the overall health and well-being of menopausal women.
摘要：
肥胖患病率的增加带来了重大的健康挑战，特别是在更年期的女性中。有效的肥胖管理对于减轻相关的合并症和改善生活质量至关重要。肥胖治疗的支柱包括生活方式的改变，药物治疗和手术干预。对于仅通过改变生活方式而无法实现足够的体重减轻并且患有肥胖或超重的危险因素的女性，可以考虑药物治疗。减肥手术适用于重度肥胖患者或肥胖相关并发症患者。更年期期间,荷尔蒙的变化会导致体重增加和脂肪的重新分配，使肥胖管理复杂化。量身定制的治疗策略对于解决该人群面临的独特挑战是必要的。医生和妇科医生的作用在绝经期间肥胖管理的多学科方法中至关重要。妇科医生通常是更年期妇女的初级保健提供者，并且处于提供体重管理指导的独特位置。他们可以提供个性化的咨询，与营养学家协调，内分泌学家和减肥专家，并监测肥胖及其治疗对生殖健康的影响。通过将肥胖管理纳入常规妇科护理，妇科医生可以显着影响更年期妇女的整体健康和福祉。
