Die grosse Mehrheit Übergewichtiger versucht ohne medizinische Hilfe abzunehmen; oft mit kommerziellen Angeboten, welche rasche, mühelose Gewichtsverluste versprechen. Wissenschafltiche Publikationen über diese Kuren sind rar und meist pauschal ablehnend. Zum besseren Verständnis dieses Widerspruchs bezweckt dieser Review eine Bestandesaufnahme der Angebote, eine Analyse der Wirksamkeit aufgrund wissenschaftlicher Kriterien sowie eine kritische Evaluation der Rolle der Schulmedizin in der Therapie des Übergewichtes. Obesity is a multifactorial disease that afflicts a growing number of people in Europe and throughout the world. Both commercial and medical treatment programs are characterized by high rates of long-term recidivism. A cultural preoccupation with slimness has created a profitable industry serving millions of people who are attempting continually to reduce weight. This review summarizes the major areas of consensus and controversy concerning the health implications of obesity and weight loss and suggests novel directions for treatment.
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