HIV感染抗反转录病毒治疗后肥胖患者体重管理专家共识(2024版)

Expert consensus on weight management in obese people living with HIV after antiretroviral therapy(2024edition)

肥胖是心血管疾病、糖尿病及其他代谢性疾病的重要危险因素。目前全球一般人群肥胖患病率逐年上升,人类免疫缺陷病毒(human immunodeficiencyvirus,HIV)感染者也面临着肥胖的问题,特别是新型抗反转录病毒治疗(antiretroviral therapy,ART)相关的体重增加已成为日益关注的健康问题。科学合理的体重管理是肥胖及预防相关慢性疾病的基础治疗手段。为了规范HIV感染者体重管理,中华医学会热带病与寄生虫病分会艾滋病学组、浙江省数理医学学会感染性疾病专业委员会和浙江省性病艾滋病防治协会艾滋病诊疗质控管理专业委员会邀请有关专家,结合国内外指南共识及最新研究进展制订HIV感染者体重管理专家共识,针对体重管理设立标准化的流程,使超重或肥胖者的体重管理科学、规范和易于实施.

Obesity is a risk factor for cardiovascular disease,diabetes and other metabolic diseases,with a increased prevalence rate in the general population globally.People living with HIV are also facing obesity problems,in particular,weight gain associated with new antiretroviral therapy(ART)has become a growing health concern.Rational and standardized weight management is important for obese population in the prevention and treatment of related chronic diseases.The AIDS Committee of Chinese Society of Tropical Disease and Parasitology,the Infectious Diseases Professional Committee of Zhejiang Society for Mathematical Medicine and the Committee of AIDS Diagnosis and Treatment Quality Control Management of Zhejiang Provincial STD/AIDS Prevention Association invited experts in relevant fields to develop this expert consensus in reference of the related domestic and foreign guidelines and the latest research progress,to provide standardized procedures of weight management for overweight or obese people living withHIVafterART.