中英对照：我为何如此肥胖？

jackie_xing

　“HOW DID YOU LET YOURSELF GET LIKE THAT?”
　　With an “obesity epidemic” raging throughout many parts of the world, the demand for weight-loss surgery is higher than ever before. But why is surgery the answer for so many? Is it a last resort or do patients honestly believe there is no other solution?
　　In Elsevier’s Social Science & Medicine, researchers drew on a series of interviews with 35 weight-loss surgery patients in England and Scotland , to gather insights into how the overweight account for their size.
　　Three overriding themes emerged:
　　The fat-prone body – All of the participants said their bodies were innately fat-prone as the result of either genetics and/or metabolism. The “fat gene,” as the interviewees noted is like genetic “bad luck.” Individuals talked about other overweight or big-boned family members and how their metabolism just didn’t seem equivalent to other people who could eat much more and still not gain a pound.
　　Childhood – The majority of participants also said their weight had been a problem since childhood. They were “stocky, chubby, chunky, well-covered.” In some cases the participants said they were pressured to eat everything on their plates. Others were told to, “Think of the starving children in Africa .” Some said their relatives used food as a reward.
　　Life – Finally, many of the adults said key life events led them to put on the pounds. Illness, injury, divorce, bereavement, new parenthood, new relationships, new jobs, new homes. Life simply got in the way and derailed their attempts at weight management. Men tended to attribute their fall to large quantities of food like curries, beer and fast food. Women spoke of emotional eating as a way to manage both negative and positive changes.
　　The author draws a few conclusions from these interviews – specifically that the participants refused to think that their weight gain was something that they could “let” happen to them through a lack of will and self-discipline. She believes this point is an important one, and addressing this may be a good first step in the intervention process.
　　我为何如此肥胖？
　　随着“肥胖流行病”席卷全球，对减肥手术的需求与日俱增。为什么选择减肥手术的人如此之多？手术是减肥的最后一招，抑或肥胖患者真的认为除此之外别无它法？
　　爱思唯尔出版集团旗下的《社会科学与医学》杂志（Social Science & Medicine）发表的一篇文章对此进行了探讨。研究者对来自英格兰和苏格兰的35名接受减肥手术的病人进行了一系列采访，探究过于肥胖是如何引起体形超常的。
　　研究发现了三个最主要的诱因：
　　易发胖体质——所有被调查者都认为由于遗传和（或）代谢原因，导致自己的身体天生就容易发胖。被调查者说有了“胖基因”就象交了“恶运”。他们还介绍了其他超重或骨架大的家庭成员的情况，称自己的代谢系统与其他人具有差异，即使自己比别人吃得少，还是会长胖。
　　儿童期——大多数被调查者都说自己的体重从儿童时期就开始成问题。他们幼年时就非常“粗壮、丰满、圆胖、臃肿”。有些被调查者说他们被强迫吃光盘子里的所有东西。另外一些人的家长在吃饭时告诉他们“想想那些非洲饥饿的孩子吧”。还有一些人说他们的亲属用食物作为激励他们的手段。
　　生活遭遇——许多成年人在遭遇生活变故时体重增加，如疾病、伤害、离婚、亲人辞世、面对新的亲子关系、新的人际关系、新的工作和新的家庭等。由于生活遇到了障碍，体重会因此失衡。男人一般用暴食咖喱饭、啤酒和快餐等来缓解失落，女人在遇到好的或坏的生活变故时通常都喜欢情绪性进食。
　　研究者据此得出了一些结论，并特别指出，被调查者拒绝承认其体重增加是由于自己意志薄弱、缺乏自律而放任自流的结果。研究者认为这很重要，是进行体重干预计划的良好开端。 　　
感谢荷兰爱思唯尔出版集团惠赠赐稿

[ 本帖最后由 jackie_xing 于 2008-4-1 20:46 编辑 ]