“肥胖悖论”现象辨析及其应对策略
Analysis of “obesity paradox” phenomenon and its countermeasures

肥胖具有保护性作用的观点（即“肥胖悖论”）一直存在争议，因为肥胖的健康效应仅在部分人群中 被观察到。究其原因，可能与恶病体质、营养失调、身体功能障碍、早期医疗保健等个体因素有关，也许是因为 研究过程中的抽样、评价指标、数据获取、混杂因素分析等方法学问题。本研究认为，应依据医生与运动专家的 建议，把提高身体活动水平、加强运动锻炼、提升人体机能水平等作为普适性的健康促进策略与目标。
There has been much contention about the protective effects of obesity, namely “obesity paradox”, because the health effects of obesity are observed only in the parts of the populations. The observed phenomenon may be related to cachexia, nutrition disorder, physical dysfunction, early medical care or other factors, or due to many methodological problems of sampling, evaluation index, data acquisition, or confounding factors analysis. We hold that we should encourage people to enhance physical activity, exercise, and improve physical fitness according to the advice from doctors and sports experts, which may be the universal health promotion strategy and object