【摘要】 我国成年人超重/肥胖患病率已超过50%，呈“双峰上升”态势。其危害不仅体现在个体代谢系统和心理状态，而且还增加了心脑血管疾病、内分泌代谢性疾病及部分癌症等慢性病的风险，已成为我国公共卫生健康领域中的重大挑战。生活方式医学作为一种非药物、非手术的慢性病干预手段，核心在于精准识别并干预超重/肥胖成年人在饮食、运动、心理、睡眠及环境等五个维度的危险因素，倡导全食物来源的植物性膳食模式，规律有氧运动和力量平衡训练，保持优质睡眠和健康心理压力韧性，优化社会经济环境，科学规避增重风险物质等健康生活方式。本文从全生命周期视角，对成年人超重/肥胖的危险因素与生活方式医学干预的研究进展进行综述，旨在通过生活方式医学降低患病率，减少其并发症，从而达到并维持适宜体重，保持健康生活方式，提高生活质量的目的。更多还原

【Abstract】 The prevalence of overweight and obesity among adults in China has exceeded 50%, showing a ‘double peak’ upward trend. The risks extend beyond individual metabolic systems and psychological states, increasing the risk of chronic diseases such as cardiovascular diseases, endocrine metabolic disorders, and certain cancers. This has become a significant challenge in public health in China. Lifestyle medicine, as a non-pharmacological and non-surgical intervention for chronic diseases, focuses on accurately identifying and addressing risk factors in five dimensions: diet, exercise, psychology, sleep, and environment among overweight and obese adults. It advocates for a plant-based dietary pattern from whole food sources, regular aerobic exercise and balanced strength training, maintaining quality sleep and healthy psychological resilience, optimizing socioeconomic environments, and scientifically avoiding weight gain risk substances. This paper reviews the progress in research on risk factors and lifestyle medicine interventions for adult overweight and obesity from a life-course perspective, aiming to reduce the incidence through lifestyle medicine, minimize complications, achieve and maintain an appropriate weight, maintain a healthy lifestyle, and improve quality of life.更多还原