— 健康促進與維護 · MEDIUM · MCQ —
護理師指導一位 BMI 為 32 的病人，下列何者是務實且健康的減重目標？
A nurse is counseling a client with a BMI of 32. Which goal represents a realistic and healthy weight loss target?
- AEliminate all carbohydrates from the diet從飲食中消除所有碳水化合物
- BLose 1 to 2 pounds per week✓ 正解每週減重 1 至 2 磅
- CLose 5 pounds per week每週減重 5 磅
- DLose 20% of body weight in one month一個月內減去體重的 20%
— Explanation · 中文詳解 —
健康的減重目標應聚焦於長期行為改變與代謝適應。每週減去 1 至 2 磅（約 0.5-1 公斤）是臨床公認最安全且有效的速率，此速率能確保減去的是脂肪組織，而非肌肉量或水分，並能降低因快速減重導致膽結石或電解質紊亂的風險。護理師應評估病人的營養攝取與生活型態，強調均衡飲食與運動的協調，而非單純追求體重數字下降。
A gradual weight loss of 1 to 2 pounds per week is considered safe and sustainable for long-term behavior change. Rapid weight loss or eliminating entire food groups like carbohydrates can lead to muscle wasting, nutrient deficiencies, and other health risks. This moderate pace ensures fat loss rather than water or muscle mass reduction.