— 健康促進與維護 · EASY · MCQ —
護理師針對 BMI 32 的個案進行生活型態改善諮詢。下列哪項建議最能促進長期體重管理？
A nurse is counseling a client with a BMI of 32 on healthy lifestyle modifications. Which recommendation is most appropriate to promote long-term weight management?
- AEliminate all carbohydrates from the daily diet從每日飲食中消除所有碳水化合物
- BEngage in high-intensity interval training for 2 hours daily每天進行2小時的高強度間歇訓練
- CAdopt a gradual weight loss plan of 1 to 2 pounds per week✓ 正解採用每週減重1至2英磅的漸進式減重計畫
- DReplace all meals with liquid meal replacements以液體代餐取代所有餐點
— Explanation · 中文詳解 —
體重管理的黃金原則是行為改變與可持續性。每週 0.5 至 1 公斤的減重速度被認為是最安全且易於長期維持的。極端的限制攝取或過度的運動常導致復胖。應強調營養均衡，而非排除單一營養素，以建立健康的飲食習慣。
A gradual weight loss goal of 1 to 2 pounds per week is the most appropriate recommendation because it is sustainable and physiologically safe for long-term maintenance. Extreme dietary restrictions or excessive exercise often lead to burnout and rebound weight gain, whereas balanced lifestyle changes promote lasting health.
✦ 台美臨床差異
美國醫護對於肥胖的介入較強調多專科團隊，台灣則較常結合中醫或營養諮詢，健保對於體重管理服務的給付相對有限。