????:1?????????2023:?????????

2???????

3???????????

4??????????

5???????????

??,????????????????:“?????????”

???????????????????????,?????????????“???????”????????????????????????????“????”????,?????????????“?????”???????“??”,???????????????,?????????????

??????,???????????,??????????,??????????????,??“????????????????”,?????????????? 1001 ????(?????????????????? 72.3%)????? 809 ????(? 60%)???,?????????BMI ????????????????

??????????,??????????????????????

?????????????

????

??????,??????,???“??”?

???????,??????????????(TDCE)?????,??????? TDCE ????????? 3.72,?? 2.65(p < 0.001)?????,?????

??????????,??“?????”?????????,?????????,??????,?????????????,????“??????????????”?????????,????,???,??????????,?????

????????,?????????????????????????????,????????,?????

??,???,????,???????????????,?????????????,????“??????”??????????????????????????,??????????????,?????????,???????????

???????????“??”,????????“????????”???????????????????,????,?????????“?????????????”,?????????????????,???

?????????????,??????????“?????????????????”??????“?????????????”?????????,???????????????????????,??????“????????????????”,????“?????????????”??????????(BMI)????????????,?????????????????,???????????????

????,????????????????,????????,??????????“????”????????,?????????“?????”,????????,????????????????????????,???????????????,????????

????????????,??“??”??,???????????????“?????”,???????????????????????,???

?????

?????????????? 4 ???????????????

????,????????“???”,???,??????????,??????

1 ??,?????“????????????????????????????”

????????????,?????????,??????????,???? 52 ??,????????????? 13%~17%?

?????,????????????????????,??,???????????

2 ????“?????????????????????”

????????????“??????”?

???,???????????????(???????????????????????)?????? B12(?????????????????)????????????????

??????,????????????,????????????,????,???.???????????,????,???????,???????????????

3 ??????????????

????,???????????,??????????????????????????????????????????,???,????????????????????

4 ????????

???????????,??????????????,??????????????,????????:

(1)??????????,????,????????????????????????;

(2)???????,???????????????,???;

(3)????,????,???;

(4)????????????,??????,????????????????????????????????????????,???????????;

(5)???????????,?????????????????????????????????,?????????????????

?????????“????”??????,??????????????????????,???????????,??“??”?

??????????????,???????????“??????”????,????,?????????????“???????????”??????!

???????????,???,????????????????????????,????,??????

??? ??????????????????????

??????? ??? ???

?? ????? ???

??????? ????????? ?????????????

???

(??) ?????????????:???????