There is a growing burden of cardiometabolic disease in many parts of the world. Despite some progress in its prevention, more can be done to tackle risks of its development in the community and in different specialty clinics. Currently, the identification and management of those at elevated risk of developing cardiovascular disease or diabetes or with conditions such as fatty liver disease remains fragmented and is not linked to constructive lifestyle advice. In this Perspective, we argue for a more consistent weight-management approach, alongside a holistic assessment of the risk for developing cardiometabolic diseases, offering patients a range of simple or more-intensive evidence-based lifestyle options in an empathetic manner, with encouragement for repeated attempts and a willingness to embrace failure.

中文翻译：

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改进心脏代谢疾病的预防策略。

在世界许多地方，心脏代谢疾病的负担越来越重。尽管在预防方面取得了一些进展，但可以做更多的工作来应对其在社区和不同专科诊所发展的风险。目前，对患心血管疾病或糖尿病风险较高或患有脂肪肝等疾病的人的识别和管理仍然支离破碎，与建设性的生活方式建议无关。在这个观点中，我们主张采用更一致的体重管理方法，同时对发生心脏代谢疾病的风险进行整体评估，以同理心的方式为患者提供一系列简单或更密集的循证生活方式选择，并鼓励他们反复尝试并愿意接受失败。