Cardiac rehabilitation (CR) programs have evolved from exercise-only programs designed to improve cardiorespiratory fitness to secondary prevention programs with a broader mandate to alter lifestyle-related behaviors that control cardiac risk factors and, thereby, reduce overall cardiovascular risk. As the obesity epidemic has evolved in the late 20th and early 21st centuries, the prevalence of type 2 diabetes mellitus and the metabolic syndrome have soared and blunted the otherwise expected downturn in deaths from coronary heart disease related to better control of risk factors. In that the causes of obesity are behavioral in origin, the most effective treatment strategy requires a comprehensive, behavioral-based approach.

中文翻译：

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心脏康复中的肥胖治疗：回顾和实践建议。

心脏康复 (CR) 计划已从旨在改善心肺健康的单纯运动计划发展为二级预防计划，其更广泛的任务是改变与生活方式相关的行为，从而控制心脏危险因素，从而降低总体心血管风险。随着肥胖流行病在20世纪末和21世纪初的发展，2型糖尿病和代谢综合征的患病率急剧上升，并削弱了原本预期的与更好地控制危险因素相关的冠心病死亡人数下降的趋势。由于肥胖的原因源于行为，因此最有效的治疗策略需要采取全面的、基于行为的方法。