半心形圖示

肥胖症是一種慢性疾病,不是個人選擇。這是一種因體脂肪過多而引發健康問題的慢性疾病。

2020 至 2024 年間,台灣成人的過重與肥胖率達 51.3%1,等於每2位成人就有1位體重超出健康範圍。
1 國健署114年健康促進統計年報
了解肥胖症

一起終結污名

在許多方面,肥胖症仍被視為個人意志力不足的問題,而非一種慢性疾病。這讓正在努力管理肥胖症的人更加辛苦。

我們希望破除迷思、消除污名,為全球的肥胖症病人創造更美好的未來,讓他們獲得所需的醫療照護,過上更健康、更快樂的生活。

肥胖症醫療照護的重要性

肥胖症可能影響日常生活,並可能增加罹患其他健康問題的風險,例如:
這並非肥胖症可能引發的所有健康問題,僅列舉部分供參考。
建立健康減重觀念

肥胖症的成因為何?

用科學破除污名:了解迷思與事實

如何診斷肥胖症?

你的健康不只是體重計上的數字,診斷肥胖症也不只是測量體重。

肥胖症是一種複雜的慢性疾病,對每個人的影響也因人而異。因此,醫師應全面評估你的健康狀況,而非僅依賴單一數字,例如身體質量指數 (BMI)。

對於年滿 20 歲的成人,BMI 測量身高與體重之間的關係,雖然可以作為起點,但無法反映全貌,尤其是涉及肌肉量、體型、性別或族裔等因素時。

為了更全面地了解你的健康狀況,醫師可能會考量以下因素:

你的獨特背景與體重分布位置

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年齡、性別以及種族背景等因素,都可能影響體重增加與脂肪囤積的方式。例如,亞裔族群相較於傳統 BMI 量表,可能在較低的 BMI 數值下就面臨體重相關的健康問題,因為他們在體重增加時,更容易在腹部堆積脂肪。

醫師可能會測量你的腰圍,評估腹部脂肪的囤積情形。腹部脂肪囤積越多,罹患相關健康問題的風險也越高。
一名人士在遠距醫療就診期間,一邊看著裝置一邊自行量血壓的照片。

其他健康問題

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高血壓、血糖問題、關節疼痛或睡眠障礙,都可能是體重過重影響健康的徵兆。
高血壓、血糖問題、關節疼痛或睡眠障礙,都可能是體重過重影響健康的徵兆。
醫療人員為患者量血壓的照片

體脂肪與肌肉

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有些工具可以測量身體組成,幫助了解你的身體肌肉與脂肪的比例。
有些工具可以測量身體組成,幫助了解身體肌肉與脂肪的比例。
一名人士在戶外靠牆深蹲的照片。

感受與生活方式

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醫師可能會詢問你的精力狀況、睡眠品質、飲食習慣、活動量與壓力。這些面向共同影響你的整體健康福祉。
醫師可能會詢問體力狀況、睡眠品質、飲食習慣、活動量與壓力。這些面向共同影響整體身心健康。
一名人士在健身房用毛巾擦臉的照片。
一名人士與醫師交談的照片。

我們相信,醫療照護應以同理心為核心。

肥胖症是一種複雜的慢性疾病,成因包括生理因素、環境、健康行為與病症等多個面向。你值得獲得全方位的醫療照護,涵蓋你的身體、生活與目標。

準確的診斷,是獲得良好醫療照護的第一步。在適當的支援與治療下,減重也可能為高血壓、高血糖及其他疾病帶來幫助。

治療

肥胖症照護因人而異

你是獨一無二的。你的照護計畫不也應該如此嗎?

肥胖症治療可涵蓋許多照護面向,包括:

尋求專業醫療人員的協助
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醫師或醫療專業人員在你的肥胖症管理歷程中,能提供重要的協助。

他們可以:

  • 評估與肥胖症相關的健康問題。
  • 確認你目前服用的藥品是否有導致體重增加的副作用。
  • 協助你養成健康習慣,並照顧心理健康。
  • 視需要,建議藥品治療,並搭配飲食、運動或手術等方式。

如果你曾有過不好的就醫經驗,請不要放棄。找到合適的醫師,往往能帶來很大的改變。

正在尋找獨立的面對面或遠距醫療照護?取得醫療照護

專業醫療人員在你應對肥胖症的過程中,能提供重要協助。

他們可以:

  • 評估與肥胖症相關的健康問題
  • 確認你目前服用的藥品中,是否有導致體重增加的副作用
  • 協助你養成健康習慣,並關注心理健康
  • 依據需求,建議合適的藥品治療,並搭配飲食調整、運動或手術等方式

如果你曾有過不好的就醫經驗,請不要放棄。找到合適的醫師,往往能帶來很大的改變。

醫師的照片
健康均衡飲食
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飲食確實影響體重,但肥胖症管理並不僅僅是節食而已。

  • 找到適合你的方法:沒有一種飲食方式是完美的。有執照的營養師可以協助你制定符合生活方式的飲食計畫。
  • 改善你與食物的關係:許多人在飲食方面深感困擾。治療師或醫療專業人員可以協助你建立更健康的習慣。
  • 均衡飲食與運動:均衡飲食與保持活躍,對整體健康都很重要,即使體重減輕的速度較慢也一樣。

透過 Nourish 線上有執照的營養師,取得專家的營養學支援,此服務獲多數保險方案承保。
立即開始

飲食確實影響體重,但肥胖症管理並不只是節食而已。

  • 找到適合你的方法:沒有一種飲食方式是完美的。有執照的營養師可以協助你規劃符合生活方式的飲食計畫。
  • 改善你與食物的關係:許多人在飲食方面都曾感到困擾。專業專業人員可以協助你建立更健康的生活習慣。
  • 均衡飲食與規律運動:均衡飲食與規律運動,對整體健康都很重要,即使體重減輕的速度較慢也一樣。
一名人士手持一顆蘋果的照片。

規律運動

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無論體重為何,活動身體對健康都大有益處。

  • 選擇你喜歡的活動,這樣才能持之以恆。
  • 找到融入日常作息且容易執行的活動。
  • 保持靈活。你的運動計畫可能需要隨季節調整。
  • 重視持續性,而非過度勉強自己。

前往我們的健康資源庫,了解有科學依據的運動相關文章與影片。

立即了解

無論體重如何,保持身體活動對健康都大有益處。

  • 選擇你喜歡的運動方式,這樣才能持之以恆
  • 選擇容易融入日常生活、方便持續完成的運動
  • 保持彈性調整的空間。運動計畫可以視季節彈性調整
  • 規律運動比過度勉強自己重要
一名人士站在健身房的照片。

關注心理健康

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體重不只關乎身體,心理健康同樣重要。

  • 面對污名:社會有時是嚴苛的,對體重的負面態度可能影響自尊。
  • 尋求支援:治療師與諮商師等專業人士,可以協助處理情緒問題並建立自信。

體重不只關乎身體,心理健康同樣重要。

  • 面對污名:社會眼光有時很嚴苛,而這些外界對體重的負面眼光可能會影響一個人的自尊。
  • 尋求協助:專業醫療人員可以協助處理情緒問題並建立自信。
一名人士與治療師交談的照片。

睡得更好,健康更有保障

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良好的睡眠可能有助於肥胖症管理與整體健康福祉。成人每晚應以至少 7 小時的睡眠為目標。

優質睡眠訣竅:

  • 保持臥室昏暗、安靜與涼爽。
  • 睡前避免攝取咖啡因、酒精與大量食物。
  • 盡量每天在固定時間入睡與起床。

如需更多優質睡眠訣竅與資源,請前往我們的健康資源庫。
立即了解

正在尋找睡眠專科醫師? 尋找獨立的面對面醫療服務提供者,了解獨立的線上醫療照護選項

充足的睡眠有助於肥胖症管理,對整體身心健康也大有幫助。成人每晚睡眠時間建議至少 7 小時。

好眠小撇步:

  • 臥室保持昏暗、安靜與涼爽
  • 睡前少喝咖啡因、酒精飲料,也避免吃太多
  • 養成固定的睡覺與起床時間
一名人士在床上睡覺的照片。

真實故事分享

病人故事

與肥胖症等慢性疾病共處,有時難免感到孤立無援,但你並不孤單。

聽聽 Liz 與 Michele 分享她們與這個疾病共處的親身經驗。

Liz 的故事

00:00-00:03
[The Lilly logo appears on screen in red text on a white background]
00:03-00:08
[The screen fades to black and transitions to Liz sitting in a chair talking to the camera.]
Liz: I was put on my first diet that I was aware of in sixth grade.
00:08-00:19
[The video cuts to two photographs of Liz in France as an exchange student.]
Liz: I was going to France as an exchange student and my mom said, “Hey, if you lose X amount of weight, you can earn your pocket money while you're there.”
00:19-00:23
[The video cuts back to Liz sitting in a chair talking to the camera.]
Liz: It was very confusing, and it was very shameful.
00:23-00:37
[The video cuts to multiple photographs of Liz as a child. Liz is smiling in the photographs, playing soccer, and dressed in a Halloween costume.]
Liz: It wasn't for not being an active kid, I played soccer. I spent my days riding bikes around the neighborhood. I did everything that my sister did or friends did, and I was the only one who had a problem.
00:37-00:48
[The video cuts back to Liz sitting in a chair talking to the camera.]
Liz: That was the first experience with, “Oh, this is something society says, isn't quite right.” My name is Liz Paul, and I live with obesity.
00:48-01:07
[As Liz is sitting in a chair talking to the camera, the caption “Liz’s Story” appears on screen. The screen fades to black and fades back to Liz sitting in a chair talking to the camera.]
Liz: We've been conditioned to say that people who live in larger bodies are lazy, eating too much, they don't exercise. We're given all of these stereotypes. It's just not true.
01:07-01:16
[The video cuts to Liz walking into her office and using a laptop at a desk, then cuts to an image of her with her daughter’s Cub Scout Pack.
Liz: I'm busy from the moment I get up till the time my kids go to bed. I'm the Cubmaster for my daughter's Cub Scout pack.
01:16-01:44
[The video cuts to Liz giving a speech at the Mankato Kiwanis Club and sitting at a table listening to other’s give a speech. The video then cuts to Liz playing a trumpet in a church, and cuts back to Liz sitting in a chair talking to the camera.
Liz: I am the president of the Mankato Kiwanis Club, which does service projects around town. I play trumpet in church. When you live in a larger body, you kind of want to hide yourself, but playing trumpet is something that people enjoy, and it's a chance to say, “Look, I can do something. I'm useful.” Doctors told me that I was the only one who was ever going to fix me, and had nothing but shame and blame for me.
01:44-01:56
[The video cuts to photographs of Liz doing CrossFit, running a 5K, her on her wedding day, and photographs of her in a mirror. The video cuts back to Liz sitting in a chair talking to the camera.]
Liz: I have done CrossFit. I have done 5Ks. I have gained and lost hundreds of pounds over my adult life. I would say my most successful was after my son was born.
01:56-02:31
[The video cuts to Liz and her son sitting on a boulder. The video cuts back to Liz sitting in a chair talking to the camera.]
Liz: I lost 80, 100 pounds, and it was great and I felt really good. And then it stopped working. The actual disease of obesity came back to really bite me. I had lost this weight, but it kept creeping back on, and on, and up. And I said, “Well, apparently I can't do this. Apparently I'm just a failure. I will always be living in a larger body,” and kind of gave in to the depression of it all.
02:31-02:52
[The video cuts to Liz at the Obesity Action Coalition. The shots include the schedule for the convention, multiple people giving presentations and participating in panels, and Liz watching a presentation. The video then cuts back to Liz sitting in a chair talking to the camera.]
Liz: Around this time, I was invited to the Obesity Action Coalition, their “Your Weight Matters” Convention. Here were experts in the field who said obesity is a chronic, complex disease that can't be cured just by eating less and moving more. And I'm like, “What is this, and why am I just hearing about this now?”
02:52-03:03
[The video cuts to two people having a conversation at the Obesity Action Coalition while Liz is looking at pamphlets on a table, the three of them begin to have a conversation. The video then cuts back to Liz sitting in a chair talking to the camera.]
Liz: People who live with obesity deserve access to care, bias-free, stigma-free treatments to help them manage their disease.
03:03-03:39
[The video cuts to Liz walking outside in a park. The video cuts back to Liz sitting in a chair talking to the camera, and then cuts back to Liz walking outside in the park while looking at the camera.]
Liz: I'm always trying to lose weight and make good choices and try to move my body every day. I try to eat right. I do as much as I can. I don't like to limit myself, but sometimes my body pays for it. Hopefully one day we'll find the tool or the treatment or anything that'll stick. But I know this will be something I'll be living with my whole life, regardless of whether I have lost weight or not. It's hard to to not be a little bit afraid of all of that. I want to see my kids grow up. I want to be there with them, which is why I never stop trying to lose weight.
03:39-03:43
[The video fades to white as the Lilly logo appears in red text on the white background.]

video-item, video-quote, quote-fs-48px, patientname-fs-20px, condition-fs-14px, ctastyle-primary, transcript-fs-20px
true
有人會把體型較大的人貼上「懶惰、吃太多」的標籤。也有人認為他們不運動。我們常被貼上這些刻板印象。這並非事實。
Liz 的故事
了解如何管理肥胖症
觀看病人故事
影片逐字稿

Reference

Adult obesity Facts. (2024, May 14). Obesity. https://www.cdc.gov/obesity/adult-obesity-facts/index.html

Beccuti, G., & Pannain, S. (2011). Sleep and obesity. Current Opinion in Clinical Nutrition & Metabolic Care, 14(4), 402–412. https://doi.org/10.1097/mco.0b013e3283479109

ElSayed, N. A., Aleppo, G., Bannuru, R. R., et al. (2023). 8. Obesity and Weight Management for the Prevention and Treatment of Type 2 Diabetes: Standards of Care in Diabetes–2024. Diabetes Care, 47(Supplement_1), S145–S157. https://doi.org/10.2337/dc24-s008

Garvey, W. T., Mechanick, J. I., Brett, E. M., et al. (2016). American Association of Clinical Endocrinologists and American College of Endocrinology Comprehensive Clinical Practice Guidelines For Medical Care of Patients with Obesity. Endocrine Practice, 22, 1–203. https://doi.org/10.4158/ep161365.gl

Health Risks of Overweight & Obesity. (2025, October 7). National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/weight-management/adult-overweight-obesity/health-risks

Li, Z., Daniel, S., Fujioka, K., & Umashanker, D. (2023). Obesity among Asian American people in the United States: A review. Obesity, 31(2), 316–328. https://doi.org/10.1002/oby.23639

Obesity Action Coalition. (2020, September 1). Understanding Obesity Stigma Brochure - Obesity Action Coalition. https://www.obesityaction.org/get-educated/public-resources/brochures-guides/understanding-obesity-stigma-brochure/

Obesity Action Coalition. (2021, June 18). Common Myths about Obesity - Obesity Action Coalition. https://www.obesityaction.org/education-support/learn-about-obesity/common-myths/

Obesity Action Coalition. (2023, November 17). About Obesity (Causes and Classifications) - Obesity Action Coalition. https://www.obesityaction.org/education-support/learn-about-obesity/causes/

Prescription Medications to Treat Overweight & Obesity. (2026, March 19). National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/weight-management/prescription-medications-treat-overweight-obesity

Risk factors for obesity. (2025, November 14). Obesity. https://www.cdc.gov/obesity/risk-factors/risk-factors.html

Steps for losing weight. (2025, January 17). Healthy Weight and Growth. https://www.cdc.gov/healthy-weight-growth/losing-weight/index.html

Taylor, L. (2024). One in eight people globally are obese, with rates in children increasing fourfold in three decades. BMJ, 384, q527. https://doi.org/10.1136/bmj.q527

Treatment | NHLBI, NIH. (2022, March 24). NHLBI, NIH. https://www.nhlbi.nih.gov/health/overweight-and-obesity/treatment

Treatment for Overweight & Obesity. (2025, October 7). National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/weight-management/adult-overweight-obesity/treatment

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