Abstract: The burden of chronic diseases in China remains severe. As major risk factors for these diseases and key targets for primary prevention, overweight and obesity have yet to be effectively controlled. Current weight management in practice encounters significant challenges, including high exercise-related risks, poor sustainability, and high susceptibility to weight regain. In 2024, the National Health Commission launched a three-year “Weight Management Year” initiative, which identifies scientific exercise and nutritional intervention as core components of weight management and emphasizes that the integrated sports and medicine model is expected to shift the focus of chronic disease prevention and control to an earlier stage. However, the integration of sports and medicine for weight management still faces a clear disconnect: on the one hand, sports or exercise lacks scientific medical assessment, professional diagnosis, or safety assurance; on the other hand, clinical medicine tends to emphasize therapeutic interventions such as pharmacotherapy, devices, and surgery, leading to issues of affordability and accessibility. Consequently, the fields of sports and medicine have yet to achieve a systematic and effective integration. Although both have successively established guidelines for exercise and standards for exercise prescriptions in chronic diseases, current protocols remain at an exploratory stage. Their limited efficacy and specificity impede effective clinical translation. Therefore, a multidisciplinary expert group formed by the Stroke High-Risk Population Management Branch of the Chinese Stroke Association, Sports and Health Branch of the Chinese Preventive Medicine Association, and Beijing Municipal Bureau of Sports jointly developed the Expert Consensus on the “Hospital-Community-Family” Three-Tier Process of Integrated Sports and Medicine for Weight Management. This expert consensus, for the first time, proposes nine recommendations for a “hospital-community-family” three-tier process for weight management based on integrated sports and medicine, thereby providing a new paradigm for advancing innovative weight management strategies and reshaping the landscape of public health. Guided by the overarching principle of being “safe, effective, and sustainable”, the consensus emphasizes multi-sectoral and multidisciplinary collaboration. It establishes a digital and intelligent three-tier health management model integrating sports and medicine, underpinned by an active health service consortium within the medical alliance, hubed in communities, workplaces, schools, and clubs for the integration of sports and medicine and terminated at families and individuals. This framework aims to provide a replicable, scalable, and standardized protocol for weight management that addresses practical challenges in lifestyle interventions, thereby promoting the normalization and long-term sustainability of healthy lifestyles.

Key words: Integration of sports and medicine; Multidisciplinary; Body weight; Digital intelligence; Health management; Chronic diseases

摘要： 我国慢性病的疾病负担沉重，超重与肥胖作为其重要危险因素及一级预防的关键环节，仍未得到有效控制。当前体重管理面临运动风险高、可持续性低、易反弹等实践困境。2024年，国家卫生健康委员会启动了为期3年的“体重管理年”专项行动，明确将科学运动与营养干预作为体重管理的核心，强调体医融合模式有望推动慢性病防治关口前移。然而，体医融合在体重管理中仍存在明显脱节：运动缺乏医学层面的科学评估、专业诊断与安全保障；临床医学多侧重药物、器械、手术等治疗手段，存在可负担性及人群可及性不足的问题，且二者缺乏系统性有机结合。虽然体育与医疗领域相继建立了慢性病运动指南及运动处方标准，但现有方案仍处于探索阶段，有效性与针对性不足，限制了其向临床实践的有效转化。为此，中国卒中学会脑血管病高危人群管理分会、中华预防医学会体育运动与健康分会、北京市体育局联合成立专家组，共同制订《体医融合式体重管理“医院-社区-家庭”三级流程专家共识》，首次提出体医融合背景下体重管理医院-社区-家庭三级流程的9条推荐意见，为探索体重管理新模式、构建全民健康新格局提供新范式。本共识以安全、有效、可持续为总体指导原则，强调多部门、多学科协同，形成以依托医联体的体医融合主动健康服务联合体为保障，社区/单位/学校/体医融合运动俱乐部为枢纽，以家庭和个体为终端的数智化体医融合三级健康管理模式，旨在为体重管理的实践难点与痛点提供一套可复制、可推广的标准化流程，从而促进健康生活方式的常态化与长效化。

关键词: 体医融合; 多学科; 体重; 数智化; 健康管理; 慢性病