Share to FacebookShare to TwitterShare to LinkedinHOLLYWOOD, CALIFORNIA: Kim Kardashian speaks onstage during the 2nd Annual American Influencer ... [+] Awards at Dolby Theatre on November 18, 2019 in Hollywood, California. Recently, Kardashian has been promoting full-body MRI scans on her social media platform.

分享到FacebookShare TwitterShare链接到加利福尼亚州好莱坞：Kim Kardashian在第二届美国年度影响者期间演讲。。。[+]2019年11月18日在加利福尼亚州好莱坞的多比剧院获得奖项。最近，Kardashian一直在她的社交媒体平台上推广全身MRI扫描。

(Photo by Matt Winkelmeyer/Getty Images for American Influencer Awards )Getty Images for American Influencer Awards.

（Matt Winkelmeyer/Getty美国影响者奖照片）Getty美国影响者奖图像。

Last month, Kim Kardashian caught the media’s attention when on Instagram she claimed that a $2,500 magnetic resonance imaging scan from Prenuvo had the ability to detect cancer and aneurysms among other diseases even before symptoms start to manifest themselves.

上个月，Kim Kardashian在Instagram上引起了媒体的注意，她声称Prenuvo的2500美元磁共振成像扫描能够在症状开始显现之前检测癌症和动脉瘤等疾病。

Kardashian’s post is emblematic of potential problems related to consumerism and celebrity influencers in U.S. healthcare, specifically when what’s being promoted on social media platforms isn’t necessarily connected to positive health outcomes.

Kardashian的帖子象征着与美国医疗保健领域的消费主义和名人影响者有关的潜在问题，特别是当社交媒体平台上推广的内容不一定与积极的健康结果相关时。

As media personalities, the Kardashians have not shied away from promoting healthcare products, from Khloé Kardashian doing spots for the migraine medication Nurtec (rimegepant) to her sister Kim Kardashian posting promotions for the anti-nausea drug Diclegis for pregnant women.

作为媒体人物，Kardashians并没有回避推广医疗保健产品，从KhloéKardashian为偏头痛药物Nurtec（rimegepant）做点到她的姐姐Kim Kardashian发布孕妇抗恶心药物双瘫的促销活动。

The Nurtec commercials Khloé Kardashian featured in are part of the ubiquitous direct-to-consumer advertising on television in the U.S. It’s also online, on the radio, on billboards and in magazines and newspapers. And it promotes treatments for a wide range of ailments, including pain, migraine, arthritis, cancer, heartburn, ulcerative colitis, influenza, deteriorating memory and dermatological disorders.

Nurtec商业广告KhloéKardashian是美国电视上无处不在的直接面向消费者的广告的一部分。它也在线，广播，广告板，杂志和报纸上。它促进各种疾病的治疗，包括疼痛，偏头痛，关节炎，癌症，胃灼热，溃疡性结肠炎，流感，记忆力恶化和皮肤病。

Practically every commercial ends by encouraging those watching to “ask your doctor” about the product being advertised..

实际上，每一个商业目的都是鼓励那些观看“询问你的医生”广告的产品。。

However omnipresent DTC advertising is, what you see about a particular product is usually regulated by the Food and Drug Administration. This applies to efficacy claims, but also possible drug-drug interactions and side effects. Here, FDA’s regulations focus only on entities “that manufacture, distribute, or package” pharmaceuticals..

然而，无所不在的DTC广告通常是由食品和药物管理局监管的。这适用于功效要求，但也可能存在药物-药物相互作用和副作用。在这里，FDA的法规仅关注“制造，分销或包装”药品的实体。。

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But it’s when there is at least the appearance of lack of regulation that problems arise. In the case of the antiemetic Diclegis, in her original promotional in 2015 Kim Kardashian failed to mention any side effects. This prompted the FDA to send the sponsor of the product, Duchesnay, a warning letter in which the agency stated that the advertising was “false and misleading” and it demanded corrective action.

但至少在缺乏监管的情况下出现问题。在止吐双瘫的情况下，Kim Kardashian在2015年的原始促销中没有提到任何副作用。这促使FDA向产品赞助商Duchesnay发送了一封警告信，其中该机构表示该广告“虚假且具有误导性”，并要求采取纠正措施。

Two years later, Kardashian took to social media again to plug for Diclegis, this time, however, adding a laundry list of potential side effects..

两年后，卡达希安再次带着社交媒体插入截肢，但这次，增加了一份潜在副作用的洗衣清单。。

And now Kardashian is promoting Prenuvo full-body MRIs, calling the technology “life saving.” However, medical experts are warning against its widespread use. The American College of Radiology, for example, says there is not “sufficient evidence to justify recommending total body screening for patients with no clinical symptoms, risk factors or a family history suggesting underlying disease or serious injury.”.

现在卡达希安正在推广Prenuvo全身核磁共振成像，称该技术为“挽救生命”。然而，医学专家正在警告其广泛使用。例如，美国放射学院表示，“没有足够的证据证明建议对没有临床症状，危险因素或家族史提示潜在疾病或严重伤害的患者进行全身筛查是合理的。”。

Moreover, Kardashian praises the purported benefits of full body scans without mentioning possible drawbacks. While such scans can on occasion reveal aneurysms and cancers before they turn deadly, there are downsides. Perhaps most importantly, false positives and unnecessary follow-ups may lead to overburdening hospitals and clinics.

此外，Kardashian称赞全身扫描的所谓好处，而没有提到可能的缺点。虽然这种扫描有时会在动脉瘤致命之前显示动脉瘤和癌症，但也有缺点。也许最重要的是，误报和不必要的随访可能导致医院和诊所负担过重。

After all, an MRI is not the starting point of a routine diagnostic work-up. Instead, after a patient provides a medical history and undergoes a physical exam an MRI is used to confirm or rule out diseases or conditions as part of a proper differential diagnosis..

毕竟，MRI不是常规诊断检查的起点。相反，在患者提供病史并进行体格检查后，MRI用于确认或排除疾病或病症，作为正确鉴别诊断的一部分。。

In the U.S., celebrity influencers have for decades promoted many kinds of healthcare products, often through conventional DTC advertising. But the advent of social media has magnified the numbers of ads circulating as well as the reach. And certain online messages may escape regulatory scrutiny, especially those originating with companies or persons that aren’t manufacturing or marketing the products..

在美国，名人影响者几十年来一直通过传统的DTC广告推广多种医疗保健产品。但是社交媒体的出现放大了广告的流通量和覆盖面。某些在线消息可能会逃避监管审查，特别是那些来自不制造或销售产品的公司或人员的消息。。

At the moment, nowhere is the impact of social media more evident than with weight loss products. Online pharmacies, medical spas, telehealth entities and weight loss clinics are running thousands of advertisements on social media for GLP-1 agonists, such as Ozempic and Wegovy, the active ingredient of which is semaglutide.

目前，社交媒体的影响远远超过减肥产品。在线药店，医疗SPA，远程医疗实体和减肥诊所正在社交媒体上刊登数千篇关于GLP-1激动剂的广告，例如Ozempic和Wegovy，其活性成分是semaglutide。

Ozempic’s labeled indication is as a diabetes therapeutic. But its off-label use is as an obesity drug. Wegovy was approved in 2021 as a pharmaceutical that can be used to reduce weight..

Ozempic的标记适应症是糖尿病治疗药物。但其标签外使用是作为肥胖药物。Wegovy于2021年被批准为可用于减轻体重的药物。。

On Meta and Instagram alone, there have been more than 4,000 active ad campaigns in the U.S. this year which mentioned GLP-1 agonists or semaglutide.

仅在Meta和Instagram上，今年美国就有超过4000个活跃的ad活动提到了GLP-1激动剂或semaglutide。

Notably, most of the ads on social media don’t originate from drug manufacturers.

值得注意的是，社交媒体上的大部分广告并非来自药品制造商。

Demand has soared for both Ozempic and Wegovy, partly in response to celebrity social media influencers. Surely, some of those influenced by social media posts are appropriate patients for the obesity medicines. For others, however, in particular those looking to just “shed a few pounds” the drugs’ use is inappropriate..

Ozempic和Wegovy的需求飙升，部分原因是对名人社交媒体影响者的回应。当然，一些受社交媒体帖子影响的人是肥胖药物的合适患者。然而，对于其他人来说，特别是那些看起来只是“减掉几磅”的药物的使用是不合适的。。

Additionally, critics, who are often in the “prevention over pills” camp, argue that the drugs unnecessarily medicalize obesity. They emphasize that obesity medications aren’t a “quick fix or a substitute for a healthy diet and exercise.”

此外，经常在“预防药丸”营地的批评者认为，这些药物不必要地使肥胖医学化。他们强调，肥胖药物不是“快速解决方案，也不是健康饮食和运动的替代品”

In Europe, some government officials have openly criticized the deployment of social media to promote Ozempic. They worry that because the online videos are promoting Ozempic for a different purpose than treating diabetes this could lead to shortages of a medically necessary item.

在欧洲，一些政府官员公开批评部署社交媒体以促进臭氧。他们担心，由于在线视频的推广Ozempic的目的与治疗糖尿病不同，这可能导致缺乏医学上必要的项目。

In the end, whichever treatment or diagnostic, consumers and patients should be looking to learned intermediaries, such as their physicians, for health advice and not celebrity influencers.

最后，无论是哪种治疗或诊断，消费者和患者都应该寻求学习中介，例如他们的医生，以获得健康建议，而不是名人影响者。