对比肥胖:这里是否缺少一些东西?
Agostino Di Ciaula1,2, Piero Portincasa3
1Department of Precision and Regenerative Medicine and Ionian Area (DiMePre-J), Clinica Medica "A. Murri", University of Bari "Aldo Moro" Medical School, AOUC Policlinico, Piazza G. Cesare 11, 70124, Bari, Italy. agodiciaula@gmail.com.
Internal and emergency medicine
|February 27, 2024
概括
目前的肥胖治疗侧重于生活方式和药物,但全球肥胖率正在上升. 承认环境因素和实施初级预防对于有效的肥胖管理至关重要.
科学领域:
- 公共卫生 公共卫生
- 环境科学 环境科学
- 内分泌学 在内分泌学.
背景情况:
- 尽管生活方式建议和药物干预措施,全球肥胖率仍在增加.
- 目前的方法,包括药物和手术,具有诸如高成本,暂时效应和潜在的不良事件等局限性.
- 普遍关注个人责任,忽视了肥胖的重大环境驱动因素.
研究的目的:
- 批判地评估当前肥胖管理策略的有效性.
- 突出环境因素在全球肥胖流行病中的作用.
- 倡导转向初级预防和系统性变革的范式转变.
主要方法:
- 关于肥胖治疗和预防策略的当前文献的综述.
- 环境因素对肥胖的影响分析.
- 批评以个人为中心的干预措施的局限性.
主要成果:
- 生活方式的修改和抗肥胖药物提供有限的长期减肥,并与显著的成本和副作用相关.
- 环境因素,包括粮食生产,营销,污染,内分泌干扰物和气候变化,对肥胖有很大影响.
- 目前的策略未能解决肥胖流行病的根本原因.
结论:
- 有效的肥胖管理需要一个全面的方法,它超越了个人的行为改变.
- 针对食品系统,环境污染和化学物质暴露的初级预防策略至关重要.
- 解决肥胖的环境对于应对全球肥胖危机至关重要.
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