卡住的脂肪:肥胖的发病因子作为代谢燃料分化的内在疾病
Mark I Friedman1, Thorkild I A Sørensen2,3,4, Gary Taubes5
1Monell Chemical Senses Center, Philadelphia, PA, USA.
概括
肥胖可能源于储存脂肪的代谢缺陷,而不仅仅是吃得太多. 这种燃料分区理论表明,改变燃料的使用驱动脂肪积累,影响能量平衡,并提供新的研究途径.
科学领域:
- 代谢生理学 代谢生理学
- 肥胖病理生理学 肥胖病理生理学
- 营养科学 营养科学
背景情况:
- 肥胖研究历来专注于能源不平衡 (摄入与支出).
- 另一种观点,即燃料分区理论,认为内在的代谢缺陷是主要原因.
- 这一理论表明,燃料利用转向储存,导致脂肪积累.
研究的目的:
- 提出肥胖的燃料分区理论的更新,全面的表述.
- 在过去的80年里,从动物模型中合成证据来支持这一理论.
- 为目前的肥胖病因学讨论提供信息,并指导未来的研究,治疗和预防策略.
主要方法:
- 从肥胖的主要动物模型中审查和综合证据.
- 对证明燃料流量从氧化转向储存的研究进行分析.
- 与瘦肉动物相比,检查显示脂肪积累的数据,无论能量摄入水平如何.
主要成果:
- 动物模型始终显示燃料代谢转向储存.
- 过多的身体脂肪积累发生即使能量摄入量等于或小于瘦肉对照.
- 证据支持影响燃料分区的内在代谢缺陷作为肥胖的一个关键因素.
结论:
- 燃料分区理论为理解肥胖病原体提供了一个关键的框架.
- 燃料利用的转变,而不是仅仅是过多的能量摄入,可以启动和维持肥胖.
- 这种观点需要对肥胖研究,治疗和预防策略进行重新评估.
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