无节制的过度饮食行为和临床观点
Atilla Engin1,2
1Faculty of Medicine, Department of General Surgery, Gazi University, Besevler, Ankara, Turkey. dr.aengin@gmail.com.
Advances in experimental medicine and biology
|September 17, 2024
概括
暴饮暴食 (BED) 和肥胖与健康问题有关,由脂肪偏好和奖励敏感性驱动. 药物治疗和神经调节等治疗方法在治疗BED和肥胖方面表现有前途.
科学领域:
- 神经科学是一个神经科学.
- 代谢障碍 代谢障碍 代谢障碍
- 精神病学是一个精神病学.
背景情况:
- 与肥胖相关的并发症显著降低生活质量,增加死亡风险.
- 狂欢饮食障碍 (BED) 涉及过度饮食和过度饮食,与增加的发病率和死亡率相关.
- 高脂肪饮食和久坐不动的生活方式通过各种细胞机制导致体重增加,胰岛素抵抗和脂毒性.
研究的目的:
- 探索食物成,BED,肥胖和相关的并发症之间的复杂关系.
- 审查当前和潜在的治疗策略来管理BED和肥胖.
- 研究过度营养的神经生物学基础及其对下丘脑路径的影响.
主要方法:
- 关于BED,肥胖,神经生物学和治疗方式的研究文献综述.
- 对享乐饮食摄入量,脂肪偏好和奖励系统调节失调在BED和肥胖症中的作用的分析.
- 检查参与脂毒性和下丘脑功能障碍的细胞和分子机制.
主要成果:
- BED与对美味食物的敏感性增加有关,导致肥胖和潜在的胰岛素抵抗.
- 多巴胺基,阿片类和大麻素系统的失调有助于食物成和BED.
- 药物治疗 (阿片类受体对抗剂,抗抑郁药) 和神经调节 (TMS,tDCS) 显示出治疗耐火性BED和肥胖症的潜力.
结论:
- 肥胖和肥胖是复杂的疾病,具有重大的健康后果,受遗传和环境因素的影响.
- 结合药物治疗,行为管理和潜在的神经调节的综合治疗方法对于有效的管理至关重要.
- 需要进一步的研究来阐明准确的机制,将高脂肪饮食与肥胖的下丘脑功能障碍联系起来.
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