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Synthetic Endocrine Disrupting Chemicals are not a Significant Cause of Obesity 合成内分泌干扰物不是肥胖的重要原因
Pub Date : 2020-11-12 DOI: 10.36959/736/637
J. SmithCarr, A. PerfettiThomas, Hayes A Wallace, B. Colin
Background: Obesity is a worldwide epidemic with approximately two billion adults classifiable as overweight and over 600 million as obese. In the US, approximately two-thirds of adults over age 20 are overweight with about 35% currently obese with the obesity percentage steadily rising. Aim: Obesity is a complex disease wherein an excessive amount of body fat accumulates from ingesting more calories than are burned. Obesity usually results from a combination of factors including genetics, ready availability of inexpensive high caloric foods, low exercise levels or sedentary lifestyles, and poor dietary choices. Methods: This paper provides an overview of the available information on synthetic endocrine disrupter chemicals and reasons why these chemicals are not a significant cause of obesity. Results: Prenatal effects of exposure to synthetic endocrine disrupting chemicals (EDCs) have been proposed as a causative factor in the obesity epidemic. Population effects from prenatal EDCs would be expected to be very minor as exposures to EDCs are very low; and humans are routinely exposed to a huge number and high concentration of naturally occurring chemicals with potential endocrine effects. Further reducing exposures to the trace amounts of EDCs in the environment would not be expected to measurably ameliorate the obesity epidemic which is mainly being driven by excessive caloric intake of high carbohydrate and high sugar content foods. Conclusions: While exposure to synthetic EDCs is not a major factor in developing obesity, the converse is true; adipose tissue is an important source of estrogens, testosterone, thyroid stimulating hormone, leptin and approximately 500 biologically active compounds termed adipokines. The hormonal and pro-inflammatory effects of adipose tissue underlie the association between obesity and increased risk of a number of chronic diseases.
背景:肥胖是一种世界性的流行病,大约有20亿成年人被归类为超重,超过6亿人属于肥胖。在美国,20岁以上的成年人中约有三分之二超重,目前约有35%的人肥胖,而且肥胖比例还在稳步上升。目的:肥胖是一种复杂的疾病,体内脂肪的过量积累是由于摄入的卡路里多于燃烧的卡路里。肥胖通常是由多种因素共同造成的,包括遗传、廉价高热量食物的易得性、低运动量或久坐不动的生活方式,以及不良的饮食选择。方法:本文概述了合成内分泌干扰物的现有信息,以及这些化学物质不是肥胖的重要原因。结果:产前暴露于合成内分泌干扰物(EDCs)的影响已被认为是肥胖流行的一个致病因素。产前EDCs对人群的影响预计非常小,因为EDCs的暴露量非常低;人类经常接触大量高浓度的天然化学物质,这些化学物质对内分泌有潜在的影响。进一步减少接触环境中微量的EDCs,预计不会显著改善肥胖的流行,这主要是由高碳水化合物和高糖含量食物的过量热量摄入造成的。结论:虽然暴露于合成EDCs并不是导致肥胖的主要因素,但反之亦然;脂肪组织是雌激素、睾酮、促甲状腺激素、瘦素和大约500种被称为脂肪因子的生物活性化合物的重要来源。脂肪组织的激素和促炎作用是肥胖与许多慢性疾病风险增加之间联系的基础。
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Annals of Toxicology
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