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Gut Microbiota, NAFLD and COVID-19: A Possible Interaction 肠道微生物群、NAFLD和COVID-19:可能的相互作用
Pub Date : 2022-05-15 DOI: 10.3390/obesities2020017
C. Finelli
COVID-19, which is caused by SARS-CoV-2, is a major public health concern around the world. The beta coronavirus family includes SARS-CoV2, which enters cells via the ACE2 receptor. Patients in Wuhan, China, who suffered from the first sickness had no symptoms concerning the digestive system. Only 2.6% developed diarrhea, and only 2% had chronic liver illness. As the situation becomes more complicated, more people are reporting gastric issues. The disorder is characterized by diarrhea, anorexia, nausea, vomiting, abdominal discomfort and gastrointestinal bleeding, with diarrhea being the most common symptom. Several theories have been proposed for the genesis of gastrointestinal issues. Virus-induced cytopathic effects via ACE2, immune-mediated inflammatory cytokine storm, gut–lung axis function and drug-related damage are among them, not only in cases of COVID-19, but also in gastrointestinal illnesses.
由SARS-CoV-2引起的新冠肺炎是世界各地的一个主要公共卫生问题。β冠状病毒家族包括通过ACE2受体进入细胞的严重急性呼吸系统综合征冠状病毒2型。中国武汉的第一例患者没有消化系统方面的症状。只有2.6%的人出现腹泻,只有2%的人患有慢性肝病。随着情况变得越来越复杂,越来越多的人报告胃部问题。该疾病的特点是腹泻、厌食、恶心、呕吐、腹部不适和胃肠道出血,其中腹泻是最常见的症状。关于胃肠道问题的起源,已经提出了几种理论。病毒通过ACE2诱导的细胞病变效应、免疫介导的炎性细胞因子风暴、肠肺轴功能和与药物相关的损伤,不仅在新冠肺炎病例中,而且在胃肠道疾病中也是如此。
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引用次数: 2
Cycling for Weight Loss May Clear Carbohydrates Rather Than Fat, Irrespective of Normal or Mildly Reduced Normobaric Oxygen 骑自行车减肥可以清除碳水化合物,而不是脂肪,无论正常或轻度降低的常压氧
Pub Date : 2022-04-12 DOI: 10.3390/obesities2020016
V. Schreurs, Tjieu Maas, J. J. van den Borne, J. Keijer
A single-center randomized, controlled cross-over exercise intervention in 20 women willing to reduce weight (20–40 y, BMI: 27.4 ± 2.1), with the aim to examine potential benefits for weight loss under normal (N-Ox: 20.9%) and mildly reduced (R-Ox: 17.0%) normobaric oxygen in an “Altitude Simulation Chamber”. O2 consumption (VO2), CO2 production (VCO2), blood oxygen saturation (SaO2), blood glucose and lactate (mM) were studied before, during and after cycling for 22 min at a mean personalized workload of 54.2 ± 11.7 watts, about 40% of VO2max. Despite lower absolute SaO2 values and a greater decline from rest to exercise under R-Ox (time x treatment interaction p < 0.01), VO2 did not differ from N-Ox (time x treatment interaction p = 0.178). Average net VO2, 13.8 mL O2 per watt, reflected fairly normal aerobic cycling, irrespective of O2 regime. The Respiratory Exchange Ratio (RER; VO2/VCO2), 0.83 at rest, increased for both treatments to a ratio close to or beyond unity during and directly after exercise (treatment effect p = 0.407). The tendency of cycling for weight loss to clear carbohydrates rather than fat, irrespective of normal or mildly reduced normobaric oxygen, is discussed as a lactate-mediated and phenotype-specific consequence of apparent anaerobic glycolysis with adverse perspectives for weight loss and metabolic health.
对20名愿意减肥的女性(20 - 40岁,BMI: 27.4±2.1)进行单中心随机对照交叉运动干预,目的是研究在“海拔模拟舱”中正常(N-Ox: 20.9%)和轻度降低(R-Ox: 17.0%)的正压氧下减肥的潜在益处。在平均个性化负荷54.2±11.7瓦,约为最大摄氧量的40%的情况下,研究了运动前、运动中和运动后22 min的氧气消耗(VO2)、二氧化碳产生(VCO2)、血氧饱和度(SaO2)、血糖和乳酸(mM)。尽管在R-Ox条件下SaO2绝对值更低,从休息到运动的下降幅度更大(时间与处理交互作用p < 0.01),但VO2与N-Ox没有差异(时间与处理交互作用p = 0.178)。平均净VO2, 13.8 mL O2每瓦,反映了相当正常的有氧循环,无论氧气状态如何。呼吸交换比(RER);休息时的VO2/VCO2)为0.83,在运动期间和运动后直接增加到接近或超过统一的比率(治疗效果p = 0.407)。无论正压氧是否正常或轻度降低,为了减肥而进行循环以清除碳水化合物而不是脂肪的倾向,被认为是乳酸介导的、表现型特异性的明显无氧糖酵解的后果,对减肥和代谢健康不利。
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引用次数: 0
Obesity Rodent Models Applied to Research with Food Products and Natural Compounds 肥胖啮齿动物模型在食品和天然化合物研究中的应用
Pub Date : 2022-04-06 DOI: 10.3390/obesities2020015
T. Martins, Tiago Ferreira, E. Nascimento-Gonçalves, Catarina Castro-Ribeiro, Sílvia Lemos, Eduardo Rosa, L. Antunes, P. Oliveira
Obesity is a disease whose incidence has increased over the last few decades. Despite being a multifactorial disease, obesity results essentially from excessive intake of high-calorie foods associated with low physical activity. The demand for a pharmacological therapy using natural compounds as an alternative to synthetic drugs has increased. Natural compounds may have few adverse effects and high economic impact, as most of them can be extracted from underexploited plant species and food by-products. To test the potential anti-obesogenic effects of new natural substances, the use of preclinical animal models of obesity has been an important tool, among which rat and mouse models are the most used. Some animal models are monogenic, such as the db/db mice, ob/ob mice, Zucker fatty rat and Otsuka Long-Evans Tokushima fatty rat. There are also available chemical models using the neurotoxin monosodium glutamate that induces lesions in the ventromedial hypothalamus nucleus, resulting in the development of obesity. However, the most widely used are the obesity models induced by high-fat diets. The aim of this review was to compile detail studies on the anti-obesity effects of natural compounds or their derivatives on rodent models of obesity as well as a critical analysis of the data.
肥胖是一种发病率在过去几十年中有所上升的疾病。尽管肥胖是一种多因素疾病,但它主要是由于过度摄入与低体力活动相关的高热量食物造成的。对使用天然化合物作为合成药物替代品的药理学治疗的需求已经增加。天然化合物可能几乎没有不良影响,经济影响很大,因为它们大多可以从开发不足的植物物种和食品副产品中提取。为了测试新天然物质的潜在抗肥胖作用,使用肥胖的临床前动物模型一直是一个重要工具,其中大鼠和小鼠模型使用最多。一些动物模型是单基因的,如db/db小鼠、ob/ob小鼠、Zucker脂肪大鼠和Otsuka Long-Evans-Tokushima脂肪大鼠。也有可用的化学模型使用神经毒素谷氨酸一钠,它会诱导下丘脑腹内侧核的损伤,从而导致肥胖的发展。然而,最广泛使用的是高脂肪饮食诱导的肥胖模型。这篇综述的目的是汇编关于天然化合物或其衍生物对啮齿动物肥胖模型的抗肥胖作用的详细研究,以及对数据的批判性分析。
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引用次数: 4
Ongoing Community-Based Whole-Food, Plant-Based Lifestyle Effectively Preserves Muscle Mass during Body Mass Loss 持续的以社区为基础的全食物、植物为基础的生活方式在体重减少的过程中有效地保持了肌肉质量
Pub Date : 2022-04-03 DOI: 10.3390/obesities2020014
Boštjan Jakše, Barbara Jakše, Uroš Godnov, S. Pinter
Body fat and muscle mass showed opposing associations with mortality. The results of research on the effectiveness of popular body mass (BM) loss diets in obese subjects showed 20 to 30% loss of muscle mass within the total BM loss; conversely, when the subjects used a whole-food, plant-based (WFPB) diet, the loss was up to 42%. Therefore, we suggest an improvement. The aim of this retrospective analysis of data was to examine the assessment of changes in the body composition of 217 participants from all over Slovenia who joined our ongoing, community-based WFPB lifestyle programme from 2016 to 2021 and underwent two successive measurements of medically approved bioelectrical impedance. The WFPB lifestyle programme consisted of (i) nutrition, (ii) physical activity (PA) and (iii) a support system. The primary outcomes included the (vector of) change of body fat mass (BFM) per body height (BH), fat-free mass (FFM) per BH and whole-body phase angle (PhA) from the initial values to the first follow-up (FU) of the whole sample and for both sexes. Further, we examined the FFM change within the total BM loss according to their BMI classification and depending on how much BM they lost (5 kg < BM ≥ 5 kg) within the FU time (103.6 ± 89.8 day). Participants experienced a decrease in BFM per BH (−0.02 ± 0.02 kg/cm, p < 0.001), no change in FFM and an increase in PhA (0.2 ± 0.7°, p < 0.001). Importantly, the participants in the obesity BMI class achieved only partial FFM preservation (−1.5 ± 3.6 kg, p = 0.032 of FFM loss (20%) within −7.5 ± 6.1 kg, p < 0.001 of BM loss). However, the participants who lost BM < 5 kg had a significantly increased FFM (0.8 ± 3.2 kg, p = 0.001 of FFM (57%) within −1.4 ± 1.8 kg, p < 0.001 of BM loss), whereas the participants who lost BM ≥ 5 kg experienced a decrease in FFM (−2.2 ± 3.9 kg, p < 0.001 of FFM (−25%) within −8.8 ± 5.2 kg, p < 0.001 of BM loss). To conclude, the WFPB lifestyle, on average, effectively preserved FFM during BM and/or BFM loss among the normal and pre-obesity BMI classes but only partially among the obese BMI class and those who lost ≥ 5 kg of BM. Importantly, a customized PA strategy is needed for obese BMI class participants, where general resistance training is not possible or safe in order to preserve their muscle mass more effectively. In addition, muscle mass preservation is important for further improvements of BM, body composition and visual body image.
身体脂肪和肌肉质量与死亡率呈相反的关系。在肥胖受试者中流行减体质量饮食的有效性研究结果显示,在减体质量总量中,肌肉质量减少了20%至30%;相反,当受试者使用全食物植物性饮食(WFPB)时,损失高达42%。因此,我们建议改进。这项数据回顾性分析的目的是检查对来自斯洛文尼亚各地的217名参与者的身体组成变化的评估,这些参与者在2016年至2021年期间加入了我们正在进行的以社区为基础的WFPB生活方式计划,并接受了两次连续的医学批准的生物电阻抗测量。世界粮食计划署的生活方式方案包括(1)营养,(2)体育活动和(3)支持系统。主要结局包括整个样本和两性的体脂质量(BFM) /身高(BH)、无脂质量(FFM) /身高(BH)和全身相角(PhA)从初始值到第一次随访(FU)的变化向量。此外,我们根据他们的BMI分类和他们在FU时间(103.6±89.8天)内损失的BM量(5 kg < BM≥5 kg)来检查总BM损失中的FFM变化。参与者经历了每BH BFM下降(- 0.02±0.02 kg/cm, p < 0.001), FFM没有变化,PhA增加(0.2±0.7°,p < 0.001)。重要的是,肥胖BMI级别的参与者仅实现了部分FFM保存(−1.5±3.6 kg, FFM损失(20%)在−7.5±6.1 kg, BM损失p < 0.001)。然而,减重< 5 kg的受试者FFM显著增加(- 1.4±1.8 kg范围内FFM为0.8±3.2 kg, p = 0.001 (57%), BM损失p < 0.001),而减重≥5 kg的受试者FFM减少(- 2.2±3.9 kg, - 8.8±5.2 kg范围内FFM为- 25%,p < 0.001, BM损失p < 0.001)。综上所述,在正常和肥胖前BMI类别中,平均而言,WFPB生活方式在减脂和/或减脂期间有效地保留了FFM,但在肥胖BMI类别和减脂≥5 kg的人群中仅部分保留了FFM。重要的是,肥胖BMI级参与者需要定制的PA策略,一般的阻力训练是不可能的,也不安全,以更有效地保持他们的肌肉质量。此外,肌肉质量的保存对于进一步改善BM、身体成分和视觉身体形象也很重要。
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引用次数: 1
Murine Models of Obesity 小鼠肥胖模型
Pub Date : 2022-03-31 DOI: 10.3390/obesities2020012
T. Martins, Catarina Castro-Ribeiro, Sílvia Lemos, Tiago Ferreira, E. Nascimento-Gonçalves, Eduardo Rosa, P. Oliveira, L. Antunes
Obesity, classified as an epidemic by the WHO, is a disease that continues to grow worldwide. Obesity results from abnormal or excessive accumulation of fat and usually leads to the development of other associated diseases, such as type 2 diabetes, hypertension, cancer, cardiovascular diseases, among others. In vitro and in vivo models have been crucial for studying the underlying mechanisms of obesity, discovering new therapeutic targets, and developing and validating new pharmacological therapies against obesity. Preclinical animal models of obesity comprise a variety of species: invertebrates, fishes, and mammals. However, small rodents are the most widely used due to their cost-effectiveness, physiology, and easy genetic manipulation. The induction of obesity in rats or mice can be achieved by the occurrence of spontaneous single-gene mutations or polygenic mutations, by genetic modifications, by surgical or chemical induction, and by ingestion of hypercaloric diets. In this review, we describe some of the most commonly used murine models in obesity research.
肥胖被世界卫生组织列为一种流行病,是一种在世界范围内持续增长的疾病。肥胖是由脂肪异常或过度积累引起的,通常会导致其他相关疾病的发展,如2型糖尿病、高血压、癌症、心血管疾病等。体外和体内模型对于研究肥胖的潜在机制、发现新的治疗靶点以及开发和验证针对肥胖的新药物疗法至关重要。肥胖的临床前动物模型包括多种物种:无脊椎动物、鱼类和哺乳动物。然而,小型啮齿动物由于其成本效益,生理和易于基因操作而被广泛使用。诱导大鼠或小鼠肥胖可以通过自发的单基因突变或多基因突变、基因修饰、手术或化学诱导以及摄入高热量饮食来实现。在这篇综述中,我们描述了一些在肥胖研究中最常用的小鼠模型。
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引用次数: 11
History of Slimming Diets up to the Late 1950s 减肥饮食的历史直到20世纪50年代末
Pub Date : 2022-03-26 DOI: 10.3390/obesities2020011
Inmaculada Zarzo, P. M. Boselli, J. Soriano
Nowadays, obesity is a pandemic, and some people seek slimming diets to guarantee their health and quality of life. However, the cult of the healthy body has been an ongoing concern since the beginning of time. Irrespective of the century to which they belong, these cults reflect no empirical knowledge about physiology, nutrients or kilocalories, with some of them being quantitative diets in contrast to qualitative diets, or even simple food recommendations. On the other hand, some of these treatments might have led to the death of a patient, meaning that it is important for people seeking to lose weight to be followed by a nutrition professional until the individual reaches a desirable body weight. In this article, we highlight that each century and each decade have devised different treatments with the aim of improving health, but it will be science and history that will judge whether the results of these treatments have been adequate.
如今,肥胖是一种流行病,一些人寻求减肥饮食来保证他们的健康和生活质量。然而,对健康身体的崇拜从一开始就一直是一个令人担忧的问题。无论它们属于哪个世纪,这些邪教都没有反映出关于生理、营养或千卡的经验知识,其中一些是定量饮食,而不是定性饮食,甚至是简单的食物推荐。另一方面,其中一些治疗可能会导致患者死亡,这意味着,对于寻求减肥的人来说,由营养专业人员进行治疗是很重要的,直到他们达到理想的体重。在这篇文章中,我们强调,每个世纪和每个十年都有不同的治疗方法来改善健康,但这些治疗方法的结果是否足够,将由科学和历史来判断。
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引用次数: 1
Weight-Biased Language across 30 Years of Australian News Reporting on Obesity: Associations with Public Health Policy 30年来澳大利亚肥胖新闻报道中的体重歧视语言:与公共卫生政策的关系
Pub Date : 2022-03-01 DOI: 10.3390/obesities2010010
S. Grant, Arezou Soltani Panah, Anthony McCosker
(1) Background: This study tracked the reporting of obesity in the Australian news media over three decades and how changing representations over time were linked to obesity-related public health policy developments. (2) Methods: Machine learning and computational language analysis techniques (word embedding, dichotomous bias mapping) were used to identify language biases associated with obesity in 157,237 relevant articles drawn from the Australian Dow Jones digital database of print news media articles from 1990 to 2019. (3) Results: Obesity-related terms were stigmatised on four key dimensions (gender, health, socioeconomic status, stereotypes), with language biased towards femininity and lower socioeconomic status in particular. Biases remained relatively steady from 2005 to 2019, despite recent policy initiatives directly seeking to address obesity stigma. To some degree, for each of the four dimensions, cosine values moved toward 0 over time (i.e., no association with one dimension poll or the other), but remained around 0.20. There was a strong relationship between news media and public health policy discourse over the 30-year study period. (4) Conclusions: With increasing recognition of the health consequences of weight stigma, policymakers and the media must work together to ensure public weight management narratives avoid discourse that may stigmatise heavier individuals, particularly women, and/or reinforce negative obesity stereotypes.
(1)背景:本研究追踪了30多年来澳大利亚新闻媒体对肥胖的报道,以及随着时间的推移,报道的变化如何与肥胖相关的公共卫生政策发展相关联。(2)方法:利用机器学习和计算语言分析技术(词嵌入、二分类偏差映射),从1990年至2019年澳大利亚道琼斯印刷新闻媒体文章数字数据库中提取157,237篇相关文章,识别与肥胖相关的语言偏差。(3)结果:肥胖相关词汇在性别、健康、社会经济地位和刻板印象四个关键维度上被污名化,尤其是对女性和低社会经济地位的语言偏见。从2005年到2019年,偏见保持相对稳定,尽管最近的政策举措直接寻求解决肥胖耻辱感。在某种程度上,对于四个维度中的每一个,余弦值随着时间的推移向0移动(即与一个维度投票或另一个维度投票没有关联),但保持在0.20左右。在30年的研究期间,新闻媒体与公共卫生政策话语之间存在很强的关系。(4)结论:随着人们越来越认识到体重耻辱感对健康的影响,政策制定者和媒体必须共同努力,确保公众体重管理叙事避免可能对体重较重的个体(特别是女性)造成耻辱感的话语,和/或强化负面的肥胖刻板印象。
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引用次数: 2
Acute Effects of Muay Thai on Blood Pressure and Heart Rate in Adolescents with Overweight/Obesity 泰拳对超重/肥胖青少年血压和心率的急性影响
Pub Date : 2022-02-23 DOI: 10.3390/obesities2010009
B. Saraiva, W. L. Prado, L. Vanderlei, V. F. Milanez, Tatiana M. Damato, Amanda Barbosa Santos, W. Tebar, D. Christofaro
Background: To analyze the effects of a single session of Muay Thai (MT) on blood pressure and heart rate in adolescents with overweight/obesity. Methods: A total of 27 adolescents with overweight/obesity (12.85 ± 2.08 years), 13 girls and 14 boys, performed 60 min of MT composed of general and modality-specific exercises, as well as combat at the end. Anthropometric measurements were taken and body fat (BF) was measured using DEXA. Excess weight was attested via the body mass index (BMI) and BF. Systolic blood pressure (SBP), diastolic blood pressure (DBP) and heart rate (HR) were measured by an oscillometric device before, immediately after MT, and 10, 20 and 30 min of recovery. Results: SBP decreased in boys after 20 min (d = −0.73) and 30 min (d = −0.78) of recovery, and in girls after 20 min (d = −0.56). DBP decreased in girls immediately after the session (d = −0.90) and after 10 min (d = −1.00); for the total sample, when analyzed across sex, DBP decreased immediately after the session (d = −0.70) and after 10 min (d = −0.52). No effect of MT on HR recovery was observed. Conclusions: A single MT session induces positive changes in blood pressure, with a greater impact on SBP in girls.
背景:分析单次泰拳(MT)对超重/肥胖青少年血压和心率的影响。方法:27例超重/肥胖青少年(12.85±2.08岁),女孩13例,男孩14例,进行60 min的MT训练,包括一般训练和专项训练,最后进行格斗训练。采用DEXA进行人体测量和体脂(BF)测量。通过身体质量指数(BMI)和BF来证实超重。在MT前、MT后即刻以及恢复后10、20、30 min分别用示波仪测量收缩压(SBP)、舒张压(DBP)和心率(HR)。结果:男孩在恢复20 min (d =−0.73)和30 min (d =−0.78)后收缩压下降,女孩在恢复20 min后收缩压下降(d =−0.56)。女孩在治疗后立即(d = - 0.90)和10分钟后(d = - 1.00) DBP下降;对于总样本,当跨性别分析时,DBP在会话后立即下降(d = - 0.70)和10分钟后(d = - 0.52)。没有观察到MT对HR恢复的影响。结论:单次MT治疗可引起血压的积极变化,对女孩的收缩压有更大的影响。
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引用次数: 0
Weight-Normative versus Weight-Inclusive Narratives in Weight-Related Public Health Campaigns: Effects on Anti-Fat Attitudes, Stigma, Motivation, and Self-Efficacy 体重相关公共卫生运动中体重规范与体重包容叙事:对反肥胖态度、污名、动机和自我效能的影响
Pub Date : 2022-02-21 DOI: 10.3390/obesities2010008
Suzy McGregor, S. Roberts, S. Grant, Elyse O’Loghlen
Research has shown that weight-related public health campaigns can inadvertently stigmatise individuals with obesity. We compared the effects of weight-normative (personal responsibility and public health crisis) versus weight-inclusive (Health at Every Size [HAES] and fat acceptance) campaign narratives on anti-fat attitudes and reactions to campaigns in two studies. In study 1, participants (n = 283) from a range of Body Mass Index (BMI) categories viewed one of four mock campaigns before rating their anti-fat-attitudes (dislike, fear of fat, willpower, social distance), and reactions to the campaign (motivation, stigma). In study 2, participants (n = 175) in overweight or obese BMI categories viewed one of four mock campaigns before rating their reactions to the campaign (motivation, stigma, self-efficacy). Study 1 results showed that weight-normative campaigns were perceived as significantly more stigmatising than weight-inclusive ones. However, weight-inclusive campaigns did not decrease anti-fat attitudes or increase motivation for health behaviour change in this sample. Similarly, study 2 results showed that the personal responsibility campaign was rated as significantly more stigmatising than other campaigns among women with overweight or obesity. Fat acceptance was rated as the least stigmatising campaign in this sample, but weight-inclusive narratives did not increase motivation or self-efficacy for health behaviour change. Future research should focus on developing campaign narratives that are non-stigmatising, motivating, and efficacious by addressing health behavior benefits irrespective of sex or weight.
研究表明,与体重有关的公共卫生运动可能会在不经意间给肥胖患者带来污名。在两项研究中,我们比较了体重规范(个人责任和公共卫生危机)与体重包容(各种尺寸的健康[HAES]和脂肪接受)运动对反肥胖态度和运动反应的影响。在研究1中,来自一系列身体质量指数(BMI)类别的参与者(n = 283)观看了四种模拟运动中的一种,然后对他们的反肥胖态度(不喜欢、害怕肥胖、意志力、社交距离)和对运动的反应(动机、耻辱)进行了评分。在研究2中,体重超重或肥胖的参与者(n = 175)在评价他们对运动的反应(动机、耻辱、自我效能)之前,观看了四种模拟运动中的一种。研究1的结果表明,体重规范运动被认为比体重包容运动更具污名化。然而,在这个样本中,包括体重在内的运动并没有降低反肥胖的态度或增加健康行为改变的动机。同样,研究2的结果表明,在超重或肥胖女性中,个人责任运动被认为比其他运动更具耻辱性。在这个样本中,接受肥胖被评为最不具污名化的运动,但体重包容性叙事并没有增加健康行为改变的动机或自我效能感。未来的研究应侧重于发展非污名化、激励和有效的运动叙事,通过解决健康行为的益处,而不考虑性别或体重。
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引用次数: 0
Obesity and Cancer: Potential Mediation by Dysregulated Dietary Phosphate 肥胖和癌症:饮食中磷酸盐失调的潜在中介作用
Pub Date : 2022-02-02 DOI: 10.3390/obesities2010007
Ronald B. Brown
Next to smoking, obesity is the second leading preventable risk factor for cancer, but increasing rates of obesity and overweight are estimated to overtake smoking as the leading preventable cancer risk factor. Few research studies have investigated the dysregulated endocrine metabolism of dietary phosphate as a potential mediating factor in the association of obesity with cancer. Phosphate toxicity, the accumulation of excess phosphate in the body from dysregulated phosphate metabolism, is associated with tumorigenesis. High levels of hormones that regulate phosphate metabolism, such as parathyroid hormone and fibroblast growth factor 23, are also associated with obesity, providing a potential link between obesity and phosphate toxicity. Increased dietary intake of inorganic phosphate is linked to excessive consumption of foods processed with phosphate additives, and consumption of ultra-processed foods is associated with an increase in the incidence of obesity. Sugar-sweetened beverages provide the single largest source of sugar and energy intake in the U.S. population, and colas containing phosphoric acid are associated with tumorigenesis, suggesting another potential connection between obesity and cancer. Furthermore, dietary phosphate is positively correlated with increases in obesity, central obesity, and metabolic syndrome. The present perspective article proposes that dysregulated dietary phosphate potentially mediates the association of obesity with cancer.
除了吸烟,肥胖是癌症第二大可预防风险因素,但据估计,肥胖和超重率的上升将超过吸烟,成为癌症第一大可预防危险因素。很少有研究表明,饮食中磷酸盐的内分泌代谢失调是肥胖与癌症相关的潜在介导因素。磷酸盐毒性,即磷酸盐代谢失调导致体内过量磷酸盐的积累,与肿瘤发生有关。调节磷酸盐代谢的高水平激素,如甲状旁腺激素和成纤维细胞生长因子23,也与肥胖有关,这在肥胖和磷酸盐毒性之间提供了潜在的联系。膳食中无机磷酸盐摄入量的增加与过量食用含磷酸盐添加剂的食品有关,而食用超加工食品与肥胖发病率的增加有关。含糖饮料是美国人口中最大的糖和能量摄入来源,而含有磷酸的可乐与肿瘤发生有关,这表明肥胖与癌症之间存在另一种潜在联系。此外,膳食磷酸盐与肥胖、中心性肥胖和代谢综合征的增加呈正相关。目前的观点文章提出,失调的饮食磷酸盐可能介导肥胖与癌症的关联。
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引用次数: 3
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