Tatiana Palotta Minari, Carolina Freitas Manzano, Louise Buonalumi Tácito Yugar, Luis Gustavo Sedenho-Prado, Tatiane de Azevedo Rubio, Lúcia Helena Bonalumi Tácito, Antônio Carlos Pires, José Fernando Vilela-Martin, Luciana Neves Cosenso-Martin, Nelson Dinamarco Ludovico, André Fattori, Juan Carlos Yugar-Toledo, Heitor Moreno, Luciana Pellegrini Pisani
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引用次数: 0
摘要
肥胖症是一种复杂的慢性疾病,影响着全球数百万人。与肥胖相关的耻辱感仍然很严重,这会导致歧视,并给已经在接受治疗的人造成更多障碍。另一方面,人们注意到肥胖会严重影响健康,并容易引发非传染性慢性疾病。从这个意义上说,本研究的目的是进行一次叙述性综述,涉及当前了解、预防、治疗和讨论与肥胖有关的污名的所有要素。2024 年,我们在以下数据库中搜索了原创文章、随机或非随机临床试验、系统综述、荟萃分析和指南:Pubmed、Scielo、Web of Science、CrossRef 和 Google Scholar。发表时间为 2014 年至 2024 年。肥胖症受遗传、环境和心理因素的复杂综合影响。令人鼓舞的是,在组织学、生理学、遗传学、减肥和公共政策等不同领域,已经发现了各种新的要点。这些肥胖症领域无疑值得关注和开展未来的研究。研究人员可以深入研究这些课题,加深理解,并有可能发现新的见解。肥胖症的治疗应考虑多种因素,并针对每位患者的具体情况。公共政策在防治肥胖症方面也起着至关重要的作用,包括促进健康、防止体重过度增加、早期诊断和妥善护理病人。至关重要的是,社会应开始将这种疾病视为一种极其复杂的因素,而不是一种道德失败或缺乏意志力的表现。这就需要改变人们谈论肥胖症的方式,并采取支持人们而不是羞辱他们的做法。肥胖没有特定的地址、肤色或种族。它属于每一个人,应被视为一个全球性的公共卫生问题。
Demystifying Obesity: Understanding, Prevention, Treatment, and Stigmas.
Obesity is a complex chronic disease that affects millions of people worldwide. There is still significant stigma associated with it, which can lead to discrimination and create additional barriers for people who are already in treatment. On the other hand, it is noted that it can have serious implications for health and predisposition to noncommunicable chronic diseases. In this sense, the objective of this study was to carry out a narrative review involving all current elements for understanding, prevention, treatment, and debate of stigmas related to obesity. A search was conducted in 2024 for original articles, randomized or nonrandomized clinical trials, systematic reviews, meta-analyses, and guidelines in the following databases: Pubmed, Scielo, Web of Science, CrossRef, and Google Scholar. The publication period was from 2014 to 2024. Obesity is influenced by a complex combination of genetic, environmental, and psychological factors. It is encouraging to see that various emerging points have been identified across different fields such as histology, physiology, genetics, weight loss, and public policy. These obesity areas certainly warrant attention and future studies. Researchers can delve into these topics to deepen their understanding and potentially uncover novel insights. The management should be multifactorial and individualized for each patient. Public policies also play a crucial role in combating obesity, including health promotion, prevention of excessive weight gain, early diagnosis, and proper care of patients. It is crucial that society begins to see the disease as an extremely complex element and not as a moral failure or lack of willpower. This requires a change in the way people talk about obesity, as well as practices that support people instead of stigmatizing them. Obesity does not have a specific address, color, or race. It belongs to everyone and should be regarded as a global public health problem.
期刊介绍:
Nutrition Reviews is a highly cited, monthly, international, peer-reviewed journal that specializes in the publication of authoritative and critical literature reviews on current and emerging topics in nutrition science, food science, clinical nutrition, and nutrition policy. Readers of Nutrition Reviews include nutrition scientists, biomedical researchers, clinical and dietetic practitioners, and advanced students of nutrition.