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药物戒断与暴食:来自烟草和其他药物的启示。

Drug withdrawal and hyperphagia: lessons from tobacco and other drugs.

机构信息

Department of Psychiatry, College of Medicine & McKnight Brain Institute, University of Florida, Gainesville, FL 32610-0183, USA.

出版信息

Curr Pharm Des. 2011;17(12):1173-9. doi: 10.2174/138161211795656738.

Abstract

'Globesity' is a descriptive term for the obesity epidemic now facing the U.S. and indeed, the world. Hyperphagia (i.e. overeating) can lead to metabolic syndrome which in turn can lead to Type 2 diabetes mellitus, heart disease, stroke and some cancers. The World Health Organization even states that more people die each year from the consequences of obesity than from hunger. Something must be done to stem the tsunami of obesity and its resultant medical complications. Our work and that of others suggests that new obesity treatments and anti-obesity medications should be based on those already successful in treating other addictions. This paper looks at empirical evidence linking addictions to food and to drugs such as tobacco, alcohol, cannabis, amphetamines, and cocaine. Hypotheses are put forth as to why hyperphagia is so difficult to treat. Additionally, prenatal programming for addiction is explored. Lessons from successful drug treatment are elucidated and potential pharmaceutical targets for hyperphagia and obesity are suggested.

摘要

“Globesity”是一个描述性术语,用于描述目前美国乃至全球面临的肥胖症流行。过度进食(即暴饮暴食)可导致代谢综合征,进而导致 2 型糖尿病、心脏病、中风和某些癌症。世界卫生组织甚至指出,每年因肥胖导致的死亡人数比因饥饿导致的死亡人数还要多。必须采取措施遏制肥胖的海啸及其带来的医疗并发症。我们的工作和其他人的工作表明,新的肥胖症治疗方法和抗肥胖症药物应该基于那些已经成功治疗其他成瘾症的方法。本文着眼于将食物成瘾与烟草、酒精、大麻、安非他命和可卡因等药物成瘾联系起来的经验证据。提出了为什么治疗暴饮暴食如此困难的假设。此外,还探讨了成瘾的产前编程。阐述了成功的戒毒治疗的经验教训,并提出了治疗暴饮暴食和肥胖的潜在药物靶点。

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