Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Pediatr Blood Cancer. 2012 Jan;58(1):149-53. doi: 10.1002/pbc.23376. Epub 2011 Sep 23.
Despite a global obesity epidemic suggesting that human physiology is unable to prevent unhealthy gains in body weight, ample evidence indicates that weight can be tightly regulated. Food intake regulation is complex and in this article we will present a basic endocrine feedback loop model of energy homeostasis. Next, integration of long-term regulation with short-term, meal specific regulation and satiety will be discussed. Finally, the role of adiposity signals in modulation of food reward will be highlighted. A basic understanding of the structure-function of these systems will inform the challenges of clinical care for those with disorders of energy balance.
尽管全球肥胖症流行表明人类生理机能无法防止体重不健康增加,但大量证据表明,体重可以得到严格控制。食物摄入的调节是复杂的,在本文中,我们将呈现一个基本的能量平衡内分泌反馈回路模型。接下来,将讨论长期调节与短期、特定膳食调节和饱腹感的整合。最后,将强调肥胖信号在食物奖励调节中的作用。对这些系统的结构-功能的基本理解将为那些患有能量平衡障碍的患者的临床护理带来挑战。