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肥胖症:生活方式管理、减肥手术、药物以及肠道激素的治疗性应用。

Obesity: Lifestyle management, bariatric surgery, drugs, and the therapeutic exploitation of gut hormones.

作者信息

Behary Preeshila, Cegla Jaimini, Tan Tricia M, Bloom Stephen R

机构信息

Division of Diabetes, Endocrinology and Metabolism, Hammersmith Hospital, Imperial College London , Du Cane Road, London , UK.

出版信息

Postgrad Med. 2015 Jun;127(5):494-502. doi: 10.1080/00325481.2015.1048181.

Abstract

Obesity is on the rise and the pursuit of efficient and safe treatment is ongoing. Available anti-obesity medical therapies have so far proved to be disappointing, whereas bariatric surgery is leading the way and offers long-term health benefits. Part of the success of bariatric surgery is thought to be mediated by gut hormones. A better understanding of the role of gut hormones within the gut-brain signaling pathway in the control of hunger, satiety, and energy homeostasis, has led to their therapeutic exploitation as possible anti-obesity drugs. In this review, we provide a summary of currently available treatment options for obesity from simple lifestyle modifications and bariatric surgery to traditional and novel medical therapies.

摘要

肥胖率正在上升,人们仍在不断寻求高效且安全的治疗方法。到目前为止,现有的抗肥胖药物疗法都令人失望,而减肥手术却引领潮流并带来长期健康益处。减肥手术的部分成功被认为是由肠道激素介导的。对肠道激素在肠道-大脑信号通路中控制饥饿、饱腹感和能量平衡方面作用的更好理解,促使人们将其作为可能的抗肥胖药物进行治疗性开发。在本综述中,我们总结了目前可用的肥胖治疗方案,从简单的生活方式改变、减肥手术到传统和新型药物疗法。

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