Marks David F
Editor, Journal of Health Psychology and Health Psychology Open.
Health Psychol Open. 2015 Jun 29;2(1):2055102915590692. doi: 10.1177/2055102915590692. eCollection 2015 Jan.
Health is regulated by homeostasis, a property of all living things. Homeostasis maintains equilibrium at set-points using feedback loops for optimum functioning of the organism. Imbalances in homeostasis causing overweight and obesity are evident in more than 1 billion people. In a new theory, homeostatic obesity imbalance is attributed to a hypothesized 'Circle of Discontent', a system of feedback loops linking weight gain, body dissatisfaction, negative affect and over-consumption. The Circle of Discontent theory is consistent with an extensive evidence base. A four-armed strategy to halt the obesity epidemic consists of (1) putting a stop to victim-blaming, stigma and discrimination; (2) devalorizing the thin-ideal; (3) reducing consumption of energy-dense, low-nutrient foods and drinks; and (4) improving access to plant-based diets. If fully implemented, interventions designed to restore homeostasis have the potential to halt the obesity epidemic.
健康由体内平衡调节,这是所有生物的一种特性。体内平衡利用反馈回路在设定点维持平衡,以实现机体的最佳功能。超过10亿人存在体内平衡失衡导致超重和肥胖的情况。在一个新理论中,稳态肥胖失衡归因于一个假设的“不满循环”,这是一个将体重增加、身体不满、负面影响和过度消费联系起来的反馈回路系统。不满循环理论与大量证据相符。阻止肥胖流行的四管齐下战略包括:(1)停止指责受害者、消除污名化和歧视;(2)贬低瘦为美的观念;(3)减少高能量、低营养食品和饮料的消费;(4)改善植物性饮食的获取途径。如果全面实施,旨在恢复体内平衡的干预措施有可能阻止肥胖流行。