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减重传奇:肥胖症手术与大脑的对话。

Legend of Weight Loss: a Crosstalk Between the Bariatric Surgery and the Brain.

机构信息

Endocrinology and Metabolism Center, National Metabolic Management Center, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, People's Republic of China.

Endocrinology and Metabolism Center, National Metabolic Management Center, Division of Metabolic Surgery for Obesity and Diabetes, Shanghai Tenth People's Hospital, Tongji University School of Medicine, 301 Middle Yanchang Rd, Shanghai, 200072, People's Republic of China.

出版信息

Obes Surg. 2020 May;30(5):1988-2002. doi: 10.1007/s11695-020-04474-8.

Abstract

In recent years, plenty of researches have reported in obese individuals with abnormal brain processes implicated in homeostatic regulation, reward, emotion, memory, attention, and executive function in eating behaviors. Thus, treating obesity cannot remain "brainless." Behavioral and psychological interventions activate the food reward, attention, and motivation system, leading to minimal weight loss and high relapse rates. Pharmacotherapy is an effective weight loss method and regulate brain activity but with concerns about its brain function safety problems. Obesity surgery, the most effective therapy currently available for obesity, shows pronounced effects on brain activity, such as deactivation of reward and attention system, and activation of inhibition control toward food cues. In this review, we present an overview of alterations in the brain after the three common weight loss methods.

摘要

近年来,大量研究报告指出,肥胖个体存在与稳态调节、奖励、情绪、记忆、注意力和执行功能相关的异常大脑过程,影响进食行为。因此,治疗肥胖不能“无脑”。行为和心理干预激活食物奖励、注意力和动机系统,导致体重减轻最小化和高复发率。药物治疗是一种有效的减肥方法,可调节大脑活动,但存在对其脑功能安全问题的担忧。肥胖手术是目前治疗肥胖最有效的方法,它对大脑活动有明显的影响,如奖励和注意力系统的失活,以及对食物线索的抑制控制的激活。在这篇综述中,我们概述了三种常见减肥方法后大脑的变化。

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