肠道激素在健康和肥胖中的作用:短链脂肪酸的即将到来的角色。
Gut Hormones in Health and Obesity: The Upcoming Role of Short Chain Fatty Acids.
机构信息
Research Center, King Fahad Medical City-KFMC, Riyadh 11525, Saudi Arabia.
Family Medicine, King Fahad Medical City-KFMC, Riyadh 11525, Saudi Arabia.
出版信息
Nutrients. 2021 Jan 31;13(2):481. doi: 10.3390/nu13020481.
We are currently facing an obesity pandemic, with worldwide obesity rates having tripled since 1975. Obesity is one of the main risk factors for the development of non-communicable diseases, which are now the leading cause of death worldwide. This calls for urgent action towards understanding the underlying mechanisms behind the development of obesity as well as developing more effective treatments and interventions. Appetite is carefully regulated in humans via the interaction between the central nervous system and peripheral hormones. This involves a delicate balance in external stimuli, circulating satiating and appetite stimulating hormones, and correct functioning of neuronal signals. Any changes in this equilibrium can lead to an imbalance in energy intake versus expenditure, which often leads to overeating, and potentially weight gain resulting in overweight or obesity. Several lines of research have shown imbalances in gut hormones are found in those who are overweight or obese, which may be contributing to their condition. Therefore, this review examines the evidence for targeting gut hormones in the treatment of obesity by discussing how their dysregulation influences food intake, the potential possibility of altering the circulating levels of these hormones for treating obesity, as well as the role of short chain fatty acids and protein as novel treatments.
我们正面临着肥胖流行的问题,自 1975 年以来,全球肥胖率已经翻了三倍。肥胖是导致非传染性疾病发展的主要风险因素之一,而这些疾病目前是全球死亡的主要原因。这就要求我们紧急行动起来,了解肥胖发展的潜在机制,并开发更有效的治疗方法和干预措施。人类的食欲是通过中枢神经系统和外周激素的相互作用来精细调节的。这涉及到外部刺激、循环的饱腹感和食欲刺激激素以及神经元信号的正确功能之间的微妙平衡。这种平衡的任何变化都可能导致能量摄入与消耗之间的失衡,这通常会导致暴饮暴食,并可能导致超重或肥胖。有几条研究线表明,超重或肥胖者的肠道激素失衡,这可能是导致他们肥胖的原因之一。因此,本综述通过讨论肠道激素失调如何影响食物摄入,以及改变这些激素循环水平治疗肥胖的潜在可能性,以及短链脂肪酸和蛋白质作为新型治疗方法的作用,来审查针对肠道激素治疗肥胖的证据。