Department of Gastroenterology, Galilee Medical Center, Nahariya, Israel; Faculty of Medicine in the Galilee, Bar-Ilan University, Safed, Israel.
Department of Medicine, Hebrew University-Hadassah Medical Center, PO Box 12000, IL-91120, Jerusalem, Israel.
Obes Res Clin Pract. 2021 Mar-Apr;15(2):114-123. doi: 10.1016/j.orcp.2021.02.003. Epub 2021 Feb 27.
Prevention of weight regain following successful weight loss is a major challenge in the treatment of obesity, irrespective of the weight reduction method used. The majority of individuals regain the lost weight over time; thus, achieving long-term sustainability in weight loss remains an unresolved issue. A compensatory adaptation to the weight loss methods occurs in several body organs and partly explains the lack of sustainable effect. Variability is inherent in many biological systems, and patterns of variability constitute a body mechanism that is active at several levels, starting from the genes and cellular pathways through to the whole-organ level. This study aimed to describe a platform that introduces individually tailored variability in vagal nerve stimulation and dietary regimen to ensure prolonged and sustainable weight loss and prevent weight regain. The platform is intended to provide a method that can overcome the body's compensatory adaptation mechanisms while ensuring a prolonged beneficial effect.
预防成功减肥后的体重反弹是肥胖治疗中的一个主要挑战,无论所采用的减肥方法如何。大多数人随着时间的推移会重新获得失去的体重,因此,实现长期可持续的减肥仍然是一个未解决的问题。体重减轻方法会导致多个身体器官发生代偿性适应,这在一定程度上解释了减肥效果缺乏可持续性的原因。许多生物系统都存在变异性,变异性模式构成了一种机体机制,这种机制在多个层面上发挥作用,从基因和细胞途径到整个器官水平。本研究旨在描述一个平台,该平台引入了针对迷走神经刺激和饮食方案的个体化变异性,以确保长期和可持续的体重减轻并防止体重反弹。该平台旨在提供一种可以克服机体代偿适应机制的方法,同时确保长期有益效果。