Precision Medicine for Obesity Program and Clinical Enteric Neuroscience Translational and Epidemiological Research Program, Department of Medicine, Mayo Clinic, Rochester, MN 55905, USA.
Division of Gastroenterology and Hepatology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Nutrients. 2021 Apr 1;13(4):1158. doi: 10.3390/nu13041158.
Sensory and motor functions of the stomach, including gastric emptying and accommodation, have significant effects on energy consumption and appetite. Obesity is characterized by energy imbalance; altered gastric functions, such as rapid gastric emptying and large fasting gastric volume in obesity, may result in increased food intake prior to reaching usual fullness and increased appetite. Thus, many different interventions for obesity, including different diets, anti-obesity medications, bariatric endoscopy, and surgery, alter gastric functions and gastrointestinal motility. In this review, we focus on the role of the gastric and intestinal functions in food intake, pathophysiology of obesity, and obesity management.
胃的感觉和运动功能,包括胃排空和容纳,对能量消耗和食欲有重要影响。肥胖的特征是能量失衡;胃功能改变,如肥胖时胃排空加速和空腹胃容量增大,可能导致在达到通常的饱腹感之前摄入更多的食物和增加食欲。因此,肥胖的许多不同干预措施,包括不同的饮食、抗肥胖药物、减肥内窥镜和手术,都会改变胃功能和胃肠道蠕动。在这篇综述中,我们重点讨论胃和肠道功能在进食、肥胖的病理生理学和肥胖管理中的作用。