Department of Endocrinology & Nutrition, Clínica Universidad de Navarra, Pamplona, Spain.
CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), ISCIII, Pamplona, Spain.
Eur J Clin Invest. 2022 Jul;52(7):e13811. doi: 10.1111/eci.13811. Epub 2022 May 12.
Academic medicine fosters research that moves from discovery to translation, at the same time as promoting education of the next generation of professionals. In the field of obesity, the supposed integration of knowledge, discovery and translation research to clinical care is being particularly hampered. The classification of obesity based on the body mass index does not account for several subtypes of obesity. The lack of a universally shared definition of "obesities" makes it impossible to establish the real burden of the different obesity phenotypes. The individual's genotype, adipotype, enterotype and microbiota interplays with macronutrient intake, appetite, metabolism and thermogenesis. Further investigations based on the concept of differently diagnosed "obesities" are required.
学术医学促进从发现到转化的研究,同时促进下一代专业人员的教育。在肥胖领域,知识、发现和转化研究与临床护理的所谓整合尤其受到阻碍。基于体重指数的肥胖分类没有考虑到几种肥胖亚型。缺乏普遍认同的“肥胖症”定义,使得不同肥胖表型的实际负担无法确定。个体的基因型、脂肪型、肠型和微生物群与宏量营养素摄入、食欲、代谢和产热相互作用。需要基于不同诊断的“肥胖症”概念进一步研究。