Endocrinology and Care of Diabetes Unit-Azienda Ospedaliero-Universitaria S. Orsola Malpighi, Alma Mater Studiorum University of Bologna, 40126 Bologna, Italy.
IRCCS-Azienda Ospedaliero-Universitaria S. Orsola Malpighi, Alma Mater Studiorum University of Bologna, 40126 Bologna, Italy.
Nutrients. 2023 May 8;15(9):2229. doi: 10.3390/nu15092229.
The increasing prevalence of overweight and obesity suggests that current strategies based on diet, exercise, and pharmacological knowledge are not sufficient to tackle this epidemic. Obesity results from a high caloric intake and energy storage, the latter by white adipose tissue (WAT), and when neither are counterbalanced by an equally high energy expenditure. As a matter of fact, current research is focused on developing new strategies to increase energy expenditure. Against this background, brown adipose tissue (BAT), whose importance has recently been re-evaluated via the use of modern positron emission techniques (PET), is receiving a great deal of attention from research institutions worldwide, as its main function is to dissipate energy in the form of heat via a process called thermogenesis. A substantial reduction in BAT occurs during normal growth in humans and hence it is not easily exploitable. In recent years, scientific research has made great strides and investigated strategies that focus on expanding BAT and activating the existing BAT. The present review summarizes current knowledge about the various molecules that can be used to promote white-to-brown adipose tissue conversion and energy expenditure in order to assess the potential role of thermogenic nutraceuticals. This includes tools that could represent, in the future, a valid weapon against the obesity epidemic.
超重和肥胖的发病率不断上升,表明目前基于饮食、运动和药理学知识的策略不足以应对这一流行病。肥胖是由于高热量摄入和能量储存引起的,后者由白色脂肪组织(WAT)引起,而当摄入的能量没有被同样高的能量消耗所平衡时,就会导致肥胖。事实上,目前的研究集中在开发新的策略来增加能量消耗。在此背景下,棕色脂肪组织(BAT)由于最近通过使用现代正电子发射技术(PET)重新评估了其重要性,因此受到了全球研究机构的高度关注,因为其主要功能是通过称为产热的过程以热量的形式消耗能量。在人类正常生长过程中,BAT 会大量减少,因此不容易被利用。近年来,科学研究取得了很大进展,研究了扩大 BAT 和激活现有 BAT 的策略。本综述总结了目前关于各种分子的知识,这些分子可以用来促进白色脂肪组织向棕色脂肪组织的转化和能量消耗,以评估产热营养保健品的潜在作用。这包括未来可能成为对抗肥胖流行的有效武器的工具。