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体重循环对健康和肥胖的影响。

The Impact of Weight Cycling on Health and Obesity.

作者信息

Wang Huan, He Wenbi, Yang Gaoyuan, Zhu Lin, Liu Xiaoguang

机构信息

Graduate School, Guangzhou Sport University, Guangzhou 510500, China.

Guangdong Provincial Key Laboratory of Physical Activity and Health Promotion, Guangzhou Sport University, Guangzhou 510500, China.

出版信息

Metabolites. 2024 Jun 19;14(6):344. doi: 10.3390/metabo14060344.

Abstract

Obesity is a systemic and chronic inflammation, which seriously endangers people's health. People tend to diet to control weight, and the short-term effect of dieting in losing weight is significant, but the prognosis is limited. With weight loss and recovery occurring frequently, people focus on weight cycling. The effect of weight cycling on a certain tissue of the body also has different conclusions. Therefore, this article systematically reviews the effects of body weight cycling on the body and finds that multiple weight cycling (1) increased fat deposition in central areas, lean mass decreased in weight loss period, and fat mass increased in weight recovery period, which harms body composition and skeletal muscle mass; (2) enhanced the inflammatory response of adipose tissue, macrophages infiltrated into adipose tissue, and increased the production of pro-inflammatory mediators in adipocytes; (3) blood glucose concentration mutation and hyperinsulinemia caused the increase or decrease in pancreatic β-cell population, which makes β-cell fatigue and leads to β-cell failure; (4) resulted in additional burden on the cardiovascular system because of cardiovascular rick escalation. Physical activity combined with calorie restriction can effectively reduce metabolic disease and chronic inflammation, alleviating the adverse effects of weight cycling on the body.

摘要

肥胖是一种全身性慢性炎症,严重危害人们的健康。人们倾向于通过节食来控制体重,节食在短期内减肥效果显著,但预后有限。随着体重反复减轻和恢复,人们开始关注体重循环。体重循环对身体某一组织的影响也存在不同结论。因此,本文系统回顾了体重循环对身体的影响,发现多次体重循环(1)增加了中心区域的脂肪沉积,体重减轻期间瘦体重减少,体重恢复期间脂肪量增加,这对身体成分和骨骼肌质量有害;(2)增强了脂肪组织的炎症反应,巨噬细胞浸润到脂肪组织中,脂肪细胞中促炎介质的产生增加;(3)血糖浓度突变和高胰岛素血症导致胰腺β细胞数量增加或减少,这使得β细胞疲劳并导致β细胞功能衰竭;(4)由于心血管风险增加,给心血管系统带来额外负担。体育活动与热量限制相结合可以有效减少代谢疾病和慢性炎症,减轻体重循环对身体的不利影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/693d/11205792/ec9148665f91/metabolites-14-00344-g001.jpg

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