Jahanbani Alireza, Rezazadeh Davood, Sajadi Elham, Haj Hosseini Mahdiyeh, Ketabchi Deniz, EskandariRoozbahani Narges
Department of Biochemistry and Molecular Biology, Faculty of Veterinary Medicine, Shahid Chamran University of Ahvaz, Ahvaz, Iran.
Molecular Medicine Department, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Int J Obes (Lond). 2025 Apr 27. doi: 10.1038/s41366-025-01791-9.
This article examines the human body's adaptive responses to obesity from biological, behavioral, and evolutionary perspectives. It explores how ancient survival mechanisms, such as fat storage during scarcity, have persisted but become maladaptive in modern contexts of food abundance and sedentary lifestyles. Using the Thrifty Gene Hypothesis and General Adaptation Syndrome (GAS), the study investigates how chronic stress and genetic predispositions contribute to obesity. Chronic stress, as described in GAS, is linked to obesity through mechanisms like prolonged cortisol elevation, which promotes fat storage, particularly in the abdominal region, and disrupts hunger and satiety regulation. The article also explores the possibility that contemporary chronic stress may cause the body to buffer stressful conditions through fat accumulation. While the Thrifty Gene Hypothesis suggests that genetic traits evolved to optimize energy storage during scarcity, contributing to obesity in modern environments, it remains controversial. Critics argue that it oversimplifies obesity's causes, such as lifestyle and environmental factors. Although genetic variations influencing obesity susceptibility continue to evolve, the physiological mechanisms of fat storage and stress adaptation have remained largely unchanged since ancient times.
本文从生物学、行为学和进化的角度探讨了人体对肥胖的适应性反应。它探究了古代的生存机制,如在食物匮乏时储存脂肪,是如何延续下来但在现代食物丰富和久坐不动的生活方式背景下变得适应不良的。利用节俭基因假说和一般适应综合征(GAS),该研究调查了慢性应激和遗传易感性如何导致肥胖。如GAS中所描述的,慢性应激通过诸如皮质醇长期升高之类的机制与肥胖相关联,皮质醇长期升高会促进脂肪储存,尤其是在腹部区域,并扰乱饥饿和饱腹感调节。本文还探讨了当代慢性应激可能导致身体通过脂肪堆积来缓冲压力状况的可能性。虽然节俭基因假说表明遗传特征是为了在食物匮乏时优化能量储存而进化的,这在现代环境中导致了肥胖,但该假说仍存在争议。批评者认为它过度简化了肥胖的成因,比如生活方式和环境因素。尽管影响肥胖易感性的基因变异在不断演变,但自古代以来,脂肪储存和应激适应的生理机制在很大程度上并未改变。