大麻、体重及与体重相关的行为
Cannabis, Weight, and Weight-Related Behaviors.
作者信息
Goodpaster Kasey P S
机构信息
Cleveland Clinic Bariatric & Metabolic Institute, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, 9500 Euclid Ave./M61, Cleveland, OH, 44195, USA.
出版信息
Curr Obes Rep. 2025 May 8;14(1):40. doi: 10.1007/s13679-025-00633-z.
PURPOSE OF REVIEW
Review recent research regarding the relationship between cannabis use, weight, eating behaviors, eating disorders, and physical activity.
RECENT FINDINGS
Cannabis, particularly the cannabinoid Δ9-tegrahydrocannabinol (THC), is associated with increased appetite, food cravings, overconsumption, and decreased physical activity. Cannabidiol (CBD) appears to be associated with decreased appetite. While cannabis use is not correlated with binge eating, cannabis use disorder is associated with loss of control eating. Despite cannabis' association with unhealthy eating and sedentary behavior, most studies suggest that cannabis use is not associated with weight gain, or may even facilitate weight loss. The state of the literature regarding the relationship between cannabis, weight, and weight-related behaviors is complex. Most studies do not differentiate between cannabinoid profiles, routes of administration, or whether cannabis use is problematic. Patients presenting for weight management should be cautioned about cannabis, particularly THC, potentially increasing risk of unhealthy eating and activity patterns.
综述目的
回顾近期关于大麻使用与体重、饮食行为、饮食失调及身体活动之间关系的研究。
最新发现
大麻，尤其是大麻素Δ9-四氢大麻酚（THC），与食欲增加、食物渴望、过度消费及身体活动减少有关。大麻二酚（CBD）似乎与食欲降低有关。虽然大麻使用与暴饮暴食无相关性，但大麻使用障碍与失控性进食有关。尽管大麻与不健康饮食和久坐行为有关，但大多数研究表明，大麻使用与体重增加无关，甚至可能有助于体重减轻。关于大麻、体重及体重相关行为之间关系的文献情况较为复杂。大多数研究未区分大麻素类型、给药途径或大麻使用是否存在问题。对于寻求体重管理的患者，应提醒其注意大麻，尤其是THC，可能会增加不健康饮食和活动模式的风险。
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