Foldi Claire J, Griffiths Kristi R
Biomedicine Discovery Institute, Monash University, Clayton, Victoria, Australia.
InsideOut Institute, Charles Perkins Centre, University of Sydney, Sydney, New South Wales, Australia.
Nat Rev Neurosci. 2025 Jun 20. doi: 10.1038/s41583-025-00940-3.
Despite their prevalence, eating disorders (EDs) are under-researched and often misunderstood. A recent focus of research on the biological underpinnings of EDs has helped to reframe our understanding of their origins, but there remain a lack of effective treatment options, high rates of relapse and, unfortunately, high mortality and morbidity. In this Review, we highlight the many facets of normal and pathological feeding behaviour and body weight regulation and suggest that these provide a framework with which to develop integrative methods to study, and ultimately treat, EDs. We propose that a better understanding of the biological causes of ED, and their crucial interactions with psychological and environmental factors, is necessary to progress the field. This can be achieved through a combination of preclinical and clinical investigations, which provide complementary information on these highly complex disorders. In the era of individualized medicine and with the advent of artificial intelligence tools that allow the amalgamation of multimodal data, we hope that a better understanding of the biology of EDs may hold the answer to effectively overcoming the debilitating effects of these conditions.
尽管饮食失调症普遍存在,但对其研究不足且常常被误解。近期对饮食失调症生物学基础的研究重点有助于重新构建我们对其起源的理解,但仍然缺乏有效的治疗方案,复发率高,而且不幸的是,死亡率和发病率也很高。在本综述中,我们强调了正常和病理性进食行为以及体重调节的多个方面,并认为这些提供了一个框架,用以开发综合方法来研究并最终治疗饮食失调症。我们提出,更好地理解饮食失调症的生物学原因及其与心理和环境因素的关键相互作用,对于推动该领域的发展是必要的。这可以通过临床前和临床研究相结合来实现,这些研究为这些高度复杂的疾病提供了互补信息。在个性化医疗时代以及随着允许整合多模态数据的人工智能工具的出现,我们希望更好地理解饮食失调症的生物学原理可能是有效克服这些疾病使人衰弱影响的答案。