The damaging duo: Obesity and excess dietary salt contribute to hypertension and cardiovascular disease DOI
Joseph C. Watso, Ibra S. Fancher, Dulce H. Gomez

et al.

Obesity Reviews, Journal Year: 2023, Volume and Issue: 24(8)

Published: June 19, 2023

Hypertension is a primary risk factor for cardiovascular disease. Cardiovascular disease the leading cause of death among adults worldwide. In this review, we focus on two most critical public health challenges that contribute to hypertension-obesity and excess dietary sodium from salt (i.e., chloride). While independent effects these factors have been studied extensively, interplay obesity overconsumption not well understood. Here, discuss both combined given their contributions vascular dysfunction, autonomic dysregulation, kidney insulin resistance. We role ultra-processed foods-accounting nearly 60% energy intake in America-as major contributor overconsumption. highlight influence elevated blood pressure presence high-salt diet sensitivity). Throughout gaps knowledge should be filled inform us prevention, management, treatment, mitigation strategies addressing challenges.

Language: Английский

Burden of disease study of overweight and obesity; the societal impact in terms of cost-of-illness and health-related quality of life DOI Creative Commons
Jeffrey E. Hecker,

Karen Freijer,

Mickaël Hiligsmann

et al.

BMC Public Health, Journal Year: 2022, Volume and Issue: 22(1)

Published: Jan. 7, 2022

Little is known about the burden that overweight and obesity impose on Dutch society. The aim of this study to examine in terms cost-of-illness health-related quality life.

Language: Английский

Citations

87

Obesity DOI
Adam H. Gilden, Victoria A. Catenacci, John Michael Taormina

et al.

Annals of Internal Medicine, Journal Year: 2024, Volume and Issue: 177(5), P. ITC65 - ITC80

Published: May 1, 2024

Obesity is a common condition and major cause of morbidity mortality. Fortunately, weight loss treatment can reduce obesity-related complications. This review summarizes the evidence-based strategies physicians employ to identify, prevent, treat obesity, including best practices diagnose counsel patients, assess address burden weight-related disease stigma, secondary causes gain, help patients set individualized realistic goals an effective plan. Effective treatments include lifestyle modification adjunctive therapies such as antiobesity medications metabolic bariatric surgery.

Language: Английский

Citations

22

A comprehensive diagnostic approach to detect underlying causes of obesity in adults DOI Creative Commons
Eline S. van der Valk, Erica L.T. van den Akker, Mesut Savas

et al.

Obesity Reviews, Journal Year: 2019, Volume and Issue: 20(6), P. 795 - 804

Published: March 1, 2019

Summary Obesity is a worldwide growing problem. When confronted with obesity, many health care providers focus on direct treatment of the consequences adiposity. We plead for adequate diagnostics first, followed by an individualized treatment. provide experience‐based and evidence‐based practical recommendations (illustrated clinical examples), to detect potential underlying diseases contributing factors. Adult patients consulting doctor weight gain or obesity should first be clinically assessed diseases, such as monogenetic syndromic hypothyroidism, (cyclic) Cushing syndrome, polycystic ovarian syndrome (PCOS), hypogonadism, growth hormone deficiency, hypothalamic obesity. The most important alarm symptoms genetic are early onset dysmorphic features/congenital malformations without intellectual deficit, behavioral problems, hyperphagia, and/or striking family history. Importantly, also common factors investigated, including medication (mainly psychiatric drugs, (local) corticosteroids, insulin, specific β‐adrenergic receptor blockers), sleeping habits quality, crash diets yoyo‐effect, smoking cessation, alcoholism. Other associated conditions include mental chronic stress binge‐eating disorder depression.Identifying optimizing factors, other may not only result in more effective personalized but could reduce social stigma

Language: Английский

Citations

106

The Impact of Obesity and Lifestyle on the Immune System and Susceptibility to Infections Such as COVID-19 DOI Creative Commons
Daan L. de Frel, Douwe E. Atsma, Hanno Pijl

et al.

Frontiers in Nutrition, Journal Year: 2020, Volume and Issue: 7

Published: Nov. 19, 2020

Background: COVID-19 is a global challenge to healthcare. Obesity common in patients with and seems aggravate disease prognosis. In this review we explore the link between obesity, chronic disease, lifestyle factors immune system, propose societal interventions enhance immunity. Search Strategy Selection Criteria: We performed three literature searches using keywords (1) coronavirus AND comorbidities, (2) comorbidities (3) system. Results were screened for relevance by main author total of 215 articles thoroughly analyzed. Results: The relationship obesity unfavorable prognosis discussed light impact on Several modifiable render us susceptible viral infections. context, make case fostering healthy scale. Conclusions: Obesity, additional an unhealthy interactively impair function increase risk severe infectious disease. adverse metabolic endocrine conditions, system geared toward inflammation. Collective effort needed ameliorate scale resistance viruses like SARS-CoV-2.

Language: Английский

Citations

105

Plant-Based Diet: Is It as Good as an Animal-Based Diet When It Comes to Protein? DOI
Matthew W. Ewy,

Ankitaben Patel,

Marwa G. Abdelmagid

et al.

Current Nutrition Reports, Journal Year: 2022, Volume and Issue: 11(2), P. 337 - 346

Published: Feb. 22, 2022

Language: Английский

Citations

52

Weight Maintenance after Dietary Weight Loss: Systematic Review and Meta-Analysis on the Effectiveness of Behavioural Intensive Intervention DOI Open Access
Giovanna Flore, Antonio Preti, Mauro Giovanni Carta

et al.

Nutrients, Journal Year: 2022, Volume and Issue: 14(6), P. 1259 - 1259

Published: March 16, 2022

After a low-calorie diet, only 25% of patients succeed in maintaining the result weight loss for long time. This systematic review and meta-analysis aims to explore whether undergoing intensive intervention during maintenance phase have greater preservation achieved previous slimming than controls. A bibliographic search was conducted using PubMed, Scopus, Cochrane databases clinical trials randomised, controlled investigating role choice weight-loss-maintenance strategies. Only studies with follow-up at least 12 months were considered. total eight studies, 1454 patients, identified, each comparing group that followed more protocol control group. Our metanalysis highlighted an approach even could be important ensure success following weight-loss period. However, it should pointed out improvement not so different from trend respective controls, non-statistically significant mean difference effect size (0.087; 95% CI −0.016 0.190 p = 0.098). finding, along observation regain half selected suggests this is work has started within reinforced phase. The problem obesity understood as process education healthy lifestyle balanced diet integrated context multidisciplinary approach.

Language: Английский

Citations

44

Weight Reduction with GLP-1 Agonists and Paths for Discontinuation While Maintaining Weight Loss DOI Creative Commons
Allison B. Reiss,

Shelly Gulkarov,

Raymond Lau

et al.

Biomolecules, Journal Year: 2025, Volume and Issue: 15(3), P. 408 - 408

Published: March 13, 2025

Worldwide, nearly 40% of adults are overweight and 13% obese. Health consequences excess weight include cardiovascular diseases, type 2 diabetes, dyslipidemia, increased mortality. Treating obesity is challenging calorie restriction often leads to rebound gain. Treatments such as bariatric surgery create hesitancy among patients due their invasiveness. GLP-1 medications have revolutionized loss can reduce body in obese by between 15% 25% on average after about 1 year. Their mode action mimic the endogenous GLP-1, an intestinal hormone that regulates glucose metabolism satiety. However, drugs carry known risks and, since use for recent, may unforeseen well. They a boxed warning people with personal or family history medullary thyroid carcinoma multiple endocrine neoplasia syndrome 2. Gastrointestinal adverse events (nausea, vomiting, diarrhea) fairly common while pancreatitis obstruction rarer. There be lean mass well premature facial aging. A significant disadvantage using these high rate regain when they discontinued. Achieving success pharmacologic treatment then weaning avoid future negative effects would ideal.

Language: Английский

Citations

1

ANMCO (Italian Association of Hospital Cardiologists) scientific statement: obesity in adults—an approach for cardiologists DOI Creative Commons
Stefania Angela Di Fusco, Edoardo Mocini, Michele Massimo Gulizia

et al.

Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity, Journal Year: 2024, Volume and Issue: 29(1)

Published: Jan. 2, 2024

Abstract Obesity is a complex, chronic disease requiring multidisciplinary approach to its management. In clinical practice, body mass index and waist-related measurements can be used for obesity screening. The estimated prevalence of among adults worldwide 12%. With the expected further increase in overall prevalence, clinicians will increasingly managing patients with obesity. Energy balance regulated by complex neurohumoral system that involves central nervous circulating mediators, which leptin most studied. functioning these systems influenced both genetic environmental factors. generally occurs when genetically predisposed individual lives an obesogenic environment long period. Cardiologists are deeply involved evaluating Cardiovascular risk profile one important items quantified understand health due benefit single patient obtain weight loss. At level, appropriate involvement, detection potential causes, tools improve outcomes. near future, we probably have new pharmacological at our disposal facilitate achieving maintaining However, treatment alone cannot cure such disease. aim this paper summarize some key points field, as definition measurement tools, epidemiology, main mechanisms underlying energy homeostasis, consequences focus on cardiovascular diseases paradox. Level evidence V: report expert committees.

Language: Английский

Citations

6

Identifying underlying medical causes of pediatric obesity: Results of a systematic diagnostic approach in a pediatric obesity center DOI Creative Commons
Lotte Kleinendorst, Ozair Abawi, Bibian van der Voorn

et al.

PLoS ONE, Journal Year: 2020, Volume and Issue: 15(5), P. e0232990 - e0232990

Published: May 8, 2020

Background Underlying medical causes of obesity (endocrine disorders, genetic cerebral or medication-induced obesities) are thought to be rare. Even in specialized pediatric endocrinology clinics, low diagnostic yield is reported, but evidence limited. Identifying these vital for patient-tailored treatment. Objectives To present the results a systematic workup children and adolescents referred center. Methods This prospective observational study. Prevalence underlying was determined after multidisciplinary, including growth charts analysis, extensive biochemical hormonal assessment testing all patients. Results The completed n = 282 Median age 10.8 years (IQR 7.7–14.1); median BMI +3.7SDS +3.3-+4.3). In 54 (19%) patients, singular cause identified: 37 patients obesity, 8 9 obesities. total, thirteen different disorders were diagnosed. Obesity onset <5 (p 0.04) hyperphagia 0.001) indicators causes, only without intellectual disability (ID). Patients with ID more often had history neonatal feeding problems 0.003) short stature 0.005). BMI-SDS not higher 0.52). obesities lower height-SDS than rest cohort. Conclusions our knowledge, this first study report aimed at identifying endocrine, genetic, obesity. We found that variety identified 19% severe childhood Because heterogeneity, an approach needed establish facilitate disease-specific,

Language: Английский

Citations

46

Predicting body fat using a novel fuzzy-weighted approach optimized by the whale optimization algorithm DOI
Zongwen Fan, Jin Gou

Expert Systems with Applications, Journal Year: 2023, Volume and Issue: 217, P. 119558 - 119558

Published: Jan. 18, 2023

Language: Английский

Citations

15