Molecular Mechanisms Underlying the Relationship between Obesity and Male Infertility DOI Creative Commons
Federica Barbagallo, Rosita A. Condorelli, Laura M. Mongioì

и другие.

Metabolites, Год журнала: 2021, Номер 11(12), С. 840 - 840

Опубликована: Дек. 4, 2021

In recent decades, the worldwide prevalence of obesity has risen dramatically and is currently estimated to be around 20%. Obesity linked an increased risk comorbidities premature mortality. Several studies have shown that negatively impacts male fertility through various mechanisms. This review aims investigate molecular mechanisms which impairs reproduction, including obesity-associated hypogonadism its effects on spermatogenesis, chronic inflammation, oxidative stress. both conventional biofunctional sperm parameters, it also induces epigenetic changes can transferred offspring. Moreover, obesity-related diseases are a dysregulation adipocyte function micro-environmental inflammatory processes. The dysregulated adipokines significantly influence insulin signaling, they may detrimental effect testicular function. Sirtuins play important role in metabolic responses obese patients. Understanding involved obesity-induced infertility could increase our ability identify novel targets for prevention treatment related consequences.

Язык: Английский

The management of very low-calorie ketogenic diet in obesity outpatient clinic: a practical guide DOI Creative Commons
Giovanna Muscogiuri, Luigi Barrea, Daniela Laudisio

и другие.

Journal of Translational Medicine, Год журнала: 2019, Номер 17(1)

Опубликована: Окт. 29, 2019

The epidemic of obesity is growing steadily across the whole world. Obesity not only a merely aesthetic disease but "mother" most chronic diseases such as associated with range type 2 diabetes, cardiovascular disease, obstructive sleep apnea, and cancer. However, although there need to find strategy stop this times current nutritional strategies are effective in weight loss long term maintenance. Very low-calorie ketogenic diets (VLCKD) increasingly establishing successful pattern manage obesity; due rapid that gives rise positive psychological cycle which turn increases compliance diet. Another important key point VLCKD ability preserve fatty free mass known play role paramount importance glucose metabolism. Despite clinical evidence paucity data regarding its management. Therefore, we will provide useful guide be used by nutrition experts taking care subjects obesity. In particular, report recommendations on correct use therapeutic approach for management side effects.

Язык: Английский

Процитировано

147

Obesity I: Overview and molecular and biochemical mechanisms DOI
Robert H. Lustig,

David Collier,

Christopher D. Kassotis

и другие.

Biochemical Pharmacology, Год журнала: 2022, Номер 199, С. 115012 - 115012

Опубликована: Апрель 5, 2022

Язык: Английский

Процитировано

128

Complexity and Stigma of Pediatric Obesity DOI Creative Commons
Andrea M. Haqq, Maryam Kebbe, Qiming Tan

и другие.

Childhood Obesity, Год журнала: 2021, Номер 17(4), С. 229 - 240

Опубликована: Март 29, 2021

Weight stigma is rooted in a fundamental misunderstanding of the origins obesity, wherein interplay behavioral, environmental, genetic, and metabolic factors deemphasized. Instead, widespread societal cultural presence weight fosters misconceptions obesity being solely result unhealthy personal choices. pervasive childhood adolescence can affect individuals throughout their life. Although prevalence pediatric remains high world, it becomes increasingly important to understand how affects health outcomes children adolescents with overweight or including those rare genetic diseases obesity. We identified reviewed recent literature (primarily published since 2000) on setting. Articles were search terms bias, stigma, weight-based teasing bullying, bias care. In this narrative review, we discuss as relates complex etiology well describe best practices for avoiding perpetuating care

Язык: Английский

Процитировано

111

New Frontiers in Obesity Treatment: GLP-1 and Nascent Nutrient-Stimulated Hormone-Based Therapeutics DOI Creative Commons
Ania M. Jastreboff, Robert F. Kushner

Annual Review of Medicine, Год журнала: 2023, Номер 74(1), С. 125 - 139

Опубликована: Янв. 27, 2023

Nearly half of Americans are projected to have obesity by 2030, underscoring the pressing need for effective treatments. Glucagon-like peptide 1 receptor agonists (GLP-1 RAs) represent first agents in a rapidly evolving, highly promising landscape nascent hormone-based therapeutics. With understanding neurobiology expanding, these emerging entero-endocrine and endo-pancreatic combined or coformulated with GLP-1 RAs herald new era targeted, mechanism-based treatment obesity. This article reviews previews imminent future nutrient-stimulated anti-obesity

Язык: Английский

Процитировано

90

Obesity definition, diagnosis, bias, standard operating procedures (SOPs), and telehealth: An Obesity Medicine Association (OMA) Clinical Practice Statement (CPS) 2022 DOI Creative Commons
Angela Fitch, Harold Bays

Obesity Pillars, Год журнала: 2022, Номер 1, С. 100004 - 100004

Опубликована: Янв. 15, 2022

The Obesity Medicine Association (OMA) Clinical Practice Statement (CPS) regarding definition, diagnosis, bias, standard operating procedures (SOPs) and telehealth is intended to provide clinicians an overview of obesity medicine basic organizational tools towards establishing, directing, managing, maintaining medical practice. This CPS based upon published scientific citations, clinical perspectives OMA authors, peer review by leadership. has defined as: "A chronic, progressive, relapsing, treatable multi-factorial, neurobehavioral disease, wherein increase in body fat promotes adipose tissue dysfunction abnormal mass physical forces, resulting adverse metabolic, biomechanical, psychosocial health consequences." While index may be sufficiently diagnostic for populations many patients, accurate diagnosis adiposity individual require anthropometric assessments beyond weight alone (e.g., waist circumference, percent fat, android/visceral fat). complications can categorized as "sick disease" (adiposopathy) and/or "fat disease." predominantly origins include sleep apnea orthopedic conditions. due adiposopathic endocrinopathies immunopathies cardiovascular cancer, elevated blood sugar, pressure, dyslipidemia, fatty liver, alterations sex hormones both males (i.e., hypogonadism) females polycystic ovary syndrome). treatment begins with proactive steps avoid including patient-appropriate language, office equipment, supplies. To help manage its complications, this provides a practical template practice, creation procedures, incorporation the "ADAPT" method (Assessment, Diagnosis, Advice, Prognosis, Treatment). "Obesity Definition, Bias, Standard Operating Procedures (SOPs), Telehealth" one series CPSs designed assist care patients disease obesity.

Язык: Английский

Процитировано

84

Lancet Diabetes & Endocrinology Commission on the Definition and Diagnosis of Clinical Obesity DOI
Francesco Rubino, Rachel L. Batterham, Marta Koch

и другие.

The Lancet Diabetes & Endocrinology, Год журнала: 2023, Номер 11(4), С. 226 - 228

Опубликована: Март 3, 2023

Язык: Английский

Процитировано

57

Economic costs of obesity: a systematic review DOI
Mouaddh Abdulmalik Nagi,

Hanan Ahmed,

Mustafa Ali Ali Rezq

и другие.

International Journal of Obesity, Год журнала: 2023, Номер 48(1), С. 33 - 43

Опубликована: Окт. 26, 2023

Язык: Английский

Процитировано

48

Effectiveness and safety of drugs for obesity DOI Open Access
Kristina H. Lewis,

Caroline E Sloan,

Daniel H. Bessesen

и другие.

BMJ, Год журнала: 2024, Номер unknown, С. e072686 - e072686

Опубликована: Март 25, 2024

Abstract Recent publicity around the use of new antiobesity medications (AOMs) has focused attention patients and healthcare providers on role pharmacotherapy in treatment obesity. Newer drug treatments have shown greater efficacy safety compared with older treatments, yet access to these is limited by providers’ discomfort prescribing, bias, stigma obesity, as well lack insurance coverage. Now more than ever, must be able discuss risks benefits full range available patients, incorporate both guideline based advice emerging real world clinical evidence into daily practice. The tremendous variability response means that clinicians need a flexible approach takes advantage specific features medication selected provide best option for individual patients. Future research needed how practice settings, potential combination therapies, cost effectiveness medications. Several are being evaluated ongoing trials, suggesting future obesity bright.

Язык: Английский

Процитировано

31

Nutritional considerations with antiobesity medications DOI Creative Commons
Jaime P. Almandoz, Thomas A. Wadden, Colleen Tewksbury

и другие.

Obesity, Год журнала: 2024, Номер 32(9), С. 1613 - 1631

Опубликована: Июнь 10, 2024

The improved efficacy and generally favorable safety profile of recently approved emerging antiobesity medications (AOMs), which result in an average weight reduction ≥15%, represent significant advancement the treatment obesity. This narrative review aims to provide practical evidence-based recommendations for nutritional assessment, management, monitoring patients treated with AOMs. Prior treatment, clinicians can identify preexisting risk factors counsel their on recommended intakes protein, dietary fiber, micronutrients, fluids. During AOMs, ongoing facilitate early recognition management gastrointestinal symptoms or inadequate nutrient fluid intake. Attention should also be paid other that impact response quality life, such as physical activity social emotional health. In context play active role supporting obesity improve health well-being promote optimal medical outcomes.

Язык: Английский

Процитировано

28

Obstructive sleep apnea and obesity: A review of epidemiology, pathophysiology and the effect of weight-loss treatments DOI Creative Commons
Ludovico Messineo, Jessie P. Bakker,

John Cronin

и другие.

Sleep Medicine Reviews, Год журнала: 2024, Номер 78, С. 101996 - 101996

Опубликована: Авг. 30, 2024

Despite the commonly-accepted paradigm that patients with obstructive sleep apnea (OSA) also invariably have obesity, OSA prevalence extends beyond obesity. This necessitates a reevaluation of screening strategies, biomarkers increased risk, and heightened awareness among healthcare providers about array treatments for diverse adult populations. While obesity contributes importantly to pathogenesis, there is substantial evidence non-anatomical factors play crucial role, especially in who do not In recent years, notwithstanding recognition contributors research has frequently focused on weight reduction address OSA. Insights from past experiences bariatric surgery serve as lens anticipate potential outcomes emerging anti-obesity pharmacotherapies. Pharmacological alternatives, particularly incretin agonists, exhibit promise improvement, but encounter obstacles such side effects high costs. With this comprehensive narrative review, we delve into complex epidemiological pathophysiological connections between Additionally, emphasize importance multifaceted approach treatment, recognizing while management crucial, need strategies go traditional weight-centric perspectives.

Язык: Английский

Процитировано

21