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DOI | 10.1007/s11739-024-03559-x |
Contrasting obesity: is something missing here? | |
Di Ciaula, Agostino; Portincasa, Piero | |
发表日期 | 2024 |
ISSN | 1828-0447 |
EISSN | 1970-9366 |
起始页码 | 19 |
结束页码 | 2 |
卷号 | 19期号:2 |
英文摘要 | The fight against obesity is largely based on recommendations about lifestyle and therapies to initiate weight loss and, hopefully, to achieve and maintain an ideal weight. The failure of this approach is witnessed by the steady increasing rates of obesity worldwide. Lifestyle modifications yield mild weight loss with poor results in the long-term. The pharmaceutical industry is engaged to produce the best anti-obesity drugs, and this market is projected to grow massively. Guidelines on pharmacological and surgical approach to obesity are continuously developed, taking into account that benefits are counterbalanced by high costs, are limited to the period of drug intake, and potential adverse effects are possible, such as pancreatitis, gastroparesis, and bowel obstruction. Meantime, people living with obesity might simply think that taking the magic pill or undergoing bariatric surgery can change their life. In the long term, this tendency might lead to scarce cost-effectiveness, increasing adverse effects and inequities in the most vulnerable age classes. Furthermore, the main actors responsible for generating an obesogenic world will continue undisturbed to produce negative effects. Obesity is not only generated from voluntary individual behaviors, and no guideline can truly counteract the detrimental effects of environmental factors driving the progressive rise of obesity globally. Unsustainable food production, packaging and marketing, environmental pollution, widely diffused endocrine disrupting chemicals, and climate change are largely neglected by health professionals and generate food insecurity and malnutrition. The complexity of obesity cannot be managed only pointing to individual responsibilities of people living with obesity. There is a missing link here, and this war cannot be won in the absence of effective primary prevention measures involving changes in food production and marketing, and decreased release of toxic chemicals into the environment. |
英文关键词 | Obesity epidemics; Obesogens; Environment; Anti-obesity drugs; Diet; Lifestyle |
语种 | 英语 |
WOS研究方向 | General & Internal Medicine |
WOS类目 | Medicine, General & Internal |
WOS记录号 | WOS:001174018700001 |
来源期刊 | INTERNAL AND EMERGENCY MEDICINE |
文献类型 | 期刊论文 |
条目标识符 | http://gcip.llas.ac.cn/handle/2XKMVOVA/300833 |
作者单位 | Universita degli Studi di Bari Aldo Moro |
推荐引用方式 GB/T 7714 | Di Ciaula, Agostino,Portincasa, Piero. Contrasting obesity: is something missing here?[J],2024,19(2). |
APA | Di Ciaula, Agostino,&Portincasa, Piero.(2024).Contrasting obesity: is something missing here?.INTERNAL AND EMERGENCY MEDICINE,19(2). |
MLA | Di Ciaula, Agostino,et al."Contrasting obesity: is something missing here?".INTERNAL AND EMERGENCY MEDICINE 19.2(2024). |
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