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DOI10.1007/s11739-024-03559-x
Contrasting obesity: is something missing here?
Di Ciaula, Agostino; Portincasa, Piero
发表日期2024
ISSN1828-0447
EISSN1970-9366
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
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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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