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Obesity.

Abstract Excessive fat deposition in obesity has a multifactorial aetiology, but is widely considered the result of disequilibrium between energy intake and expenditure. Despite specific public health policies and individual treatment efforts to combat the obesity epidemic, >2 billion people worldwide are overweight or obese. The central nervous system circuitry, fuel turnover and metabolism as well as adipose tissue homeostasis are important to comprehend excessive weight gain and associated comorbidities. Obesity has a profound impact on quality of life, even in seemingly healthy individuals. Diet, physical activity or exercise and lifestyle changes are the cornerstones of obesity treatment, but medical treatment and bariatric surgery are becoming important. Family history, food environment, cultural preferences, adverse reactions to food, perinatal nutrition, previous or current diseases and physical activity patterns are relevant aspects for the health care professional to consider when treating the individual with obesity. Clinicians and other health care professionals are often ill-equipped to address the important environmental and socioeconomic drivers of the current obesity epidemic. Finally, understanding the epigenetic and genetic factors as well as metabolic pathways that take advantage of 'omics' technologies could play a very relevant part in combating obesity within a precision approach.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title nature reviews. disease primers
Publication Year Start




PMID- 28617414
OWN - NLM
STAT- In-Process
DA  - 20170615
LR  - 20170615
IS  - 2056-676X (Electronic)
IS  - 2056-676X (Linking)
VI  - 3
DP  - 2017 Jun 15
TI  - Obesity.
PG  - 17034
LID - 10.1038/nrdp.2017.34 [doi]
AB  - Excessive fat deposition in obesity has a multifactorial aetiology, but is widely
      considered the result of disequilibrium between energy intake and expenditure.
      Despite specific public health policies and individual treatment efforts to
      combat the obesity epidemic, >2 billion people worldwide are overweight or obese.
      The central nervous system circuitry, fuel turnover and metabolism as well as
      adipose tissue homeostasis are important to comprehend excessive weight gain and 
      associated comorbidities. Obesity has a profound impact on quality of life, even 
      in seemingly healthy individuals. Diet, physical activity or exercise and
      lifestyle changes are the cornerstones of obesity treatment, but medical
      treatment and bariatric surgery are becoming important. Family history, food
      environment, cultural preferences, adverse reactions to food, perinatal
      nutrition, previous or current diseases and physical activity patterns are
      relevant aspects for the health care professional to consider when treating the
      individual with obesity. Clinicians and other health care professionals are often
      ill-equipped to address the important environmental and socioeconomic drivers of 
      the current obesity epidemic. Finally, understanding the epigenetic and genetic
      factors as well as metabolic pathways that take advantage of 'omics' technologies
      could play a very relevant part in combating obesity within a precision approach.
FAU - Gonzalez-Muniesa, Pedro
AU  - Gonzalez-Muniesa P
AD  - Department of Nutrition, Food Science and Physiology/Centre for Nutrition
      Research, University of Navarra, Edificio de Investigacion, calle de Irunlarrea
      1, Pamplona 31008, Navarra, Spain.
AD  - IDISNA Navarra's Health Research Institute, Pamplona, Spain.
AD  - CIBERobn Physiopathology of Obesity and Nutrition, Centre of Biomedical Research 
      Network, ISCIII, Madrid, Spain.
FAU - Martinez-Gonzalez, Miguel-Angel
AU  - Martinez-Gonzalez MA
AD  - IDISNA Navarra's Health Research Institute, Pamplona, Spain.
AD  - CIBERobn Physiopathology of Obesity and Nutrition, Centre of Biomedical Research 
      Network, ISCIII, Madrid, Spain.
AD  - Department of Preventive Medicine and Public Health, University of Navarra,
      Pamplona, Spain.
AD  - Departments of Nutrition and Epidemiology, Harvard T.H. Chan School of Public
      Health, Boston, Massachusetts, USA.
FAU - Hu, Frank B
AU  - Hu FB
AD  - Departments of Nutrition and Epidemiology, Harvard T.H. Chan School of Public
      Health, Boston, Massachusetts, USA.
FAU - Despres, Jean-Pierre
AU  - Despres JP
AD  - Centre de Recherche de l'Institut universitaire de Cardiologie et de Pneumologie 
      de Quebec, and Department of Kinesiology, Faculty of Medicine, Universite Laval, 
      Quebec City, Quebec, Canada.
FAU - Matsuzawa, Yuji
AU  - Matsuzawa Y
AD  - Department of Endocrinology and Metabolism, Sumitomo Hospital, Osaka, Japan.
FAU - Loos, Ruth J F
AU  - Loos RJF
AD  - Charles Bronfman Institute for Personalized Medicine, Mindich Child Health and
      Development Institute, Icahn School of Medicine at Mount Sinai, New York, New
      York, USA.
FAU - Moreno, Luis A
AU  - Moreno LA
AD  - CIBERobn Physiopathology of Obesity and Nutrition, Centre of Biomedical Research 
      Network, ISCIII, Madrid, Spain.
AD  - GENUD (Growth, Exercise, NUtrition and Development) Research Group, Faculty of
      Health Sciences, Instituto Agroalimentario de Aragon (IA2), Universidad de
      Zaragoza, and Instituto de Investigacion Sanitaria de Aragon (IIS Aragon),
      Zaragoza, Spain.
FAU - Bray, George A
AU  - Bray GA
AD  - Pennington Biomedical Research Center/LSU, Baton Rouge, Louisiana, USA.
FAU - Martinez, J Alfredo
AU  - Martinez JA
AD  - Department of Nutrition, Food Science and Physiology/Centre for Nutrition
      Research, University of Navarra, Edificio de Investigacion, calle de Irunlarrea
      1, Pamplona 31008, Navarra, Spain.
AD  - IDISNA Navarra's Health Research Institute, Pamplona, Spain.
AD  - CIBERobn Physiopathology of Obesity and Nutrition, Centre of Biomedical Research 
      Network, ISCIII, Madrid, Spain.
AD  - IMDEA Food Institute, Madrid, Spain.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20170615
PL  - England
TA  - Nat Rev Dis Primers
JT  - Nature reviews. Disease primers
JID - 101672103
EDAT- 2017/06/16 06:00
MHDA- 2017/06/16 06:00
CRDT- 2017/06/16 06:00
AID - nrdp201734 [pii]
AID - 10.1038/nrdp.2017.34 [doi]
PST - epublish
SO  - Nat Rev Dis Primers. 2017 Jun 15;3:17034. doi: 10.1038/nrdp.2017.34.