Towards a multidisciplinary approach to understand and manage obesity and related diseases
2016
Bischoff, Stephan C. | Boirie, Yves | Cederholm, Tommy | Chourdakis, Michael | Cuerda, Cristina | Delzenne, Nathalie M. | Deutz, Nicolaas E. | Fouque, Denis | Genton, Laurence | Gil, Carmen | Koletzko, Berthold | Leon-Sanz, Miguel | Shamir, Raanan | Singer, Joelle | Singer, Pierre | Stroebele-Benschop, Nanette | Thorell, Anders | Weimann, Arved | Barazzoni, Rocco | Department of Nutritional Medicine ; Universität Hohenheim = University of Hohenheim | Unité de Nutrition Humaine (UNH) ; Institut National de la Recherche Agronomique (INRA)-Université d'Auvergne - Clermont-Ferrand I (UdA)-Clermont Université | Deptartment of Public Health and Caring Sciences/Clinical Nutrition and Metabolism ; Uppsala University | Medical Nutrition, School of Medicine ; Aristotle University of Thessaloniki | Nutrition Unit ; Hospital General Universitario Gregorio Marañón | Metabolism and Nutrition Research Group, Louvain Drug Research Institute ; Université Catholique de Louvain = Catholic University of Louvain (UCL) | Center for Translational Research in Aging and Longevity, Department Health and Kinesiology ; Texas A&M University System | Cardiovasculaire, métabolisme, diabétologie et nutrition (CarMeN) ; Institut National de la Recherche Agronomique (INRA)-Université Claude Bernard Lyon 1 (UCBL) ; Université de Lyon-Université de Lyon-Institut National des Sciences Appliquées de Lyon (INSA Lyon) ; Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Hospices Civils de Lyon (HCL)-Institut National de la Santé et de la Recherche Médicale (INSERM) | Clinical Nutrition ; Geneva University Hospital (HUG) | Department of Endocrinology and Nutrition ; Hospital Central de la Defensa Gomez Ulla | University of Munich Medical Centre ; Ludwig-Maximilians University [Munich] (LMU) | Department of Medicine and Hospital Doce de Octubre, Endocrinology and Nutrition ; Universidad Complutense de Madrid = Complutense University of Madrid [Madrid] (UCM) | Schneider Children's Medical Center, Sackler Faculty of Medicine ; Tel Aviv University (TAU) | Sackler School of Medicine ; Tel Aviv University (TAU) | General Intensive Care and Institute for Nutrition Research, Rabin Medical Center, Beilinson Hospital | Department of Nutritional Medicine, Division of Applied Psychology ; Universität Hohenheim = University of Hohenheim | Danderyds sjukhus = Danderyd University Hospital | Department of General, Visceral and Oncological Surgery ; Leipzig University / Universität Leipzig | Department of Medical, Surgical and Health Sciences ; Università degli studi di Trieste = University of Trieste | ESPEN special interest group Obesity
Overnutrition and sedentary lifestyle result in overweight or obesity defined as abnormal or excessive fat accumulation that may impair health. According to the WHO, the worldwide prevalence of obesity nearly doubled between 1980 and 2008. In 2008, over 50% of both men and women in the WHO European Region were overweight, and approximately 23% of women and 20% of men were obese. Comprehensive diagnostic and therapeutic approaches should include nutritional treatment to favor the best metabolic and nutritional outcome, as well as to induce potential disease-specific benefits from selected nutritional regimens. Obesity is usually accompanied by an increased muscle mass. This might explain why obesity, under particular circumstances such as cancer or high age, might have protective effects, a phenomenon named the 'obesity paradox'. However, loss of muscle mass or function can also occur, which is associated with poor prognosis and termed 'sarcopenic obesity'. Therefore, treatment recommendations may need to be individualized and adapted to co-morbidities. Since obesity is a chronic systemic disease it requires a multidisciplinary approach, both at the level of prevention and therapy including weight loss and maintenance. In the present personal review and position paper, authors from different disciplines including endocrinology, gastroenterology, nephrology, pediatrics, surgery, geriatrics, intensive care medicine, psychology and psychiatry, sports medicine and rheumatology, both at the basic science and clinical level, present their view on the topic and underline the necessity to provide a multidisciplinary approach, to address this epidemic.
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تم تزويد هذا السجل من قبل Institut national de la recherche agronomique