ANMCO (Italian Association of Hospital Cardiologists) scientific statement: obesity in adults—an approach for cardiologists
Abstract Obesity is a complex, chronic disease requiring a multidisciplinary approach to its management. In clinical practice, body mass index and waist-related measurements can be used for obesity screening. The estimated prevalence of obesity among adults worldwide is 12%. With the expected furthe...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Springer
2024-01-01
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| Series: | Eating and Weight Disorders |
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| Online Access: | https://doi.org/10.1007/s40519-023-01630-8 |
| _version_ | 1797363732108541952 |
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| author | Stefania Angela Di Fusco Edoardo Mocini Michele Massimo Gulizia Domenico Gabrielli Massimo Grimaldi Fabrizio Oliva Furio Colivicchi |
| author_facet | Stefania Angela Di Fusco Edoardo Mocini Michele Massimo Gulizia Domenico Gabrielli Massimo Grimaldi Fabrizio Oliva Furio Colivicchi |
| author_sort | Stefania Angela Di Fusco |
| collection | DOAJ |
| description | Abstract Obesity is a complex, chronic disease requiring a multidisciplinary approach to its management. In clinical practice, body mass index and waist-related measurements can be used for obesity screening. The estimated prevalence of obesity among adults worldwide is 12%. With the expected further increase in overall obesity prevalence, clinicians will increasingly be managing patients with obesity. Energy balance is regulated by a complex neurohumoral system that involves the central nervous system and circulating mediators, among which leptin is the most studied. The functioning of these systems is influenced by both genetic and environmental factors. Obesity generally occurs when a genetically predisposed individual lives in an obesogenic environment for a long period. Cardiologists are deeply involved in evaluating patients with obesity. Cardiovascular risk profile is one of the most important items to be quantified to understand the health risk due to obesity and the clinical benefit that a single patient can obtain with weight loss. At the individual level, appropriate patient involvement, the detection of potential obesity causes, and a multidisciplinary approach are tools that can improve clinical outcomes. In the near future, we will probably have new pharmacological tools at our disposal that will facilitate achieving and maintaining weight loss. However, pharmacological treatment alone cannot cure such a complex disease. The aim of this paper is to summarize some key points of this field, such as obesity definition and measurement tools, its epidemiology, the main mechanisms underlying energy homeostasis, health consequences of obesity with a focus on cardiovascular diseases and the obesity paradox. Level of evidence V: report of expert committees. |
| first_indexed | 2024-03-08T16:25:22Z |
| format | Article |
| id | doaj.art-5d2373690f3c4941ac9ecc8a40cb4c71 |
| institution | Directory Open Access Journal |
| issn | 1590-1262 |
| language | English |
| last_indexed | 2024-03-08T16:25:22Z |
| publishDate | 2024-01-01 |
| publisher | Springer |
| record_format | Article |
| series | Eating and Weight Disorders |
| spelling | doaj.art-5d2373690f3c4941ac9ecc8a40cb4c712024-01-07T12:04:49ZengSpringerEating and Weight Disorders1590-12622024-01-0129111910.1007/s40519-023-01630-8ANMCO (Italian Association of Hospital Cardiologists) scientific statement: obesity in adults—an approach for cardiologistsStefania Angela Di Fusco0Edoardo Mocini1Michele Massimo Gulizia2Domenico Gabrielli3Massimo Grimaldi4Fabrizio Oliva5Furio Colivicchi6Emergency Department, Clinical and Rehabilitation Cardiology Unit, San Filippo Neri HospitalDepartment of Experimental Medicine, Sapienza UniversityCardiology Department, Garibaldi Nesima HospitalCardio-Thoracic-Vascular Department, San Camillo-Forlanini HospitalDepartment of Cardiology, General Regional Hospital “F. Miulli”De Gasperis Cardio Center, Niguarda HospitalEmergency Department, Clinical and Rehabilitation Cardiology Unit, San Filippo Neri HospitalAbstract Obesity is a complex, chronic disease requiring a multidisciplinary approach to its management. In clinical practice, body mass index and waist-related measurements can be used for obesity screening. The estimated prevalence of obesity among adults worldwide is 12%. With the expected further increase in overall obesity prevalence, clinicians will increasingly be managing patients with obesity. Energy balance is regulated by a complex neurohumoral system that involves the central nervous system and circulating mediators, among which leptin is the most studied. The functioning of these systems is influenced by both genetic and environmental factors. Obesity generally occurs when a genetically predisposed individual lives in an obesogenic environment for a long period. Cardiologists are deeply involved in evaluating patients with obesity. Cardiovascular risk profile is one of the most important items to be quantified to understand the health risk due to obesity and the clinical benefit that a single patient can obtain with weight loss. At the individual level, appropriate patient involvement, the detection of potential obesity causes, and a multidisciplinary approach are tools that can improve clinical outcomes. In the near future, we will probably have new pharmacological tools at our disposal that will facilitate achieving and maintaining weight loss. However, pharmacological treatment alone cannot cure such a complex disease. The aim of this paper is to summarize some key points of this field, such as obesity definition and measurement tools, its epidemiology, the main mechanisms underlying energy homeostasis, health consequences of obesity with a focus on cardiovascular diseases and the obesity paradox. Level of evidence V: report of expert committees.https://doi.org/10.1007/s40519-023-01630-8ObesityEnergy homeostasisBMIWeight lossFat tissueCardiology |
| spellingShingle | Stefania Angela Di Fusco Edoardo Mocini Michele Massimo Gulizia Domenico Gabrielli Massimo Grimaldi Fabrizio Oliva Furio Colivicchi ANMCO (Italian Association of Hospital Cardiologists) scientific statement: obesity in adults—an approach for cardiologists Eating and Weight Disorders Obesity Energy homeostasis BMI Weight loss Fat tissue Cardiology |
| title | ANMCO (Italian Association of Hospital Cardiologists) scientific statement: obesity in adults—an approach for cardiologists |
| title_full | ANMCO (Italian Association of Hospital Cardiologists) scientific statement: obesity in adults—an approach for cardiologists |
| title_fullStr | ANMCO (Italian Association of Hospital Cardiologists) scientific statement: obesity in adults—an approach for cardiologists |
| title_full_unstemmed | ANMCO (Italian Association of Hospital Cardiologists) scientific statement: obesity in adults—an approach for cardiologists |
| title_short | ANMCO (Italian Association of Hospital Cardiologists) scientific statement: obesity in adults—an approach for cardiologists |
| title_sort | anmco italian association of hospital cardiologists scientific statement obesity in adults an approach for cardiologists |
| topic | Obesity Energy homeostasis BMI Weight loss Fat tissue Cardiology |
| url | https://doi.org/10.1007/s40519-023-01630-8 |
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