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Demystifying Obesity: Understanding, Prevention, Treatment, and Stigmas

肥胖 医学 环境卫生 内科学
作者
Tatiana Palotta Minari,Carolina Freitas Manzano,Louise Buonalumi Tácito Yugar,Luis Gustavo Sedenho‐Prado,Tatiane de Azevedo Rubio,Lúcia Helena Bonalumi Tácito,Antônio Carlos Pires,José Fernando Vilela-Martin,Luciana Neves Cosenso‐Martin,N Ludovico,André Fattori,Juan Carlos Yugar‐Toledo,Heitor Moreno,Luciana Pellegrini Pisani
出处
期刊:Nutrition Reviews [Oxford University Press]
卷期号:83 (7): e1983-e2008 被引量:14
标识
DOI:10.1093/nutrit/nuae144
摘要

Obesity is a complex chronic disease that affects millions of people worldwide. There is still significant stigma associated with it, which can lead to discrimination and create additional barriers for people who are already in treatment. On the other hand, it is noted that it can have serious implications for health and predisposition to noncommunicable chronic diseases. In this sense, the objective of this study was to carry out a narrative review involving all current elements for understanding, prevention, treatment, and debate of stigmas related to obesity. A search was conducted in 2024 for original articles, randomized or nonrandomized clinical trials, systematic reviews, meta-analyses, and guidelines in the following databases: Pubmed, Scielo, Web of Science, CrossRef, and Google Scholar. The publication period was from 2014 to 2024. Obesity is influenced by a complex combination of genetic, environmental, and psychological factors. It is encouraging to see that various emerging points have been identified across different fields such as histology, physiology, genetics, weight loss, and public policy. These obesity areas certainly warrant attention and future studies. Researchers can delve into these topics to deepen their understanding and potentially uncover novel insights. The management should be multifactorial and individualized for each patient. Public policies also play a crucial role in combating obesity, including health promotion, prevention of excessive weight gain, early diagnosis, and proper care of patients. It is crucial that society begins to see the disease as an extremely complex element and not as a moral failure or lack of willpower. This requires a change in the way people talk about obesity, as well as practices that support people instead of stigmatizing them. Obesity does not have a specific address, color, or race. It belongs to everyone and should be regarded as a global public health problem.
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