Health Complications of Obesity: 224 Obesity-Associated Comorbidities from a Mechanistic Perspective.

Gastroenterol Clin North Am

Department of Medicine, Obesity, Metabolism and Nutrition Institute, Massachusetts General Hospital; University of Hong Kong, 102 Pokfulam Road, Pok Fu Lam, Hong Kong. Electronic address:

Published: June 2023

AI Article Synopsis

  • Obesity leads to various health issues that impact different areas of medicine.
  • The causes of these health issues include factors like chronic inflammation, insulin resistance, and hormonal changes.
  • Understanding how these mechanisms interact can help in treating obesity-related health conditions and directing future research.

Article Abstract

Obesity is associated with a wide range of comorbidities that transverse multiple specialties in clinical medicine. The development of these comorbidities is driven by various mechanistic changes including chronic inflammation and oxidative stress, increased growth-promoting adipokines, insulin resistance, endothelial dysfunction, direct loading and infiltrative effect of adiposity, heightened activities of the renin-angiotensin-aldosterone system and sympathetic nervous system, impaired immunity, altered sex hormones, altered brain structure, elevated cortisol levels, and increased uric acid production, among others. Some of the comorbidities might develop secondary to one or more other comorbidities. Considering the obesity-associated comorbidities in the context of the mechanistic changes is helpful in understanding these conditions and in guiding treatment and future research.

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http://dx.doi.org/10.1016/j.gtc.2023.03.006DOI Listing

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