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식이와 비만

Diet and Obesity

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대한내과학회 (The Korean Association Of Internal Medicine)|2012.03|대한내과학회지 (The Korean Journal of Medicine)|제82권 제3호|pp. 291-297

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참고문헌

키워드

비만ObesityDietStomach고지방식위기능
주제분류내과학

초록

지난 수십 년 동안 식이와 생활 환경 등이 변하여 전 세계적으로 비만의 발생이 증가하고 있다. 최근 우리나라 사람들에서도 비만의 유병률은 증가하고 있으며 지방섭취의 증가도 여러 요인 중의 하나일 수 있다. 비만의 발생은 위 배출능과 위 용적 등의 변화에 기인할 수 있다. 반복적인 고지방식은 위의 기능에 적응성 변화를 초래하여 음식 섭취를 증가시켜 비만을 유발할 수 있다. 향후 특이 영양소 섭취 후 발생하는 위장관의 적응성 변화에 대한 체계적이고 대규모의 연구가 시행되어 비만의 발생 원인을 규명하는 계기가 마련되기를 기대한다.

Abstract

Obesity can be defined as a state of excess body fat or body energy stores in excess of physiological needs. The prevalence of obesity has increased dramatically throughout the world. Despite the greater understanding of the physiologic mechanisms regulating body weight and energy balance, the causes of human obesity poorly understood. Much of human obesity is multifactorial and usually involves relative over-consumption of food. And, consumption of high-fat diets is implicated in the etiology of obesity. Fat-derived energy intake has increased in Korea. Changes in gastric motor and sensory functions can be associated with development of obesity. A High-fat diet may facilitate adaptive changes that contribute to the development of obesity through reduced postprandial satiation in persons with a high baseline maximum tolerated volume. A high fat intake may influences the central control of appetite and behavioral choices in food intake. Further well-controlled large studies with a longer preload duration in Koreans to elucidate the presence and extent of gastrointestinal sensory, motor, absorptive, and behavioral adaptations to diets enriched with specific macronutrients. (Korean J Med 2012;82:291-297)

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