Metabolic consequences of obesity and type 2 diabetes: Balancing genes and environment for personalized care

Cell. 2021 Mar 18;184(6):1530-1544. doi: 10.1016/j.cell.2021.02.012. Epub 2021 Mar 5.

Abstract

The prevalence of type 2 diabetes and obesity has risen dramatically for decades and is expected to rise further, secondary to the growing aging, sedentary population. The strain on global health care is projected to be colossal. This review explores the latest work and emerging ideas related to genetic and environmental factors influencing metabolism. Translational research and clinical applications, including the impact of the COVID-19 pandemic, are highlighted. Looking forward, strategies to personalize all aspects of prevention, management and care are necessary to improve health outcomes and reduce the impact of these metabolic diseases.

Keywords: circadian clock; diet; environment; exercise; genetics; inflammation; metabolism; personalized medicine; thermal regulation; treatment.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • COVID-19 / epidemiology*
  • COVID-19 / virology
  • Circadian Rhythm
  • Diabetes Mellitus, Type 2 / epidemiology*
  • Diabetes Mellitus, Type 2 / genetics
  • Diabetes Mellitus, Type 2 / metabolism
  • Diabetes Mellitus, Type 2 / therapy*
  • Epigenesis, Genetic
  • Genetic Predisposition to Disease
  • Humans
  • Inflammation / immunology
  • Inflammation / metabolism
  • Obesity / epidemiology*
  • Obesity / genetics
  • Obesity / metabolism
  • Obesity / therapy*
  • Pandemics*
  • Precision Medicine / methods*
  • Prevalence
  • Risk Factors
  • SARS-CoV-2*
  • Thermotolerance