Obesity: Lifestyle management, bariatric surgery, drugs, and the therapeutic exploitation of gut hormones

Postgrad Med. 2015 Jun;127(5):494-502. doi: 10.1080/00325481.2015.1048181.

Abstract

Obesity is on the rise and the pursuit of efficient and safe treatment is ongoing. Available anti-obesity medical therapies have so far proved to be disappointing, whereas bariatric surgery is leading the way and offers long-term health benefits. Part of the success of bariatric surgery is thought to be mediated by gut hormones. A better understanding of the role of gut hormones within the gut-brain signaling pathway in the control of hunger, satiety, and energy homeostasis, has led to their therapeutic exploitation as possible anti-obesity drugs. In this review, we provide a summary of currently available treatment options for obesity from simple lifestyle modifications and bariatric surgery to traditional and novel medical therapies.

Keywords: Obesity; bariatric surgery; drugs; gut hormones; lifestyle management.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Anti-Obesity Agents / therapeutic use*
  • Bariatric Surgery*
  • Gastrointestinal Hormones / physiology*
  • Humans
  • Life Style*
  • Obesity / therapy*

Substances

  • Anti-Obesity Agents
  • Gastrointestinal Hormones