Obesity, 1st ed. 2019 Pathogenesis, Diagnosis, and Treatment Endocrinology Series

This book presents the latest advances in our understanding of the pathophysiologic basis that induces the chronic positive energy balance necessary to progressively store excessive amounts of fat mass. It highlights the clinical complications of obesity, while also focusing on the major scientific advances that have highlighted the role of genetics, adipose tissue endocrinology and the environment in the mechanisms and causes of obesity. Particular attention is given to the consequences of obesity, including an ever -increasing number of other diseases such as type 2 diabetes, cardiovascular diseases and cancer, as well as conditions such as arthropathy, asthma, non-alcoholic liver disease, and dementia. Increasingly recognized uniting causes highlight the role of systemic, local and paracrine actions of adipocytokines in causing inflammation. As we come to better understand how hypothalamic control of energy balance is influenced by endocrine signaling from the gut and adipose tissue, it paves the way for new therapeutic targets and a resurgence of pharmacological and surgical approaches to treatment. 

Written by respected experts in the field, this volume is intended as a major reference source for endocrinologists, nutritionists, basic and clinical scientists alike.

Epidemiology.- Genetics.- Epigenetics and fetal programming.- Neuroendocrinology of energy balance.- The adipose organ.- Role of gut hormones.- Pathogenesis.- Environmental factors: pollutants, viruses food.- Food, metabolism and longevity.- The microbiota and energy balance.- Eating disorders.- Clinical assessment of the patient with overweight or obesity.- Obesity and NAFLD.- Obesity and type 2 diabetes.- Obesity and hypertension.- Obesity and dyslipidemia.- Obesity and obstructive sleep apnoea syndrome.- Impact of obesity on cardiovascular disease.- Obesity and psychiatry.- Obesity in Children.- Dietary treatment.- Physical exercise.- Cognitive and behavioral approaches.- Pharmacological approaches.- Surgical approaches.- An integrated view of treatment options.

Paolo Sbraccia is Full Professor of Internal Medicine in the Department of Systems Medicine of the University of Rome "Tor Vergata", Chief of the Internal Medicine Unit and Obesity Center (EASO accredited Collaborating Centre for Obesity Management) at the University Hospital Policlinico Tor Vergata, Director of the Specialization School in Internal Medicine, and Chairman of the Undergraduate Course in Dietetics.

Prof. Sbraccia is also currently serving as President of the Italian Federation of Endocrinology, Diabetology, Andrology, Metabolism and Obesity and as Vice President of the Italian Barometer Diabetes Observatory. In addition, he is Past President of the Italian Society of Obesity and a member of the European Medicines Agency’s Scientific Advisory Group on Diabetes/Endocrinology.

Professor Sbraccia is also a member of the editorial boards and reviewer panels of various scientific journals; he was recently Editor of the book “Clinical Management of Overweight and Obesity, Recommendations of the Italian Society of Obesity (SIO)” and coordinated an SIO steering committee for the Italian Guidelines for the Management of Obesity.