The immune remodel: Weight loss-mediated inflammatory changes to obesity

Abstract

Obesity is an escalating world problem that contributes to the complexity and cost of treatment of metabolic disorders. Obesity is the result of increased storage of energy in the form of adipose tissue, reducing the quality of daily life, and interfering with longevity. Obesity is also a chronic, low-grade inflammatory disorder. The inflammatory processes affect many organ systems with expanded numbers of immune cells and increased cytokine production. Long-term weight loss is difficult to achieve and maintain. Lifestyle modifications, pharmacologic treatments, and surgical methods are increasingly utilized to ameliorate excess body weight and the comorbidities of obesity, such as diabetes, cardiovascular disease, dyslipidemia, and cancers. Weight loss is also touted to reduce inflammation. Here we review the current literature on human obesity-related systemic and local changes to the immune system and circulating inflammatory mediators. Further, we consider the impact of weight loss to reduce the burden of inflammation, bearing in mind the different methods of weight loss—behavioral change vs. surgical intervention.

Document Details

Document Type
Pub Defense Publication
Publication Date
Jan 01, 2020
Source ID
10.1177/1535370219900185

Entities

People

  • Bernadette E Grayson
  • Charles L. Phillips

Organizations

  • National Institute of General Medical Sciences
  • United States Department of Defense
  • University of Mississippi

Tags

Fields of Study

  • Medicine

Readers

  • Economics
  • Gulf War Illness and Chronic Multisymptom Illness in Veterans.
  • Trauma Surgery or Emergency Medicine.