A caller study led by researchers astatine Pennington Biomedical Research Center underscores nan increasing imaginable of precision medicine to toggle shape really obesity is prevented, diagnosed and treated, while besides illuminating cardinal gaps and challenges that must beryllium addressed.
Published successful September successful Obesity, nan paper, "Precision Prevention, Diagnostics and Treatment of Obesity," synthesizes nan proceedings of a caller Pennington-Louisiana Nutrition Obesity Research Center, aliases NORC, technological shop that was convened to reappraisal existent grounds connected tailoring obesity interventions to individual biology, environment, behaviour and societal factors.
Key findings
- Multifactorial precision: Obesity is not a one-size-fits-all condition. The authors stress really galore factors – genetics, epigenetics, metabolic phenotypes, microbiome characteristics and biology exposures – interact to power individual differences successful weight gain, weight nonaccomplishment and consequence to therapy.
- Diagnostics innovation: Improved diagnostic devices – for example, biomarkers and imaging – are captious for accurately classifying obesity subtypes and risk, which successful move tin guideline much personalized prevention and treatment.
- Treatment personalization: The reappraisal highlights emerging information that suggests modifying diet, exercise, pharmacotherapy and behavioral interventions to individual consequence profiles whitethorn nutrient much effective and sustainable outcomes. More investigation is needed to solidify champion practices.
- Gaps and barriers: Despite enthusiasm, important obstacles remain, including constricted large-scale objective tests of precision strategies, deficiency of diverseness successful study populations, underdeveloped cost-effectiveness data, and challenges successful integrating precision devices into regular objective settings.
The authors propose that precision-based approaches to obesity could amended prevention of nan illness by identifying individuals astatine precocious consequence earlier and tailoring manner aliases biology interventions accordingly. In addition, precision-based approaches whitethorn heighten curen outcomes. Customizing therapeutic approaches to a person's biologic and behavioral floor plan has imaginable to trim broadside effects and inefficiencies by avoiding trial-and-error successful pharmacological aliases surgical interventions.
The authors stress that precision obesity medicine is still successful its early stages, and findings should beryllium cautiously evaluated earlier translator into objective believe until stronger grounds supports circumstantial personalized approaches.
Despite tremendous liking successful precision-based treatment, nan section is still comparatively young. We request rigorous objective tests to empirically find if precision curen is so amended than existent practices. Unfortunately, fewer specified tests exist, and those that do are not ever supportive."
Dr. Corby Martin, Co-Chair of nan symposium and Director of nan NORC Human Phenotyping Core
To move nan section forward, nan authors urge much divers and inclusive objective investigation to guarantee findings generalize crossed populations; improvement and validation of robust biomarkers, imaging, and diagnostic tools; comparative effectiveness tests that measure really precision-based interventions stack up to modular approaches; and programs and policies to support affordable entree to precision obesity care.
For nan past 25 years nan Pennington-Louisiana NORC has supported nan assembly of much than 100 scientists per twelvemonth astir emerging topics successful obesity and nutrition research.
"Supporting 1.5 time workshops specified arsenic nan 'Precision Prevention, Diagnostics, and Treatment of Obesity' brings apical scientists and clinicians from astir nan world to Pennington Biomedical, and these reports supply a blueprint for nan existent authorities of nan subject and avenues for early research," said NORC Director Dr. Leanne Redman, LPFA Endowed Chair successful Nutrition and Associate Executive Director for Scientific Education.
The NORC technological shop "Precision Prevention, Diagnostics and Treatment of Obesity: Pipedream aliases Reality?" was held April 15-16, 2024.
"This team's efforts successful advancing precision medicine to diagnose, forestall and dainty obesity are genuinely commendable," Pennington Biomedical Executive Director Dr. John Kirwan said. "At Pennington Biomedical, our activity is built connected beardown partnerships crossed Louisiana and passim nan United States, strengthened done centers and institutes for illustration nan Pennington-Louisiana NORC. We are proud to collaborate pinch starring investigation institutions, universities, and healthcare systems nationwide to beforehand obesity research."
Source:
Journal reference:
Woolf, E. K., et al. (2025). Precision Prevention, Diagnostics, and Treatment of Obesity: Pipedream aliases Reality? Obesity. doi.org/10.1002/oby.70015
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