Cited by 381Adipokines, Inflammation, and Metabolic DiseasesAdipose Tissue and MetabolismCardiovascular Disease and Adiposity

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Obesity and inflammation: the effects of weight loss

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Forsythe, L. Kirsty, Wallace, Julie M. W., Livingstone, M. Barbara E.·2008·Nutrition Research Reviews

DOI 10.1017/s0954422408138732

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Abstract

Following the discovery of TNF-α and leptin as secretory products of adipocytes in the early 1990s, subsequent obesity research focused on the new functional role of adipose tissue, as an active endocrine organ. Many more inflammatory peptides have been linked to adiposity, which ultimately characterised obesity as a state of low-grade systemic inflammation, or ‘metaflammation’ which may link obesity to its co-morbidities. The aim of the present review is to examine the effects of weight loss on inflammation in overweight and obese, but otherwise healthy, populations. Studies were broadly classified into four types (diet, physical activity, diet and physical activity combined, and surgical interventions) and discussed according to the method used to induce weight loss. All studies measured at least one obesity-related inflammatory marker (ORIM). The overall finding from the present review is that weight loss does improve inflammation in terms of both the inflammatory (C-reactive protein, TNF-α, IL-6 and leptin) and anti-inflammatory (adiponectin) ORIM. Within this, the greatest improvements in ORIM are observed in studies achieving a weight loss of at least 10 %. However, a number of methodological issues have been identified as potential limitations within the literature including the sex and age of subjects, sample size, study duration and the assessment of body composition. In conclusion, although a period of weight loss per se is capable of reversing the unfavourable inflammatory profile evident in the obese state, further studies are required to determine the time needed, in which a reduced weight is maintained, in order to benefit from improved inflammatory status long term.

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Authors: Forsythe, L. K., Wallace, J. M. W., & Livingstone, M. B. E.
Affiliations: University of Ulster (GB)
Corresponding author: Livingstone, M. Barbara E.
ORCID: Livingstone, M. Barbara E.
Venue: Nutrition Research Reviews
Publisher: Cambridge University Press (CUP)
Published: 2008-12
Volume: 21
Issue: 2
Pages: 117-133
ISSN: 0954-4224 (ISSN-L)
1475-2700
DOI: 10.1017/s0954422408138732
OpenAlex: W2162846451
Cited by: 381
References: 132
Citations by year: 2026: 12 · 2025: 20 · 2024: 21 · 2023: 21 · 2022: 23 · 2021: 21 · 2020: 28 · 2019: 23 · 2018: 25 · 2017: 15 · 2016: 17 · 2015: 19 · 2014: 28 · 2013: 22 · 2012: 34
FWCI: 1.79
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.cambridge.org/core/terms (unspecified)
Locations: Nutrition Research Reviews (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adipokines, Inflammation, and Metabolic Diseases
Health Sciences › Medicine › Physiology (medical) › Adipose Tissue and Metabolism
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Disease and Adiposity
Keywords: obesity, weight loss, low-grade inflammation, metabolic inflammation, adipose tissue endocrine function, adipokines, TNF-α, leptin, adiponectin, C-reactive protein, interleukin-6, diet, physical activity, bariatric surgery, weight loss maintenance
MeSH terms: Adipose Tissue, Adult, Body Composition, Diet Therapy, Diet, Reducing, Female, Humans, Inflammation, Male, Middle Aged, Biomarkers, Weight Loss, Exercise, Adipocytes, Bariatric Surgery, Overweight

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Obesity and inflammation: the effects of weight loss

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