The Role of Physical Exercise as a Therapeutic Tool to Improve Lipedema: A Consensus Statement from the Italian Society of Motor and Sports Sciences (Società Italiana di Scienze Motorie e Sportive, SISMeS) and the Italian Society of Phlebology (Società Italiana di Flebologia, SIF).

IF 9.5 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Current Obesity Reports Pub Date : 2024-12-01 Epub Date: 2024-07-03 DOI:10.1007/s13679-024-00579-8
Giuseppe Annunziata, Antonio Paoli, Vincenzo Manzi, Elisabetta Camajani, Francesco Laterza, Ludovica Verde, Xavier Capó, Elvira Padua, Antonino Bianco, Attilio Carraro, Angela Di Baldassarre, Laura Guidetti, Samuele Maria Marcora, Stefania Orrù, Antonio Tessitore, Roberto Di Mitri, Lucia Auletta, Angela Piantadosi, Mario Bellisi, Edmondo Palmeri, Silvia Savastano, Annamaria Colao, Massimiliano Caprio, Giovanna Muscogiuri, Luigi Barrea
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引用次数: 0

Abstract

Purpose of review: This consensus statement from the Italian Society of Motor and Sports Sciences (Società Italiana di Scienze Motorie e Sportive, SISMeS) and the Italian Society of Phlebology (Società Italiana di Flebologia, SIF) provides the official view on the role of exercise as a non-pharmacological approach in lipedema. In detail, this consensus statement SISMeS - SIF aims to provide a comprehensive overview of lipedema, focusing, in particular, on the role played by physical exercise (PE) in the management of its clinical features.

Recent findings: Lipedema is a chronic disease characterized by abnormal fat accumulation. It is often misdiagnosed as obesity, despite presenting distinct pathological mechanisms. Indeed, recent evidence has reported differences in adipose tissue histology, metabolomic profiles, and gene polymorphisms associated with this condition, adding new pieces to the complex puzzle of lipedema pathophysiology. Although by definition lipedema is a condition resistant to diet and PE, the latter emerges for its key role in the management of lipedema, contributing to multiple benefits, including improvements in mitochondrial function, lymphatic drainage, and reduction of inflammation. Various types of exercise, such as aquatic exercises and strength training, have been shown to alleviate symptoms and improve the quality of life of patients with lipedema. However, standardized guidelines for PE prescription and long-term management of patients with lipedema are lacking, highlighting the need for recommendations and further research in this area in order to optimise therapeutic strategies.

Abstract Image

体育锻炼作为改善脂肪性水肿的治疗工具的作用:意大利运动科学学会(SISMeS)和意大利静脉学会(SIF)的共识声明。
审查目的:这份由意大利运动与运动科学学会(SISMeS)和意大利静脉学会(SIF)共同发表的共识声明提供了官方观点,即运动作为一种非药物疗法在脂肪性水肿中的作用。详细而言,SISMeS - SIF 的这份共识声明旨在全面概述脂肪性水肿,尤其侧重于体育锻炼(PE)在控制其临床特征方面的作用:脂肪性水肿是一种以脂肪异常堆积为特征的慢性疾病。最新研究结果:脂肪性水肿是一种以脂肪异常堆积为特征的慢性疾病,尽管其病理机制与肥胖症不同,但却经常被误诊为肥胖症。事实上,最近有证据表明,脂肪组织组织学、代谢组学特征和基因多态性的差异与这种疾病有关,为脂肪性水肿病理生理学的复杂谜团增添了新的内容。虽然根据定义,脂肪性水肿是一种对饮食和体育锻炼有抵抗力的疾病,但体育锻炼在脂肪性水肿的治疗中发挥着关键作用,可带来多种益处,包括改善线粒体功能、淋巴引流和减少炎症。各种类型的运动,如水上运动和力量训练,已被证明可减轻脂肪性水肿患者的症状并改善其生活质量。然而,目前还缺乏针对脂肪性水肿患者的体育运动处方和长期管理的标准化指南,因此有必要在这一领域提出建议并开展进一步研究,以优化治疗策略。
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来源期刊
Current Obesity Reports
Current Obesity Reports Medicine-General Medicine
CiteScore
16.40
自引率
1.10%
发文量
25
期刊介绍: The main objective of Current Obesity Reports is to provide expert review articles on recent advancements in the interdisciplinary field of obesity research. Our aim is to offer clear, insightful, and balanced contributions that will benefit all individuals involved in the treatment and prevention of obesity, as well as related conditions such as cardiovascular diseases, endocrine disorders, gynecological issues, cancer, mental health, respiratory complications, and rheumatological diseases. We strive to redefine the way knowledge is expressed and provide organized content for the benefit of our readership.
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