The Leptin System and Diet: A Mini Review of the Current Evidence

Leptin promotes satiety and modulates energy balance and weight. Diet-induced obesity leads to leptin resistance, exacerbating overeating. We reviewed the literature on the relationship between diet and leptin, which suggests that addressing leptin resistance through dietary interventions can contri...

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Autores principales: Kenny Mendoza-Herrera, Andrea A. Florio, Maggie Moore, Abrania Marrero, Martha Tamez, Shilpa N. Bhupathiraju, Josiemer Mattei
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:1beee97708244800a17f076fe4d4b5322021-11-30T16:11:11ZThe Leptin System and Diet: A Mini Review of the Current Evidence1664-239210.3389/fendo.2021.749050https://doaj.org/article/1beee97708244800a17f076fe4d4b5322021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fendo.2021.749050/fullhttps://doaj.org/toc/1664-2392Leptin promotes satiety and modulates energy balance and weight. Diet-induced obesity leads to leptin resistance, exacerbating overeating. We reviewed the literature on the relationship between diet and leptin, which suggests that addressing leptin resistance through dietary interventions can contribute counteracting obesity. Albeit some limitations (e.g., limited rigor, small samples sizes), studies in animals and humans show that diets high in fat, carbohydrates, fructose, and sucrose, and low in protein are drivers of leptin resistance. Despite methodological heterogeneity pertaining to this body of literature, experimental studies show that energy-restricted diets can reduce leptinemia both in the short and long term and potentially reverse leptin resistance in humans. We also discuss limitations of this evidence, future lines of research, and implications for clinical and public health translations. Main limitations include the lack of a single universally-accepted definition of leptin resistance, and of adequate ways to accurately measure it in humans. The use of leptin sensitizers (drugs) and genetically individualized diets are alternatives against leptin resistance that should be further researched in humans. The tested very-low-energy intervention diets are challenging to translate into wide clinical or population recommendations. In conclusion, the link between nutritional components and leptin resistance, as well as research indicating that this condition is reversible, emphasizes the potential of diet to recover sensitivity to this hormone. A harmonized definition of leptin resistance, reliable methods to measure it, and large-scale, translational, clinical, and precision nutrition research involving rigorous methods are needed to benefit populations through these approaches.Kenny Mendoza-HerreraAndrea A. FlorioMaggie MooreAbrania MarreroMartha TamezShilpa N. BhupathirajuJosiemer MatteiFrontiers Media S.A.articleleptindietobesityleptin resistancedietary interventionsDiseases of the endocrine glands. Clinical endocrinologyRC648-665ENFrontiers in Endocrinology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic leptin
diet
obesity
leptin resistance
dietary interventions
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
spellingShingle leptin
diet
obesity
leptin resistance
dietary interventions
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
Kenny Mendoza-Herrera
Andrea A. Florio
Maggie Moore
Abrania Marrero
Martha Tamez
Shilpa N. Bhupathiraju
Josiemer Mattei
The Leptin System and Diet: A Mini Review of the Current Evidence
description Leptin promotes satiety and modulates energy balance and weight. Diet-induced obesity leads to leptin resistance, exacerbating overeating. We reviewed the literature on the relationship between diet and leptin, which suggests that addressing leptin resistance through dietary interventions can contribute counteracting obesity. Albeit some limitations (e.g., limited rigor, small samples sizes), studies in animals and humans show that diets high in fat, carbohydrates, fructose, and sucrose, and low in protein are drivers of leptin resistance. Despite methodological heterogeneity pertaining to this body of literature, experimental studies show that energy-restricted diets can reduce leptinemia both in the short and long term and potentially reverse leptin resistance in humans. We also discuss limitations of this evidence, future lines of research, and implications for clinical and public health translations. Main limitations include the lack of a single universally-accepted definition of leptin resistance, and of adequate ways to accurately measure it in humans. The use of leptin sensitizers (drugs) and genetically individualized diets are alternatives against leptin resistance that should be further researched in humans. The tested very-low-energy intervention diets are challenging to translate into wide clinical or population recommendations. In conclusion, the link between nutritional components and leptin resistance, as well as research indicating that this condition is reversible, emphasizes the potential of diet to recover sensitivity to this hormone. A harmonized definition of leptin resistance, reliable methods to measure it, and large-scale, translational, clinical, and precision nutrition research involving rigorous methods are needed to benefit populations through these approaches.
format article
author Kenny Mendoza-Herrera
Andrea A. Florio
Maggie Moore
Abrania Marrero
Martha Tamez
Shilpa N. Bhupathiraju
Josiemer Mattei
author_facet Kenny Mendoza-Herrera
Andrea A. Florio
Maggie Moore
Abrania Marrero
Martha Tamez
Shilpa N. Bhupathiraju
Josiemer Mattei
author_sort Kenny Mendoza-Herrera
title The Leptin System and Diet: A Mini Review of the Current Evidence
title_short The Leptin System and Diet: A Mini Review of the Current Evidence
title_full The Leptin System and Diet: A Mini Review of the Current Evidence
title_fullStr The Leptin System and Diet: A Mini Review of the Current Evidence
title_full_unstemmed The Leptin System and Diet: A Mini Review of the Current Evidence
title_sort leptin system and diet: a mini review of the current evidence
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/1beee97708244800a17f076fe4d4b532
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