Precision medicine in endocrinology

Experts in endocrinology and nutrition emphasize access to innovative treatments, training and multidisciplinarity as solutions to stop obesity

October 27, 2022, 2:22 p.m

Stopping obesity through access to new drugs, training of health workers and multidisciplinarity are the three pillars that will be analyzed by experts during 63rd Congress of the Spanish Society of Endocrinology and Nutrition (SEEN). Likewise, Precision Medicine in Endocrinology was also one of the main protagonists of the meeting.

Javier Escalada, president of SEEN, also pointed out progress in the fight against obesity. Thus, through significant scientific research, new forms of nutritional intervention are incorporated into the diet. This is a case of intermittent fasting. He also pointed out that it is important to understand the importance of microbiota in metabolism. On the other hand, the COVID-19 pandemic put the possibility of inclusion on the table new patient care methodologies. This led to the development of telemedicine, as well as new forms of health care.

For his part, Pedro de Pablos-Velasco, head of the Endocrinology and Nutrition Service at Hospital Negrín and professor of medicine at the University of Las Palmas, explained that obesity is increasing worldwide. Mainly due to changes in lifestyle and, specifically, due to less physical activity. This affects both the world of work and leisure, along with a much more hypercaloric diet.

Precision medicine in endocrinology

As for development Precision medicine in endocrinology, Escalada highlighted advances in steroid measurement (mass spectrometry); acromegaly (applications and artificial intelligence applied to diagnosis); diabetes (phenotyping and diagnosis of subtypes), morphofunctional assessment in nutrition, nutritional ultrasound; body composition studies (“beyond BMI”); and, in the thyroid gland, gene plates.

Especially in the field of diabetes, changes have also been made in therapeutic algorithms. In this way, the guidelines focus on the cardio-reno-vascular protection of patients with this disease. Also in the importance of weight control to achieve the best possible evolution. All this without forgetting the importance of glycemic control.

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