肥胖的全球蔓延促使传统干预策略革新。 正念饮食干预(MEI)作为行为医学与营养心理学的交叉实践,为肥胖管 理提供了新视角。 本文系统解析了 MEI 的多维作用机制:在神经生理层面,MEI 通过调节饱腹信号传递、胃肠动力及激素分 泌来优化代谢平衡,依托奖赏回路抑制、执行控制网络激活及脑岛功能强化,提升饮食决策的理性化;在心理层面,MEI 有助 于人们区分情绪和饥饿感,减少压力导致的暴饮暴食。 未来研究可以结合基因检测、虚拟现实技术等新方法,推动 MEI 从理 论到临床的范式升级,为肥胖防治提供跨学科解决方案。

The global epidemic of obesity has underscored the critical need for innovative approaches to traditional intervention strategies. Mindful eating intervention MEI an interdisciplinary approach integrating behavioral medicine and nutritional psychology represents a promising paradigm for obesity management. This review systematically examines the multidimensional mechanisms underlying MEI at the neurophysiological level MEI modulates metabolic homeostasis through the regulation of satiety signaling pathways gastrointestinal motility and hormonal secretion while simultaneously enhancing dietary decision-making via the inhibition of reward circuits activation of executive control networks and functional optimization of the insular cortex at the psychological level MEI facilitates the differentiation between emotional states and physiological hunger thereby mitigating stressinduced hyperphagia. Future research directions should incorporate advanced methodologies including genomic profiling and virtual reality-based interventions to facilitate the translation of MEI from theoretical frameworks to clinical applications thereby offering comprehensive interdisciplinary solutions for the prevention and treatment of obesity.