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Therapeutic Strategies for Obesity–Metabolic Syndrome–Diabetes Continuum

A Special Issue of Journal of Clinical Medicine (ISSN 2077-0383) belonging to the section "Endocrinology & Metabolism".

Deadline for manuscript submissions: 30 October 2026 | Viewed by 866

Editors


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Guest Editor
1. Health Centre Ravne na Koroškem, Ob Suhi 11, 2390 Ravne na Koroškem, Slovenia
2. Topolšica Hospital, Topolšica 64, 3326 Topolšica, Slovenia
3. Faculty of Medicine, University of Ljubljana, Vrazov trg 2, 1000 Ljubljana, Slovenia
Interests: metabolic syndrome; obesity; diabetes

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Guest Editor
1. Department of Endocrinology, Diabetes and Metabolic Diseases, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia
2. Faculty of Medicine, University of Ljubljana, Vrazov trg 2, 1000 Ljubljana, Slovenia
Interests: type 2 diabetes; type 1 diabetes; inflammatory diseases
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The pathophysiological trajectory extending from obesity to insulin resistance, metabolic syndrome (MetS), and ultimately Type 2 Diabetes Mellitus (T2DM) constitutes one of the most pressing global health crises. This "continuum" is not a linear progression, but a complex, reciprocal network of dysfunctions driven by chronic low-grade inflammation, lipotoxicity, gut microbiome dysbiosis, and epigenetic susceptibility. Despite the proliferation of pharmacologic agents, the increasing prevalence of these interconnected conditions requires a fundamental reappraisal of diagnostic frameworks and therapeutic paradigms.

This Special Issue aims to bridge the translational gap between basic science and clinical practice by interrogating cutting-edge therapeutic strategies that target the shared molecular substrates of the Obesity–Metabolic Syndrome–Diabetes continuum. We seek to highlight disease-modifying interventions that transcend symptomatic management—specifically strategies capable of disrupting the pathogenic loop, restoring metabolic flexibility, and mitigating target organ damage (cardiovascular, renal, and hepatic).

We invite original research, systematic reviews, and clinical perspectives focusing on the following:

  • Next-generation pharmacotherapeutics (e.g., dual/triple agonists, novel molecular targets);
  • Molecular mechanisms of adipose tissue dysfunction and insulin signaling;
  • Metabolic surgery and endoscopic interventions as disease-modifying therapies;
  • Clinical management and therapeutic barriers;
  • Bio-behavioral and nutritional interventions, including chrononutrition;
  • Modulation of the gut–metabolism axis;
  • Precision medicine: Biomarkers for risk stratification and phenotypic clustering;
  • Management of sequelae, with specific emphasis on MASLD/MASH and atherosclerotic cardiovascular disease (ASCVD).

By synthesizing insights from endocrinology, cardiology, gastroenterology, this issue aspires to delineate a roadmap for attenuating the metabolic continuum and optimizing patient outcomes. 

Dr. Jana Makuc
Dr. Miodrag Janić
Guest Editors

Manuscript Submission Information

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Keywords

  • obesity
  • metabolic syndrome
  • type 2 diabetes mellitus
  • multi-receptor agonists
  • adipose tissue dysfunction
  • metabolic surgery
  • chrononutrition
  • gut-metabolism axis
  • metabolic phenotyping
  • MASLD

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Published Papers (1 paper)

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Research

16 pages, 2734 KB  
Article
Twelve-Month BMI and Metabolic Changes After Roux-en-Y Gastric Bypass in Women with Severe Obesity
by Augusto Cardoso Sgarioni, Giovani Schulte Farina, Tulio Slongo Bressan, Milena Prigol Dalfovo, Gabriel Michelin De Carli, Henrique João Prataviera Giovanardi, Guilherme Schumacher Giovanardi, Luciano da Silva Selistre and Rosa Maria Rahmi Garcia
J. Clin. Med. 2026, 15(15), 5764; https://doi.org/10.3390/jcm15155764 - 23 Jul 2026
Viewed by 307
Abstract
Background/Objectives: Women-specific short-term body mass index and metabolic changes after Roux-en-Y gastric bypass remain incompletely characterized. This retrospective cohort study evaluated 12-month changes in body mass index, glycemic markers, and lipid profile after Roux-en-Y gastric bypass in women with severe obesity treated at [...] Read more.
Background/Objectives: Women-specific short-term body mass index and metabolic changes after Roux-en-Y gastric bypass remain incompletely characterized. This retrospective cohort study evaluated 12-month changes in body mass index, glycemic markers, and lipid profile after Roux-en-Y gastric bypass in women with severe obesity treated at a public bariatric reference center in Brazil. Methods: Women who underwent Roux-en-Y gastric bypass between September 2017 and January 2020 were assessed preoperatively and at 30 days, 3 months, 6 months, and 12 months postoperatively. Longitudinal changes were analyzed using linear mixed-effects models. Results: Of 168 women who underwent bariatric surgery, 150 had complete 12-month follow-up data. Mean age was 43.6 ± 9.8 years and mean preoperative body mass index was 45.4 ± 5.4 kg/m2. Body mass index decreased progressively from 45.5 kg/m2 at baseline to 31.5 kg/m2 at 12 months. Fasting plasma glucose and HbA1c declined significantly within the first postoperative month and remained improved. Total cholesterol decreased at 30 days, whereas low-density lipoprotein (LDL) cholesterol and triglycerides decreased by 6 months. Among baseline users, 86% discontinued antihyperglycemic therapy, 87% lipid-lowering therapy, and 72% antihypertensive therapy; these exploratory medication-discontinuation outcomes should not be interpreted as validated remission of diabetes, dyslipidemia, or hypertension. Conclusions: Roux-en-Y gastric bypass was associated with substantial short-term body mass index reduction and improved cardiometabolic markers among women. Full article
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