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World Journal of Surgery

, Volume 28, Issue 6, pp 631–635 | Cite as

Galen on Obesity: Etiology, Effects, and Treatment

  • Niki S. Papavramidou
  • Spiros T. Papavramidis
  • Helen Christopoulou-Aletra
Surgical History

Abstract

Only a few studies have been conducted to determine the historical background of obesity, and even fewer have focused on specific writers who have made great contributions on the subject. Galen was among the first to establish scientific methods to describe and treat morbid obesity, and a presentation of his ideas is important because of the influence he has exerted even up to modern times. The methodology of the current research was based on detailed study of Galen’s treatises, which concern the nature of obesity, the etiology, the consequences, and the treatment, often in comparison to the writings of other writers from the Hippocratic period up to recent years. Galen stated that obesity results from the surplus of “bad humors” in the body and specifically from a surplus of blood. He specifically described patients’ conditions, both physiologic and practical; he presented side effects; and he introduced methods of treatment that are used even today. Galen also described an illness he called polisarkia, which today we call morbid obesity. According to Galen’s views, we can identify morbid obesity under the description of polisarkia. Galenic physiology and pathology have been proved wrong and have been set aside. Nevertheless, he proposed some treatments for obesity such as diet, exercise, and medications that are still valuable and are nearly the same as what is advocated today.

Keywords

Obesity Obese Patient Morbid Obesity Amaranth Medical View 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    World Health Organization. Obesity: Preventing and Managing the Global Epidemic, Report of the WHO Consultation of Obesity, Geneva, WHO, 1997;1–276Google Scholar
  2. 2.
    Gourévitch, D., Grmek, M. L’obesité et ses représentations figurées dans l’Antiquité. In Archéologie et Médecine VIIèmes Rencontres Internationales d’Archéologie et d’Histoire, Juan-les-Pins, France, A.P.D.C.A., 1987;355–367Google Scholar
  3. 3.
    Claudii Galeni. Opera Omnia, Hildesheim, New York, G. Olms, 2001Google Scholar
  4. 4.
    Galen, Apanta. Athens. Kaktos Editions, 1993Google Scholar
  5. 5.
    Marketos, S 1996An Illustrated History of MedicineZitaAthens127Google Scholar
  6. 6.
    Siegel, R 1968Galen’s System of Physiology and MedicineKargerNew York148Google Scholar
  7. 7.
    Galen, A. De Tumoribus Praeter Naturam, Vol. 7, Hildesheim, New York, G. Olms, 2001;708Google Scholar
  8. 8.
    Galen, A. De Tumoribus Praeter Naturam, Vol. 7, Hildesheim, New York, G. Olms, 2001;705–706Google Scholar
  9. 9.
    Bray, G 1990Obesity: historical development of scientific and cultural ideasInt. J. Obes.14909926PubMedGoogle Scholar
  10. 10.
    Galen, A. De Sanitate Tuenda, Book I, Vol. VI, Hildesheim, New York, G. Olms, 2001;26–27Google Scholar
  11. 11.
    Galen, A. De Plenitude, Hildesheim, Vol. VI, New York, G. Olms, 2001;563–564Google Scholar
  12. 12.
    Green RM. A Translation of Galen’s Hygiene, Springfield, IL, Charles C Thomas, 1951;256–257Google Scholar
  13. 13.
    Galen, A. Methodo Medendi, Vol. 10, Hildesheim, New York, G. Olms, 2001;993–994Google Scholar
  14. 14.
    Galen, A. Ars Medica, Vol. I, Hildesheim, New York, G. Olms, 2001;344–345Google Scholar
  15. 15.
    Green, RM 1951A Translation of Galen’s HygieneCharles C ThomasSpringfield, IL156Google Scholar
  16. 16.
    Blinder, B, Chao, K 1994Eating disorders: a historical perspectiveAlexander-Mott, LLumsden, DB eds. Understanding Eating Disorders: Anorexia Nervosa, Bulimia Nervosa, and ObesityTaylor & FrancisPhiladelphia335Google Scholar
  17. 17.
    Galen, A. De Temperamentis, Book II, Vol. I, Hildesheim, New York, G. Olms, 2001;607–611Google Scholar
  18. 18.
    Galen, A. De Praesagitione ex Pulsibus, Vol. 9, Book I, Hildesheim, New York, G. Olms, 2001;236–241Google Scholar
  19. 19.
    Galen, A. Synopsis Librorum Suorum de Pulsibus, Vol. 9, Hildesheim, New York, G. Olms, 2001;531Google Scholar
  20. 20.
    Galen, A. Synopsis Librorum Suorum de Pulsibus, Vol. 9, Hildesheim, New York, G. Olms, 2001;516–517Google Scholar
  21. 21.
    Powell, O 2003Galen on the Properties of FoodstuffsCambridge University PressCambridge, UK17Google Scholar
  22. 22.
    Galen, A. Methodo Medendi, Vol. 10, Hildesheim, New York, G. Olms, 2001;606–607Google Scholar
  23. 23.
    Galen, A. Methodo Medendi, Vol. 10, Hildesheim, New York, G. Olms, 2001;995–996Google Scholar
  24. 24.
    Marinone, N 1973Galeno, La Dieta DimagranteG.B. ParaviaTorinoGoogle Scholar
  25. 25.
    Green, RM 1951A Translation of Galen’s HygieneCharles C ThomasSpringfield, IL251Google Scholar
  26. 26.
    Marinone N. Galeno, La Dieta Dimagrante, Torino, G.B. Paravia, 1973Google Scholar
  27. 27.
    Grant M. Galen on Food and Diet, New York, Routledge, 2001;65Google Scholar
  28. 28.
    Marinone, N 1973Galeno, La Dieta DimagranteG.B. ParaviaTorino4855Google Scholar
  29. 29.
    Marinone, N 1973Galeno, La Dieta DimagranteG.B. ParaviaTorino7577Google Scholar
  30. 30.
    Marinone, N 1973Galeno, La Dieta DimagranteG.B. ParaviaTorino7679Google Scholar
  31. 31.
    Marinone N. Galeno, La Dieta Dimagrante, Torino, G.B. Paravia, 1973;80–81Google Scholar
  32. 32.
    Marinone, N 1973Galeno, La Dieta DimagranteG.B. ParaviaTorino112113Google Scholar
  33. 33.
    Marinone, N 1973Galeno, La Dieta DimagranteG.B. ParaviaTorino110111Google Scholar
  34. 34.
    Galen, A. Methodo Medendi, Vol. 10, Hildesheim, New York, G. Olms, 2001;997Google Scholar
  35. 35.
    Galen, A. De Parvae Pilae Exercitio, vol. 5, Hildesheim, New York, G. Olms, 2001;908Google Scholar
  36. 36.
    Galen, A. Thrasybulus sive Utrum Medicinae Sit an Gymnasticae Hygieine, vol. 5, Hildesheim, New York, G. Olms, 2001;820Google Scholar
  37. 37.
    Galen, A. De Sanitate Tuenda, Book I, Athens, Kaktos, 1993;102Google Scholar
  38. 38.
    Green, RM 1951A Translation of Galen’s HygieneCharles C ThomasSpringfield, IL111Google Scholar
  39. 39.
    Faulv i Trillo C. Tratado de Pharmacia Galénica. Madrid, Luzαn 5, S.A. de Ediciones, 1993Google Scholar
  40. 40.
    Selles Flores, E 1977Farmacia Galénica EspecialDepto. Farmacia GalénicaGranadaGoogle Scholar
  41. 41.
    Deitel, M 1998Overview of operations for morbid obesityWorld J. Surg.22913918CrossRefPubMedGoogle Scholar
  42. 42.
    Mason, EE, Ito, CC 1969Gastric bypassAnn. Surg.170329339PubMedGoogle Scholar
  43. 43.
    Scopinaro, N, Gianetta, E, Adami, GF,  et al. 1996Biliopancreatic diversion for obesity at eighteen yearsSurgery119261268PubMedGoogle Scholar
  44. 44.
    Galen, A. De Curandi Rationae per Venae Sectionae, vol. 11, Hildesheim, New York, G. Olms, 2001;273Google Scholar
  45. 45.
    Galen, A. De Curandi Rationae per Venae Sectionae, vol. 11, Hildesheim, New York, G. Olms, 2001;269Google Scholar
  46. 46.
    Cohen, SG 1992Avicenna on food aversions and dietary prescriptionsAllergy Proc.13199203PubMedGoogle Scholar
  47. 47.
    Rosner, F. The medical aphorisms of Moses Maimonides, Haifa, Maimonides lust, 1989, p. 1Google Scholar
  48. 48.
    Hill, JO, Wyatt, JO, Melanson, EL 2000Genetic and environmental contributions to obesityMed. Clin. North Am.84333346PubMedGoogle Scholar
  49. 49.
    Rolls, BJ, Bell, EA 2000Dietary approaches to the treatment of obesityMed. Clin. North Am.84401418PubMedGoogle Scholar
  50. 50.
    Wadden, TA 1993Treatment of obesity by moderate and severe caloric restriction: results of clinical research trialAnn. Intern. Med.119688693PubMedGoogle Scholar
  51. 51.
    Choi, SB 2003Benefits of Mediterranean diet affirmed, againCan. Med. Assoc. J.169316Google Scholar
  52. 52.
    Anonymous. Live longer with a “big fat Greek diet.” Health News 2003;9:9Google Scholar
  53. 53.
    Leermarkers, EA, Jakicic, JM, Viteri, J,  et al. 1998Clinic-based vs. home-based interventions for preventing weight gain in menObes. Res.6346352PubMedGoogle Scholar
  54. 54.
    Bray, GA, Tartaglia, LA 2000Medical strategies in the treatment of obesityNature404672677PubMedGoogle Scholar
  55. 55.
    National Taskforce on the Prevention and Treatment of Obesity. Long term pharmacotherapy in the management of obesity. J.A.M.A. 1996;276:1907–1915Google Scholar
  56. 56.
    Glazer, DW 2000Long term pharmacotherapy of obesity 2000: a review of efficacy and safetyArch. Intern. Med.16118141824CrossRefGoogle Scholar
  57. 57.
    Deitel, M, Shahi, B 1992Morbid obesity: selection of patients for surgeryJ. Am. Coll. Nutr.11457458PubMedGoogle Scholar

Copyright information

© Société Internationale de Chirurgie 2004

Authors and Affiliations

  • Niki S. Papavramidou
    • 1
  • Spiros T. Papavramidis
    • 2
  • Helen Christopoulou-Aletra
    • 1
  1. 1.Department of Anatomy, History of Medicine Division, School of MedicineAristotle University of ThessalonikiThessalonikiGreece
  2. 2.3rd Department of Surgery, AHEPA Hospital, School of MedicineAristotle University of ThessalonikiThessalonikiGreece

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