Saitoh Shigeyuki, Furugen Makoto, Shimamoto Kazuaki
Second Department of Internal Medicine, Sapporo Medical University School of Medicine.
Nihon Rinsho. 2009 Feb;67(2):327-32.
Obesity is one of the cardiovascular disease' s risk factors, at the same time to affect the development of hypertension and other risk factors. Recently, physiology or pathophysiology functions of adipocyte have been elucidated. And the mechanism of development hypertension has been investigated from adipocyte standpoints. In particular, knowledge of cytokine by adipocyte and insulin resistance has been clear. On the other hand, as the population of obesity is on the increases by the change of our living habits, hypertensive prevalence increases in particularly middle-aged men. Hypertension with obesity is often refractory, and it is poor prognosis. We have to develop an effective therapy in hypertension with obese subjects and have to spread it.
肥胖是心血管疾病的危险因素之一,同时也会影响高血压及其他危险因素的发展。最近,脂肪细胞的生理或病理生理功能已被阐明。并且从脂肪细胞的角度对高血压的发病机制进行了研究。特别是,脂肪细胞产生的细胞因子和胰岛素抵抗方面的知识已经明确。另一方面,随着生活习惯的改变,肥胖人群不断增加,尤其是中年男性的高血压患病率上升。肥胖型高血压往往难以治疗,预后较差。我们必须开发针对肥胖患者高血压的有效治疗方法并加以推广。