van Waas Marjolein, Neggers Sebastian J, van der Lelij Aart-Jan, Pieters Rob, van den Heuvel-Eibrink Marry M
Department of Pediatric Oncology/Hematology, Erasmus MC-Sophia Children's Hospital, Rotterdam, The Netherlands.
J Pediatr Hematol Oncol. 2010 Apr;32(3):171-9. doi: 10.1097/MPH.0b013e3181d419c3.
The number of adult survivors of childhood cancer in the general population has increased. As reports on the prevalence of the metabolic syndrome in adult survivors of childhood cancer are scarce, we reviewed the available literature on the components of the metabolic syndrome in adult survivors of childhood cancer. Although there is a lack of studies estimating the prevalence of metabolic syndrome directly, especially prevalence of insulin resistance, obesity, and dyslipidemia is increased in certain groups. Therefore, adult survivors of childhood cancer are at increased risk of developing cerebrovascular and cardiovascular diseases. Accordingly, it is important to identify the predisposing factors of the metabolic syndrome in cohorts of survivors, to introduce medical interventions, and to subsequently decrease the risk of cerebrovascular and cardiovascular events.
普通人群中童年癌症成年幸存者的数量有所增加。由于关于童年癌症成年幸存者代谢综合征患病率的报告较少,我们回顾了现有关于童年癌症成年幸存者代谢综合征各组成部分的文献。虽然缺乏直接估计代谢综合征患病率的研究,但在某些群体中,尤其是胰岛素抵抗、肥胖和血脂异常的患病率有所增加。因此,童年癌症成年幸存者发生脑血管和心血管疾病的风险增加。相应地,识别幸存者队列中代谢综合征的诱发因素、引入医学干预措施并随后降低脑血管和心血管事件的风险非常重要。