Division of Nutrition and Preventative Medicine, Department of Medicine, William Beaumont Hospital, 4949 Coolidge Highway, Royal Oak, MI 48073, USA.
Med Clin North Am. 2011 Sep;95(5):919-37. doi: 10.1016/j.mcna.2011.06.005.
Obesity promotes a cascade of secondary pathologies including diabetes, insulin resistance, dyslipidemia, inflammation, thrombosis, hypertension, the metabolic syndrome, and OSA, which collectively heighten the risk for cardiovascular disease. Obesity may also be an independent moderator of cardiac risk apart from these comorbid conditions. Rates of obesity and cardiac disease continue to rise in a parallel and exponential manner. Because obesity is potentially one of the most modifiable mediators of cardiovascular morbidity and mortality, effective treatment and prevention interventions should have a profound and favorable impact on public health.
肥胖会引发一系列继发性病理变化,包括糖尿病、胰岛素抵抗、血脂异常、炎症、血栓形成、高血压、代谢综合征和阻塞性睡眠呼吸暂停,这些都会增加心血管疾病的风险。肥胖本身也可能是除这些合并症之外的一个独立的心脏疾病危险因素。肥胖和心脏病的发病率呈平行指数式上升。由于肥胖是心血管发病率和死亡率最具可改变性的中介因素之一,有效的治疗和预防干预措施应该对公共健康产生深远而有利的影响。