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绝经的代谢相关性:最新进展。

Metabolic correlates of menopause: an update.

机构信息

Department of Obstetrics and Gynecology, University of Colorado Denver, Aurora, Colorado 80045, USA.

出版信息

Curr Opin Obstet Gynecol. 2012 Dec;24(6):402-7. doi: 10.1097/GCO.0b013e32835a91bc.

Abstract

PURPOSE OF REVIEW

Metabolic syndrome (MetS) is a cluster of characteristics that increase the risk of cardiovascular disease and type 2 diabetes mellitus. We will review the most interesting and relevant studies on metabolic correlates of menopause published over the last year.

RECENT FINDINGS

In the past year, studies have shifted focus from effects on cardiovascular disease and diabetes to effects of MetS on breast cancer as well as menopausal symptoms. Studies have found and further confirmed its negative effect on both breast cancer and menopausal symptoms. Focus has also been on treatment options including both lifestyle and pharmacologic. Recent studies also further investigate markers/predictors as well as genetic components influencing MetS development.

SUMMARY

Over a quarter of the US population is affected by metabolic disease at midlife, and some studies have shown that the incidence of MetS increases with menopause. There are now more Americans who are age 65 and older than at any other time in US history. Thus, it is becoming ever more important to understand metabolic health, as well as the consequences of MetS.

摘要

目的综述

代谢综合征(MetS)是一组增加心血管疾病和 2 型糖尿病风险的特征。我们将回顾过去一年中有关绝经相关代谢特征的最有趣和最相关的研究。

最近的发现

在过去的一年中,研究的重点已经从对心血管疾病和糖尿病的影响转移到了代谢综合征对乳腺癌和绝经症状的影响上。研究发现并进一步证实了它对乳腺癌和绝经症状的负面影响。研究还集中在包括生活方式和药物在内的治疗选择上。最近的研究还进一步探讨了影响 MetS 发展的标志物/预测因子和遗传成分。

总结

四分之一的美国中年人患有代谢疾病,一些研究表明,代谢综合征的发病率随着绝经而增加。现在美国 65 岁及以上的人口比以往任何时候都多。因此,了解代谢健康以及 MetS 的后果变得越来越重要。

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