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饮食干预对作为心血管疾病风险诱发因素的代谢综合征的治疗作用。综述。

Dietary interventions in the treatment of metabolic syndrome as a cardiovascular disease risk-inducing factor. A review.

作者信息

Mandecka Anna, Regulska-Ilow Bożena

机构信息

1Wroclaw Medical University, Faculty of Health Sciences, Department of Dietetics, Wroclaw, Poland

出版信息

Rocz Panstw Zakl Hig. 2018;69(3):227-233.

Abstract

Metabolic syndrome (MetS) is a concept which refers to a simultaneous occurrence of clinically significant cardiovascular disease (CVD) risk factors that increase the risk of atherosclerosis and type 2 diabetes as well as their vascular complications. The metabolic syndrome is a complex disorder, therefore its treatment should be multifactorial and intensive. MetS occurs due to a combination of genetic and environmental factors. Each of MetS components is a well-known risk factor of atherosclerosis. Such modifications to the lifestyle as increasing physical activity, introducing a well-balanced diet and reducing the body mass are associated with reduced occurrence of MetS and its individual components. It is necessary to implement proper dietary processes, a physical training program and pharmacological treatment. The treatment of MetS should begin with weight loss, which affects the occurrence of abdominal obesity, as well as increased physical activity, leading to an increased tissue sensitivity to insulin. It is recommended to introduce a low-energy, individually balanced diet that will lead to a 7-10% weight loss over the course of 6-12 months. Patients are also advised to quit smoking and limit the consumption of salt and alcohol.

摘要

代谢综合征(MetS)是一个概念,指临床上显著的心血管疾病(CVD)危险因素同时出现,这些因素会增加动脉粥样硬化和2型糖尿病及其血管并发症的风险。代谢综合征是一种复杂的病症,因此其治疗应是多因素且强化的。代谢综合征的发生是遗传和环境因素共同作用的结果。代谢综合征的每个组成部分都是动脉粥样硬化的已知危险因素。诸如增加体育活动、采用均衡饮食和减轻体重等生活方式的改变与代谢综合征及其各个组成部分的发生率降低有关。实施适当的饮食方案、体育训练计划和药物治疗是必要的。代谢综合征的治疗应从减轻体重开始,这会影响腹型肥胖的发生,同时增加体育活动,导致组织对胰岛素的敏感性增加。建议采用低能量、个性化的均衡饮食,这将在6至12个月内使体重减轻7%至10%。还建议患者戒烟并限制盐和酒精的摄入。

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