Servicio de Medicina Interna, Hospital General de México, Dr. Eduardo Liceaga, Ciudad de México, México.
Servicio de Cardiología, Hospital General de México, Dr. Eduardo Liceaga, Ciudad de México, México.
Arch Med Res. 2018 Nov;49(8):516-521. doi: 10.1016/j.arcmed.2018.10.003. Epub 2018 Oct 24.
Metabolic Syndrome (MetS) is a cluster of risk factors that, taken alone or synergically, are independent predictors of type 2 diabetes and cardiovascular disease (CVD), which are both major public health problems that requires urgent containment actions. Current controversies regarding MetS are focused on ascertain the unifying explanation of molecular and pathophysiological mechanisms originating the syndrome, involving insulin resistance and low-grade chronic inflammation. This review aims to present the clinical relevance of MetS and its complications, as well as the hypotheses addressing its etiopathogenic relation with CVD. We conclude that health policies should emphasize basic research promotion, timely detection and early treatment of MetS, which will help to reduce the risk of CVD and their impact on public health and health-care related costs.
代谢综合征(MetS)是一组危险因素,这些危险因素单独或协同作用,是 2 型糖尿病和心血管疾病(CVD)的独立预测因素,而这两种疾病都是需要采取紧急控制措施的主要公共卫生问题。目前,关于 MetS 的争议集中在确定导致该综合征的分子和病理生理机制的统一解释上,这些机制涉及胰岛素抵抗和低度慢性炎症。本综述旨在介绍 MetS 及其并发症的临床相关性,以及针对其与 CVD 的病因发病关系的假说。我们得出结论,卫生政策应强调促进基础研究,及时发现和早期治疗 MetS,这将有助于降低 CVD 的风险及其对公共卫生和与医疗保健相关的成本的影响。