Šoštarič Anja, Jenko Barbara, Kozjek Nada Rotovnik, Ovijač Darja, Šuput Dušan, Milisav Irina, Dolžan Vita
Faculty of Health Sciences, University of Ljubljana, Ljubljana, Slovenia.
Institute of Biochemistry, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Arch Med Sci. 2019 Sep;15(5):1184-1194. doi: 10.5114/aoms.2019.87462. Epub 2019 Aug 23.
Metabolic syndrome and associated diseases are a global health problem. Detection of early metabolic modifications that may lead to metabolic syndrome would enable timely introduction of preventive lifestyle modifications.
In total 103 young, healthy adults were assessed for indicators of metabolic alterations. Anthropometric, lifestyle, genetic and biochemical parameters were assessed. Individuals who fulfilled at least one criterion for diagnosis of metabolic syndrome were assigned to the group with the higher metabolic syndrome burden (B-MeS).
The 34 young healthy individuals who were assigned to the B-MeS group had lower fat-free mass, higher body mass index, waist-to-hip ratio, fat mass, and blood pressure, more visceral fat, they were less physically active, had higher C-reactive protein values and higher catalase activity. Their phenotype was more similar to that of patients diagnosed with metabolic syndrome than the rest of the population.
Simple anthropometric measurements, lifestyle assessment and basic biochemical measurements can be used to identify young healthy individuals with increased risk for metabolic syndrome. These assessments can be performed at periodic check-ups of the healthy population so that timely diagnosis of B-MeS can be made. As lifestyle factors have a big influence on development or improvement of the MeS, the timely diagnosis for B-MeS would enable an early opportunity for intervention for lifestyle modification in the still healthy population, saving costs and reducing disability adjusted life years.
代谢综合征及相关疾病是一个全球性的健康问题。检测可能导致代谢综合征的早期代谢改变,将有助于及时引入预防性的生活方式改变。
共对103名年轻健康成年人的代谢改变指标进行了评估。评估了人体测量学、生活方式、基因和生化参数。符合代谢综合征诊断至少一项标准的个体被归入代谢综合征负担较高的组(B-MeS)。
被归入B-MeS组的34名年轻健康个体的去脂体重较低,体重指数、腰臀比、脂肪量和血压较高,内脏脂肪更多,身体活动较少,C反应蛋白值和过氧化氢酶活性较高。与其他人群相比,他们的表型与被诊断为代谢综合征的患者更为相似。
简单的人体测量、生活方式评估和基本生化测量可用于识别代谢综合征风险增加的年轻健康个体。这些评估可在健康人群的定期体检中进行,以便及时诊断B-MeS。由于生活方式因素对代谢综合征的发展或改善有很大影响,及时诊断B-MeS将为仍健康的人群提供早期干预生活方式改变的机会,节省成本并减少伤残调整生命年。