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代谢综合征。病因与发病机制。

METABOLIC SYNDROME. ETIOLOGY AND PATHOGENESIS.

机构信息

1ST DEPARTMENT OF GENERAL AND ENDOCRINE SURGERY, UNIVERSITY HOSPITAL OF BIALYSTOK, BIALYSTOK, POLAND.

GENERAL SURGERY DEPARTMENT, GENERAL HOSPITAL, WYSOKIE MAZOWIECKIE, POLAND.

出版信息

Wiad Lek. 2021;74(10 pt 1):2510-2515.

Abstract

The aim of the study was to assess the impact of individual components of the metabolic syndrome on the human body, taking into account their etiology and pathogenesis. This article is analytical analysis of scientific and medical literature basing on aspects of the etiology and pathogenesis of the metabolic syndrome. The key role in the pathogenesis of the metabolic syndrome is played by insulin resistance, which may be a result of lifestyle conditions (low physical activity, overweight or obesity) or genetic background. A certain role in the pathogenesis of the metabolic syndrome is also attributed to disorders of the hypothalamic-pituitary-adrenal axis in the form of increased cortisol control, which may initiate the development of abdominal obesity, insulin resistance, hypertension and dyslipidemia. Aforementioned factors (environmental, hormonal and genetic) lead to excessive fat tissue gathering. The excess of abdominal fat tissue - abdominal obesity - leads to insulin resistance, the concentration of which causes body mass gain. Such mechanism is dangerous for our health and may lead to the occurrence of type 2 diabetes and premature development of atherosclerosis with all its consequences such as atherosclerotic cardiovascular diseases including coronary artery disease.

摘要

本研究旨在评估代谢综合征的各个组成部分对人体的影响,同时考虑其病因和发病机制。本文是基于代谢综合征病因和发病机制方面的科学和医学文献的分析性分析。胰岛素抵抗在代谢综合征的发病机制中起着关键作用,其可能是生活方式条件(低体力活动、超重或肥胖)或遗传背景的结果。下丘脑-垂体-肾上腺轴的紊乱以增加皮质醇控制的形式在代谢综合征的发病机制中也起着一定的作用,这可能引发腹型肥胖、胰岛素抵抗、高血压和血脂异常的发生。上述因素(环境、激素和遗传)导致脂肪组织过度积聚。腹部脂肪组织过多——腹型肥胖——导致胰岛素抵抗,其浓度导致体重增加。这种机制对我们的健康是危险的,并可能导致 2 型糖尿病和动脉粥样硬化的过早发展,以及所有的后果,如包括冠心病在内的动脉粥样硬化性心血管疾病。

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