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2型糖尿病与心脏代谢前景:快速叙述性综述

Type 2 Diabetes Mellitus and Cardiometabolic Prospects: A Rapid Narrative Review.

作者信息

Chowdhury Kona, Sinha Susmita, Ahmad Rahnuma, Lugova Halyna, Mehta Miral, Kumar Santosh, Haque Mainul

机构信息

Department of Pediatrics, Enam Medical College Hospital, Dhaka, BGD.

Department of Physiology, Enam Medical College Hospital, Dhaka, BGD.

出版信息

Cureus. 2024 Jul 30;16(7):e65808. doi: 10.7759/cureus.65808. eCollection 2024 Jul.

Abstract

Cardiometabolic syndrome (CMS), type 2 diabetes mellitus (T2DM), and cardiovascular diseases are among the major altruists to the international liability of disease. The lifestyle and dietary changes attributable to economic growth have resulted in an epidemiological transition towards non-communicable diseases (NCDs) as the leading causes of death. Low- and middle-income countries (LMICs) bear a more substantial disease burden due to limited healthcare sector capacities to address the rapidly growing number of chronic disease patients. The purpose of this narrative review paper was to explore the interrelationships between CMS, T2DM, and cardiovascular impairments in the context of NCDs, as well as major preventative and control interventions. The role of insulin resistance, hyperglycemia, and dyslipidemia in the pathogenesis of T2DM and the development of severe cardiovascular impairments was highlighted. This paper elaborated on the pivotal role of lifestyle modifications, such as healthy diets and physical activity, as cornerstones of addressing the epidemics of metabolic diseases. Foods high in calories, refined sugar, red meat, and processed and ready-to-eat meals were associated with an amplified risk of CMS and T2DM. In contrast, diets based on fruits, legumes, vegetables, and whole grain, home-cooked foods demonstrated protective effects against metabolic diseases. Additionally, the role of a psychological and behavioral approach in addressing metabolic diseases was highlighted, especially regarding its impact on patient empowerment and the patient-centered approach to preventative and therapeutic interventions.

摘要

心血管代谢综合征(CMS)、2型糖尿病(T2DM)和心血管疾病是导致全球疾病负担的主要因素。经济增长带来的生活方式和饮食变化导致了流行病学向以非传染性疾病(NCDs)作为主要死因的转变。由于医疗保健部门应对慢性病患者数量快速增长的能力有限,低收入和中等收入国家(LMICs)承受着更沉重的疾病负担。本叙述性综述文章的目的是探讨在非传染性疾病背景下CMS、T2DM和心血管损伤之间的相互关系,以及主要的预防和控制干预措施。强调了胰岛素抵抗、高血糖和血脂异常在T2DM发病机制和严重心血管损伤发展中的作用。本文阐述了生活方式改变(如健康饮食和体育活动)作为应对代谢性疾病流行的基石的关键作用。高热量、精制糖、红肉以及加工食品和即食食品与CMS和T2DM风险增加有关。相比之下,以水果、豆类、蔬菜和全谷物为主的家庭烹饪饮食对代谢性疾病具有保护作用。此外,还强调了心理和行为方法在应对代谢性疾病中的作用,特别是其对患者赋权以及以患者为中心的预防和治疗干预方法的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/216e/11293072/d6cd30adc4f3/cureus-0016-00000065808-i01.jpg

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