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代谢综合征预防与管理中的病因、病理生理学及治疗策略

Etiology, Pathophysiology, and Treatment Strategies in the Prevention and Management of Metabolic Syndrome.

作者信息

Patial Ritika, Batta Irene, Thakur Manish, Sobti Ranbir Chander, Agrawal Devendra K

机构信息

Centre for System Biology & Bioinformatics, Panjab University, Chandigarh, India.

Bothell High School, Bothell, Washington, USA.

出版信息

Arch Intern Med Res. 2024;7(4):273-283. doi: 10.26502/aimr.0184. Epub 2024 Oct 28.

Abstract

Metabolic Syndrome (MetS) is a complex cluster of metabolic irregularities that significantly increase the risk of developing chronic conditions, such as hypertension, type 2 diabetes, cardiovascular diseases, and other related disorders. This review aims to provide a comprehensive overview of the current understanding of MetS, its etiology and underlying pathogenesis, and the management strategies. MetS is characterized by central obesity, high blood pressure, insulin resistance, hyperglycemia, hypertriglyceridemia, and low high-density lipoprotein cholesterol levels. The prevalence of MetS is remarkably high, affecting approximately 25% of the global population, particularly in developed nations with inactive lifestyles and high-calorie diets. The development of MetS involves genetic and acquired factors, resulting in an inflammatory state that enhances the risk for cardiovascular disease. The biochemical alterations observed in MetS establish pathological connections between MetS, diabetes, and cardiovascular and neurodegenerative conditions. Despite its clinical importance, there is still debate regarding the precise components and pathophysiological associations among MetS elements. However, advancements in therapeutic measures, including drug therapies, surgical options, and experimental methods present promising avenues for managing and potentially reversing MetS. Further investigation of the MetS is critical because of its significant implications for public health and its connection to other clinical conditions and severe health outcomes, placing a substantial burden on healthcare system and society.

摘要

代谢综合征(MetS)是一组复杂的代谢紊乱症候群,显著增加了患慢性病的风险,如高血压、2型糖尿病、心血管疾病及其他相关病症。本综述旨在全面概述目前对代谢综合征的认识、其病因及潜在发病机制,以及管理策略。代谢综合征的特征为中心性肥胖、高血压、胰岛素抵抗、高血糖、高甘油三酯血症和低高密度脂蛋白胆固醇水平。代谢综合征的患病率极高,影响着全球约25%的人口,尤其是在生活方式不活跃且饮食高热量的发达国家。代谢综合征的发生涉及遗传和后天因素,导致炎症状态,增加了心血管疾病的风险。在代谢综合征中观察到的生化改变在代谢综合征、糖尿病以及心血管和神经退行性疾病之间建立了病理联系。尽管其具有临床重要性,但关于代谢综合征确切的组成部分及其各要素之间的病理生理关联仍存在争议。然而,治疗措施的进展,包括药物治疗、手术选择和实验方法,为管理和潜在逆转代谢综合征提供了有前景的途径。由于代谢综合征对公众健康有重大影响,且与其他临床病症及严重健康后果相关,给医疗系统和社会带来沉重负担,因此对其进行进一步研究至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c3d/11580789/7153b57f373d/nihms-2033547-f0001.jpg

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