Després Jean-Pierre
Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec - Université Laval, Québec, QC, Canada.
Department of Kinesiology, Faculty of Medicine, Université Laval, Québec, QC, Canada.
Curr Cardiol Rep. 2025 Jan 14;27(1):20. doi: 10.1007/s11886-024-02165-9.
Narrative review of the author's main contributions to the field of cardiovascular health spanning four decades, with a focus on findings related to 1- the pathophysiology of obesity, insulin resistance, type 2 diabetes and cardiovascular disease, and 2- the management/prevention of these conditions. Particular attention is given to the importance of regular physical activity. RECENT FINDINGS: Because behaviors and their physiological consequences are still not measured in clinical practice, it is proposed to systematically assess and target "lifestyle vital signs" (waist circumference, cardiorespiratory fitness, food-based diet quality and level of leisure-time physical activity) in primary care. However, cardiometabolic health of the population will not be substantially improved until our living and economic conditions are permissive to the adoption of healthy behaviors. Closing the gap between primary care and public health should be a priority to address the socioeconomic determinants of cardiometabolic health.
对作者在心血管健康领域四十年来的主要贡献进行叙述性综述，重点关注与以下两方面相关的研究结果：1. 肥胖、胰岛素抵抗、2型糖尿病和心血管疾病的病理生理学；2. 这些疾病的管理/预防。特别关注规律体育活动的重要性。
由于临床实践中仍未对行为及其生理后果进行测量，建议在初级保健中系统评估并针对“生活方式生命体征”（腰围、心肺适能、基于食物的饮食质量和休闲时间身体活动水平）。然而，在我们的生活和经济条件允许人们采取健康行为之前，人群的心脏代谢健康状况不会得到实质性改善。缩小初级保健与公共卫生之间的差距应成为解决心脏代谢健康社会经济决定因素的优先事项。
