肥胖对肺功能和肌肉力量影响的叙述性综述

Pub Date : 2024-06-05 DOI:10.21103/article14(2)_ra2
Ahad Alzahrani, Wessam Ezzat, Walid Abdelbasset
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引用次数: 0

摘要

肥胖症在全球范围内已达到令人震惊的程度,需要对其健康后果给予密切关注和全面了解。如今,肥胖症影响着各个年龄段和社会经济水平的人群。这篇叙述性综述专门讨论肥胖对肺功能和肌肉力量的多方面影响。肥胖症以脂肪过度堆积为特征,会诱发复杂的生理变化,使脂肪组织转变为一个新陈代谢活跃的器官。肥胖症的多面性导致复杂的生理变化,影响全身。除了众所周知的对新陈代谢健康的影响外,肥胖,尤其是腹部肥胖,还对呼吸系统造成机械性挑战。本综述探讨了肥胖对肺功能造成的机械挑战,阐明了腹部过多的脂肪组织如何影响肺的扩张并增加呼吸肌的工作量。同时,这篇综述还探讨了肥胖与肌肉力量之间的动态相互作用。肥胖和肌肉力量因代谢功能障碍、肌肉成分变化和生活方式变量而相互关联。肥胖对临床的影响超出了代谢后果,强调肺功能受损和肌肉力量减弱是临床结果的关键决定因素。我们提倡采用多学科方法,包括医护人员之间的合作,解决导致肥胖的生理和心理因素。
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A Narrative Review of the Impacts of Obesity on Pulmonary Function and Muscle Strength
Obesity has reached alarming proportions worldwide, requiring close attention and comprehensive knowledge about its health consequences. Obesity today affects people of all ages and socioeconomic levels. This narrative review is devoted to the multifaceted impacts of obesity on pulmonary function and muscle strength. Obesity, characterized by excessive fat accumulation, induces complex physiological changes, transforming adipose tissue into a metabolically dynamic organ. The multifarious nature of obesity causes complicated physiological alterations that affect the whole body. Besides its well-known impacts on metabolic health, obesity, particularly abdominal obesity, challenges the respiratory system mechanically. This review navigates through the mechanical challenges that obesity poses to pulmonary function, elucidating how excess adipose tissue in the abdominal region compromises lung expansion and increases the workload on respiratory muscles. Simultaneously, the review explores the dynamic interplay between obesity and muscle strength. Obesity and muscle strength are linked by metabolic dysfunction, muscle composition changes, and lifestyle variables. Clinical implications of obesity extend beyond metabolic consequences, emphasizing impaired pulmonary function and diminished muscle strength as crucial determinants of clinical outcomes. A multidisciplinary approach involving collaboration among healthcare professionals is advocated, addressing the physiological and psychological factors contributing to obesity.
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