非高密度脂蛋白胆固醇与心脏代谢疾病

A. P. Kashirina, G. Simonova
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摘要

现阶段,非高密度脂蛋白胆固醇(non-HDL-C)作为心血管疾病死亡率的预测指标受到了深入研究。非高密度脂蛋白胆固醇含量的增加与胰岛素抵抗有关,而胰岛素抵抗是导致动脉粥样硬化性(混合性)血脂异常的致病因素,是代谢综合征(MS)和 2 型糖尿病(TDM2)患者的典型症状。本综述分析了外国和俄罗斯联邦自 1985 年以来非高密度脂蛋白胆固醇水平的变化趋势。根据国际流行病学研究的结果,得出了利用非高密度脂蛋白胆固醇预测罹患 MS 和 2 型糖尿病风险的结论。研究表明,有必要在俄罗斯人群中开展前瞻性队列研究,以评估非高密度脂蛋白胆固醇在早期诊断多发性硬化症和 TDM2 中的作用。在电子信息数据库 eLIBRARY.RU 和 PubMed 中搜索文献资料。分析包括 1990 年至 2023 年发表的研究。
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Non-high-density lipoproteins cholesterol and cardiometabolic diseases
   At the present stage, non-high-density lipoprotein cholesterol (non-HDL-C) is intensively studied as a predictor of mortality from cardiovascular diseases. An increase in non-HDL-C content is associated with insulin resistance, which is a pathogenetic factor in the development of atherogenic (mixed) dyslipidemia, which is typical for people with metabolic syndrome (MS) and type 2 diabetes mellitus (TDM2). This review analyzes trends in non-HDL-C level since 1985 in foreign countries and in the Russian Federation. Based on the results of international epidemiological studies, conclusions are substantiated about the possibility of predicting the risk of developing MS and type 2 diabetes using the non-HDL-C. The necessity of conducting prospective cohort studies in the Russian population aimed at assessing the role of non-HDL-C in the early diagnosis of MS and TDM2 is shown. The search for literary sources in the electronic information databases eLIBRARY.RU and PubMed. The analysis included studies published from 1990 to 2023.
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