代谢综合征的病因、病理生理学以及预防和治疗策略。

Archives of internal medicine research Pub Date : 2024-01-01 Epub Date: 2024-10-28 DOI:10.26502/aimr.0184
Ritika Patial, Irene Batta, Manish Thakur, Ranbir Chander Sobti, Devendra K Agrawal
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摘要

代谢综合征(MetS)是一组复杂的代谢异常现象,可显著增加罹患高血压、2 型糖尿病、心血管疾病和其他相关疾病等慢性疾病的风险。本综述旨在全面概述目前对 MetS 的认识、其病因和潜在发病机制以及管理策略。MetS 以中心性肥胖、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为特征。MetS 的发病率非常高,约占全球人口的 25%,尤其是在生活方式缺乏运动和高热量饮食的发达国家。MetS 的形成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 MetS 中观察到的生化改变在 MetS、糖尿病、心血管和神经退行性疾病之间建立了病理联系。尽管 MetS 具有重要的临床意义,但关于 MetS 各要素的确切成分和病理生理学关联仍存在争议。然而,包括药物疗法、外科手术方案和实验方法在内的治疗措施的进步为控制和逆转 MetS 带来了希望。对 MetS 的进一步研究至关重要,因为它对公共卫生有重大影响,并与其他临床疾病和严重的健康后果有关,给医疗保健系统和社会带来了沉重负担。
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Etiology, Pathophysiology, and Treatment Strategies in the Prevention and Management of Metabolic Syndrome.

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.

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