The metabolic syndrome

被引:5791
作者
Eckel, RH
Grundy, SM
Zimmet, PZ
机构
[1] Univ Colorado, Div Endocrinol Diabet & Metab, Aurora, CO 80045 USA
[2] Hlth Sci Ctr, Aurora, CO 80045 USA
[3] Univ Texas, SW Med Ctr Dallas, Dallas, TX 75235 USA
[4] Int Diabet Inst, Melbourne, Vic, Australia
关键词
D O I
10.1016/S0140-6736(05)66378-7
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The metabolic syndrome is a common metabolic disorder that results from the increasing prevalence of obesity. The disorder is defined in various ways, but in the near future a new definition(s) will be applicable worldwide. The pathophysiology seems to be largely attributable to insulin resistance with excessive flux of fatty acids implicated. A proinflammatory state probably contributes to the syndrome. The increased risk for type 2 diabetes and cardiovascular disease demands therapeutic attention for those at high risk. The fundamental approach is weight reduction and increased physical activity; however, drug treatment could be appropriate for diabetes and cardiovascular disease risk reduction.
引用
收藏
页码:1415 / 1428
页数:14
相关论文
共 166 条
[1]  
Alberti KGMM, 1998, DIABETIC MED, V15, P539, DOI 10.1002/(SICI)1096-9136(199807)15:7<539::AID-DIA668>3.0.CO
[2]  
2-S
[3]  
American Diabetes Association, 2004, Diabetes Care, V27 Suppl 1, pS15
[4]   HYPERINSULINEMIA PRODUCES BOTH SYMPATHETIC NEURAL ACTIVATION AND VASODILATION IN NORMAL HUMANS [J].
ANDERSON, EA ;
HOFFMAN, RP ;
BALON, TW ;
SINKEY, CA ;
MARK, AL .
JOURNAL OF CLINICAL INVESTIGATION, 1991, 87 (06) :2246-2252
[5]  
[Anonymous], 1998, Obes Res, V6, p51S
[6]   Simple scoring scheme for calculating the risk of acute coronary events based on the 10-year follow-up of the Prospective Cardiovascular Munster (PROCAM) study [J].
Assmann, G ;
Cullen, P ;
Schulte, H .
CIRCULATION, 2002, 105 (03) :310-315
[7]   Weak and non-independent association between plasma TAFI antigen levels and the insulin resistance syndrome [J].
Aubert, H ;
Frère, C ;
Aillaud, MF ;
Morange, PE ;
Juhan-Vague, I ;
Alessi, MC .
JOURNAL OF THROMBOSIS AND HAEMOSTASIS, 2003, 1 (04) :791-797
[8]   Prevalence of metabolic syndrome in an urban population: Tehran Lipid and Glucose Study [J].
Azizi, F ;
Salehi, P ;
Etemadi, A ;
Zahedi-Asl, S .
DIABETES RESEARCH AND CLINICAL PRACTICE, 2003, 61 (01) :29-37
[9]   Type 2 Diabetes in South Asians: A pathophysiologic focus on the Asian-Indian epidemic [J].
Bajaj M. ;
Banerji M.A. .
Current Diabetes Reports, 2004, 4 (3) :213-218
[10]  
Balkau B, 1999, DIABETIC MED, V16, P442