克服心血管疾病残余肥胖风险的新策略

IF 5.2 2区 医学 Q1 PERIPHERAL VASCULAR DISEASE
Jerrin Philip, Aayush Shah, Eleonora Avenatti
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引用次数: 0

摘要

综述目的:尽管在动脉粥样硬化性心血管疾病(ASCVD)的治疗和预防方面取得了重大进展,但仍然存在大量残留风险,肥胖已被重新定义为心血管发病率和死亡率的主要和独立驱动因素,值得关注。最近的研究发现:肥胖现在被认为是一种慢性疾病,并且是通过系统性炎症、胰岛素抵抗、血脂异常和内皮功能障碍等机制导致心血管剩余风险的主要因素。本文综述了传统肥胖管理的局限性,并强调了针对潜在脂肪病的新兴药物治疗方法。此外,我们还研究了耻辱感和偏见以及健康的社会决定因素对肥胖管理的影响,并探索了成像、生物标志物和技术在风险分层工具和创新护理模式中的新应用。将肥胖视为一种可改变的高影响疾病对于推进ASCVD的预防和治疗至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Novel Strategies to Conquer Residual Adiposity Risk in Cardiovascular Disease.

Purpose of review: Despite major advances in the treatment and prevention of atherosclerotic cardiovascular disease (ASCVD), a substantial burden of residual risk remains Obesity has been redefined as a primary and independent drivers of cardiovascular morbidity and mortality warranting focused attention.

Recent findings: Obesity is now recognized as a chronic disease and a central contributor to residual cardiovascular risk through mechanisms including systemic inflammation, insulin resistance, dyslipidemia, and endothelial dysfunction. This review addresses the limitations of conventional obesity management and highlights emerging pharmacological therapies targeting the underlying adiposopathy. Additionally, we examine the impact of stigma and biases as well as social determinants of health on obesity management and explore novel application of imaging, biomarkers and technology to risk stratification tools and innovative care models . Addressing obesity as a modifiable and high-impact disease is essential to advancing ASCVD prevention and treatment.

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来源期刊
CiteScore
9.00
自引率
3.40%
发文量
87
审稿时长
6-12 weeks
期刊介绍: The aim of this journal is to systematically provide expert views on current basic science and clinical advances in the field of atherosclerosis and highlight the most important developments likely to transform the field of cardiovascular prevention, diagnosis, and treatment. We accomplish this aim by appointing major authorities to serve as Section Editors who select leading experts from around the world to provide definitive reviews on key topics and papers published in the past year. We also provide supplementary reviews and commentaries from well-known figures in the field. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.
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