儿童和青少年慢性肥胖相关代谢综合征诊断标准综述

S. Mohiuddin
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引用次数: 0

摘要

肥胖被定义为一种异常代谢状况,是由于食物消耗的能量和日常活动所需的能量之间的不平衡。当能量超过所需能量时,人最终会肥胖。代谢综合征被认为是一种共存的临床症状和综合征,如高血压、心血管疾病或2型糖尿病,这些疾病过去与长期肥胖有关。代谢综合征通常与腰围增加、空腹血糖升高、高胰岛素血症、血液中高密度脂蛋白胆固醇水平降低、外周动脉压升高、促炎和血栓形成状态有关。代谢综合征的病因通常与两个原因有关:“与脂肪组织相关”和“与糖尿病相关”。所有这些代谢变化的基本作用导致脂肪量增加,这被认为是胰岛素抵抗发病机制的基本因素。身体活动不足、热量高和高度加工的快餐也是代谢综合征发展的原因。在这项最新的综述研究中,讨论了脂肪组织如何影响代谢综合征的进展,以及肥胖与胰岛素抵抗之间的共同点,胰岛素抵抗会导致儿童和青少年的低级别慢性炎症状态。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Mini Review on Diagnostic Criteria of Metabolic Syndrome Associated with Chronic Obesity in Children and Adolescent
Obesity is defined as an abnormal metabolic condition due to imbalance between amount of energy getting from food consumption and energy required for daily activity. When energy getting exceed than energy needed, ultimately person lands into obesity. Metabolic syndrome considered as a coexistence clinical sign and syndrome like hypertension, cardiovascular diseases or type 2 diabetes which used to corelate with long term obesity. Metabolic syndrome usually associated of increased circumference of waist, enhanced fasting blood glucose, hyperinsulinemia, reduced blood level of HDL cholesterol, increased peripheral arterial pressure, proinflammatory and prothrombotic states. The etiological factors of metabolic syndrome used to relate usually with two causes: “associated with adipose tissue” and “associated with diabetes”. The fundamental effects of all these metabolic changes leads to increased fat mass, which is considered as basic element of the pathogenesis of insulin resistance. Inadequate physical activity, caloric and highly processed fast foods are also responsible for the development of Metabolic Syndrome. In this current review study, it was discussed how adipose tissue has an influence in the progression of metabolic syndrome and the common denominator that links obesity to insulin resistance, which leads to low grade chronic inflammatory states in children and adolescent.
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