代谢综合征是一个实际的健康问题(分析综述)

Q4 Medicine
N. Agarkov, A. Titov, S. I. Korneeva, Vsevolod I. Kolomiets, Vitaly V. Aksenov, L. Kolpina
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引用次数: 0

摘要

不同年龄组的代谢综合征是许多国家现代卫生保健的重点问题之一。目前,代谢综合征的医学和社会意义在于其在致残和死亡原因中的比重较高,同时也是心脑血管疾病、糖尿病及其并发症的主要危险因素。世界上代谢综合征的高患病率从日本的44.9%到西班牙的50.9%不等。由于老年人和老年人口比例的持续增加,预计代谢综合征的发病率将进一步增加,门诊和住院医疗保健费用将明显增加。本研究的目的是根据国内外报道的数据,分析代谢综合征的患病率及其组成部分。使用计算机搜索引擎和国际数据库(Scopus, Web of Sciences)中的同行评审期刊对2003-2019年俄罗斯和外国的科学报告、专著和文集进行回顾性研究。检索结果为164篇文章进行分析,其中128篇作品和资料因信息不完整、抽样不具代表性等原因被排除。36份出版物是本研究的基础。在包括俄罗斯在内的各个国家,随着人口年龄的增加,合并动脉高血压、糖尿病的代谢综合征的心血管并发症风险增加了2-3倍,合并动脉高血压的代谢综合征增加了5倍,合并糖尿病的代谢综合征增加了5倍。关于代谢综合征流行率的数据将使保健管理人员能够实施预防措施,尤其是纠正代谢综合征的可改变风险因素,如肥胖和高血压,这是代谢综合征最常见的组成部分
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Metabolic syndrome as an actual health problem (analytical review)
Metabolic syndrome among different age groups is one of the priority problems of modern health care in many countries. Currently, the medical and social significance of the metabolic syndrome is related o the high specific weight among the causes of disability and mortality, which, along with this, is the leading risk factor for cardiovascular, cerebrovascular, diseases, diabetes mellitus and their complications. The high prevalence of metabolic syndrome in the world ranges from 44.9% in Japan to 50.9% in Spain. Due to the continued increase in the proportion of the elderly and senile population, a further increase in the incidence of metabolic syndrome is predicted, and a pronounced gain in health care costs for outpatient and inpatient medical care. The purpose of the study is to analyze the prevalence of the metabolic syndrome and its components according to the data of domestic and foreign reports. Russian and foreign scientific reports, monographs, and collections of articles for 2003–2019 were retrospectively studied using computer search engines and peer-reviewed journals in international databases (Scopus, Web of Sciences). As a result of the search, 164 articles were selected for analysis, from which 128 works and materials were excluded due to incomplete information, unrepresentative sampling, and other reasons.36 publications served as the basis for this study. An enlargement in the prevalence of metabolic syndrome in various countries, including Russia, with an increase in the age of the population in combination with arterial hypertension, diabetes mellitus, in the risk of developing cardiovascular complications by 2–3 times in the combination of metabolic syndrome with arterial hypertension and by 5 times-with diabetes mellitus. Data on the prevalence of the metabolic syndrome will allow health care managers implementing preventive measures and, above all, to correct modifiable risk factors for the metabolic syndrome, such as obesity and hypertension, which are the most common components of the metabolic syndrome
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