Metabolic syndrome, chronic kidney disease, and cardiovascular disease: a dynamic and life-threatening triad
Mário Raimundo1, José António Lopes
1Department of Nephrology and Renal Transplantation, Centro Hospitalar Lisboa Norte, EPE, Hospital de Santa Maria, Avenida Professor Egas Moniz, 1649-035 Lisboa, Portugal.
Insights
Metabolic syndrome (MS) and chronic kidney disease (CKD) are growing global health issues. This review examines the link between MS and kidney/cardiovascular disease, exploring mechanisms and treatments.
Area of Science:
- Nephrology
- Cardiology
- Metabolic Diseases
Background:
- Metabolic syndrome (MS) and chronic kidney disease (CKD) are prevalent global health concerns with significant morbidity and mortality.
- The intricate relationship and causality between MS and CKD remain incompletely understood.
- There is a need for further investigation into prophylactic and therapeutic strategies for patients with both conditions.
Purpose of the Study:
- To critically review the current clinical evidence linking MS to renal and cardiovascular diseases.
- To elucidate the pathophysiologic mechanisms underlying the association between MS and kidney disease.
- To discuss current and potential treatment options for managing MS in the context of CKD.
Main Methods:
- Systematic review of existing clinical evidence.
- Analysis of pathophysiologic mechanisms.
- Evaluation of current therapeutic interventions.
Main Results:
- Evidence associates MS with increased risk and progression of renal and cardiovascular diseases.
- Pathophysiologic links include inflammation, oxidative stress, and endothelial dysfunction.
- Current treatment focuses on managing individual MS components and CKD progression.
Conclusions:
- MS is a significant risk factor for CKD and cardiovascular complications.
- Understanding the mechanisms is crucial for developing targeted therapies.
- Integrated management strategies are essential for improving outcomes in patients with MS and CKD.
Abstract:
The metabolic syndrome (MS) and chronic kidney disease (CKD) have both become global public health problems, with increasing social and economic impact due to their high prevalence and remarkable impact on morbidity and mortality. The causality between MS and CKD, and its clinical implications, still does remain not completely understood. Moreover, prophylactic and therapeutic interventions do need to be properly investigated in this field. Herein, we critically review the existing clinical evidence that associates MS with renal disease and cardiovascular disease, as well as the associated pathophysiologic mechanisms and actual treatment options.
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