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肥満 と 心血管 疾患: アメリカ 心臓 協会 の 科学 的 な 声明
Circulation
|April 22, 2021
まとめ
肥満は心臓血管疾患のリスクを大きく高め 診断と治療に影響します 体重減少は いくつかのマーカーを改善しますが 腹筋外科手術は冠動脈疾患のリスクを減らすのに有望です
科学分野:
- 心臓病科
- 代謝障害
- 公衆衛生
背景:
- 肥満の流行は公衆衛生上の大きな問題であり 血脂不全,糖尿病,高血圧などの 心血管疾患の危険因子を高めています
- 肥満は独立して心血管疾患 (CVD) と死亡率に寄与し,腹部肥満と内臓肥満が主要なリスクマーカーとして特定されています.
研究 の 目的:
- 肥満が動脈硬化性CVD,心不全,不律症の診断,治療,結果に与える影響を要約する.
- 冠動脈疾患 (CAD) の診断手順に対する肥満の影響を調べる.
- 体重減少の介入が心血管疾患に与える影響を検討する.
主な方法:
- 肥満と心血管疾患に関する最新の文献のレビュー
- 体組成と脂肪貯蔵のイメージング方法の分析
- 医学および外科的減量介入の臨床試験データの評価
主要な成果:
- 肥満は心血管疾患の危険因子と死亡率の上昇と関連しています
- 過剰な内臓脂肪は 悪い心血管疾患の予測因子です
- ライフスタイルの変更により 代謝の健康が改善されますが 減量手術は 医学的な減量試験とは違って CADのリスクを減少させています
結論:
- 肥満は様々な心血管疾患の診断,治療,結果に大きく影響します
- 減量介入,特に減量手術は 肥満患者の心血管健康を改善する可能性を 示しています.
- 肥満に関連する心血管疾患の管理のための介入を最適化するためにさらなる研究が必要です.
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