亚洲的流行性肥胖和2型糖尿病
Kun-Ho Yoon1, Jin-Hee Lee, Ji-Won Kim
1Divison of Endocrinology and Metabolism, College of Medicine, Catholic University of Korea, Seoul, Republic of Korea. yoonk@catholic.ac.kr
Lancet (London, England)
|November 14, 2006
概括
2型糖尿病和肥胖症在亚洲迅速增加,影响年轻人并导致严重的健康问题. 紧急的公共卫生干预和生活方式的改变对于打击这种流行病至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 亚洲地区2型糖尿病和肥胖症的流行率不断上升.
- 亚洲人群在年轻时就患上糖尿病,肥胖程度也较低.
- 儿童肥胖症的显著增加和2型糖尿病的流行病水平.
研究的目的:
- 为了突出亚洲2型糖尿病和肥胖症的不断升级的危机.
- 强调迫切需要公共卫生干预措施.
- 倡导一个全面的预防方法.
主要方法:
- 摘要没有详细说明具体方法,但讨论了趋势和后果.
- 它回顾了当前的流行病学情况及其影响.
- 它要求公共卫生和政策层面的反应.
主要成果:
- 亚洲的2型糖尿病和肥胖率正在显著增加.
- 这些情况在亚洲人群中表现得更早,更严重.
- 造成的健康后果对区域医疗保健系统构成重大威胁.
结论:
- 需要采取紧急,全面的公共卫生行动,以应对亚洲的糖尿病和肥胖流行病.
- 与非传染性疾病计划相关的初级预防策略至关重要.
- 无所作为的代价是不可接受的,需要立即干预和政策审查.
相关概念视频
Carbohydrate Metabolism
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in the...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in the...
Diabetes Mellitus: Type 2 and Gestational
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
Diabetes: Symptoms, Diagnosis, and Complications
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is based on...
Type II Diabetes I: Introduction
Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder characterized by insulin resistance, in which target tissues such as the liver, muscle, and adipose tissue respond poorly to insulin. It is also associated with inadequate compensatory insulin secretion, where pancreatic β-cells fail to produce sufficient insulin. Together, these abnormalities lead to persistent hyperglycemia.EtiologyT2DM develops through a complex interaction of genetic predisposition and environmental or...
Type II Diabetes II: Pathophysiology
PathophysiologyType 2 diabetes mellitus (T2DM ) is a chronic metabolic disorder characterized by insulin resistance and progressive pancreatic β-cell dysfunction, leading to impaired glucose homeostasis. It results from interactions among genetic predisposition, environmental factors, and metabolic stressors, such as overnutrition and a sedentary lifestyle.Insulin Resistance and Glucose DysregulationEarly T2DM involves insulin resistance in skeletal muscle, adipose tissue, and the liver.
Type II Diabetes Mellitus III: Clinical Manifestations and Diagnosis
Type 2 diabetes mellitus develops gradually and is often asymptomatic in early stages.Clinical ManifestationsWhen symptoms appear, they include fatigue, blurred vision, pruritus, delayed wound healing, and recurrent infections, particularly candidal infections. Peripheral neuropathy may present as numbness or tingling in the extremities. Classic hyperglycemia symptoms—polyuria, polydipsia, and polyphagia—are less common. Most patients are overweight and frequently have associated hypertension...


