将肥胖与心血管疾病联系在一起的机制
Luc F Van Gaal1, Ilse L Mertens, Christophe E De Block
1University of Antwerp, Faculty of Medicine, Department of Diabetology, Metabolism and Clinical Nutrition, Antwerp University Hospital, Wilrijkstraat 10, B-2650 Edegem, Belgium. luc.van.gaal@uza.be
Nature
|December 15, 2006
概括
肥胖通过影响新陈代谢过程而增加心血管疾病的风险. 了解吸烟和体力活动等因素如何影响这些影响是减轻肥胖症的关键.
科学领域:
- 心血管科学 心血管科学
- 代谢性疾病研究研究
- 肥胖医学 肥胖医学
背景情况:
- 肥胖是心血管疾病 (CVD) 和死亡率的主要风险因素.
- 脂肪组织功能障碍有助于胰岛素抵抗,脂质不良,高血压和炎症.
- 这些因素促进内皮功能障碍和动脉样硬化,是心血管疾病发展的基础.
研究的目的:
- 阐明将肥胖与心血管并发症联系在一起的机制.
- 调查吸烟,脂质失调和体育活动的调节作用.
- 了解这些因素如何影响与肥胖有关的心血管风险.
主要方法:
- 关于脂肪组织媒介和心血管健康的当前文献的综述.
- 分析涉及代谢平衡和炎症的途径.
- 检查生活方式因素与肥胖引起的心血管疾病风险之间的相互作用.
主要成果:
- 肥胖会破坏体重的平衡,并促进胰岛素耐药性 (是2型糖尿病的标志).
- 脂肪组织介质有助于不良的脂质特征,高血压和改变的凝血/纤维溶解.
- 吸烟和脂质障碍症加剧了肥胖的负面心血管影响,而体力活动提供了保护.
结论:
- 肥胖会引发一连串对心血管健康有害的代谢和炎症变化.
- 生活方式因素显著改变与肥胖相关的心血管风险.
- 针对这些机制和可修改的风险因素对于预防与肥胖相关的心血管疾病至关重要.
相关概念视频
Obesity
The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in adipocytes...
Pharmacokinetics in Obese Patients: Drug Metabolism and Excretion
Drug metabolism, a critical process in the liver, involves two primary phases: Phase I reactions and Phase II conjugation. Obesity introduces significant alterations in this metabolic process, primarily due to fatty infiltration of the liver, leading to conditions such as nonalcoholic fatty liver disease (NAFLD). This condition can modify the activities of both Phase I and II enzymes, impacting how drugs are metabolized in obese patients.Phase I metabolism sees variable effects across...
Coronary Artery Disease I: Introduction
Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
Coronary Artery Disease II: Pathophysiology
Coronary Artery Disease (CAD) originates from a series of events that impair the function of coronary arteries, the blood vessels responsible for delivering oxygen-rich blood to the heart muscle. The pathophysiology of CAD is closely linked to atherosclerosis, a chronic inflammatory and lipid-driven condition affecting the vascular endothelium.1. Endothelial DamageThe process begins with damage to the vascular endothelium, which serves as a protective barrier between the blood and the vessel...
Psychoneuroimmunology: Cardiovascular Disease
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
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...


