与肥胖相关的膝关节骨关节炎-当前的概念
Russka Shumnalieva1, Georgi Kotov1, Simeon Monov1
1Clinic of Rheumatology, Department of Rheumatology, Medical University of Sofia, 1431 Sofia, Bulgaria.
Life (Basel, Switzerland)
|August 26, 2023
概括
肥胖和代谢综合征驱动膝关节关节炎通过全身炎症,而不仅仅是机械负荷. 控制体重和移动性对于膝关节关节炎治疗至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 类风湿病学 类风湿病学
- 代谢性疾病 代谢性疾病
背景情况:
- 膝关节关节炎 (OA) 是致病率和功能衰退的主要原因.
- 肥胖和代谢综合征是膝关节OA的重要危险因素.
- 新出现的证据表明,由肥胖引起的全身炎症是OA病变发生的关键驱动因素.
研究的目的:
- 阐明肥胖和代谢综合征在膝关节骨关节炎中的多方面的作用.
- 突出导致膝关节骨质炎的全身炎症机制,而不仅仅是机械负荷.
- 为了强调膝关节OA的"整个关节"性质.
主要方法:
- 关于肥胖,代谢综合征和膝关节OA病变的最近研究的综述.
- 分析涉及促炎性细胞因子和基因的分子通路.
- 检查蛋白质溶解酶,自由脂肪酸和活性氧物种的作用.
主要成果:
- 肥胖和代谢综合征会增加促炎性细胞因子,并调节基因.
- 增加的矩阵金属蛋白酶和基蛋白酶有助于软骨的降解.
- 系统性炎症,脂质不良和氧化压力都与肥胖相关的膝盖OA有关.
结论:
- 膝关节OA是一种"整体关节疾病",受到诸如肥胖等系统因素的影响.
- 体重管理和体力活动对于足够的膝关节OA管理至关重要.
- 针对与肥胖相关的分子通路可能为膝关节OA提供未来的治疗策略.
相关概念视频
Obesity
534
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...
534
Knee Joint
1.9K
The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
1.9K
Genome-wide Association Studies-GWAS
13.6K
Genome-wide association studies or GWAS are used to identify whether common SNPs are associated with certain diseases. Suppose specific SNPs are more frequently observed in individuals with a particular disease than those without the disease. In that case, those SNPs are said to be associated with the disease. Chi-square analysis is performed to check the probability of the allele likely to be associated with the disease.
GWAS does not require the identification of the target gene involved in...
GWAS does not require the identification of the target gene involved in...
13.6K
Atherosclerosis III: Management
12
Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
12
Bones of the Lower Limb: Femur and Patella
2.6K
The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
2.6K
Chronic Obstructive Pulmonary Disease-II: Pathophysiology
2.8K
Chronic Obstructive Pulmonary Disease (COPD) pathophysiology is intricate and multifaceted, involving a complex interplay of physiological processes. Understanding these mechanisms is crucial for effectively managing and treating COPD. Here is an in-depth look at the critical elements in the pathophysiology of COPD:
Chronic Inflammation
Chronic Inflammation
2.8K


