儿童和青少年的代谢综合征:定义,流行病学,病理生理学,干预措施和挑战
Baoquan Zhang1, Huiying Shi1, Wenhong Cai1
1Neonatology Department, Fujian Maternity and Child Health Hospital College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, China.
Frontiers in endocrinology
|June 26, 2025
概括
代谢综合征 (MetS) 在儿童中缺乏明确的定义,增加了糖尿病和心血管疾病的风险. 本综述讨论了青少年MetS的诊断标准,病原和管理策略.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 心血管疾病风险因素 心血管疾病风险因素
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 代谢综合征 (MetS) 是成年人中普遍存在的一组心脏代谢风险因素.
- 对于成年人来说,已有确定的诊断标准,但对于儿童和青少年,缺乏共识.
- MetS与遗传和环境因素有关,可修改的风险起着关键作用.
研究的目的:
- 审查目前儿童群体中MetS的诊断标准.
- 探索儿童和青少年中MetS的流行病学,病变发生和管理.
- 为应对由于儿童肥胖率上升而迫切需要指导方针.
主要方法:
- 现有文献的叙述性审查.
- 诊断标准和流行病学研究的分析.
- 综合有关病原和管理策略的信息.
主要成果:
- 在MetS和糖尿病和心血管疾病 (CVD) 的风险增加之间存在显著的关联.
- 强调可修改的环境因素在MetS病因学中的关键作用.
- 确定为儿科MetS定义,查和治疗制定具体指导方针的需要.
结论:
- 迫切需要为儿科代谢综合征制定标准化诊断标准.
- 早期识别和治疗儿童的MetS对于预防糖尿病和心血管疾病等长期健康后果至关重要.
- 解决儿童肥胖的流行病在MetS预防策略中至关重要.
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