青年的代谢综合征 - - 一个新鲜的看法对一个老问题
1Department of Pediatric Endocrinology and Diabetes, Cook Children's Medical Center, Fort Worth, TX, USA (Dr Wilson).
Journal of clinical lipidology
|September 20, 2025
概括
代谢综合征 (MetS) 在年轻人中正在上升,其特点是肥胖,高血压和胰岛素抵抗. 最近的减肥药物显示短期有效性,但长期的安全性和益处需要进一步研究.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 心血管健康 心血管健康
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 代谢综合征 (MetS) 在18岁以下的个体中越来越普遍.
- 年轻人中的MetS与成人诊断具有共同的特征,包括中心肥胖,高血压,脂质失调和葡萄糖失调,与胰岛素抵抗有关.
- 早期发病的MetS追踪到成年期,增加了诸如脂肪肝疾病和多囊性卵巢综合征等并发症的风险,以及诸如2型糖尿病和心血管疾病等严重疾病的风险.
研究的目的:
- 审查儿童群体中MetS的定义,组成部分和相关的并发症.
- 讨论当前对儿科MetS的评估和管理策略.
- 检查新批准的儿科药物的作用,包括减肥药物,在管理MetS.
主要方法:
- 对儿科MetS定义,危险因素和并发症的文献综述.
- 对当前临床指导方针的分析,以评估和管理青少年的MetS.
- 对儿童肥胖和MetS的药物治疗最近的研究进行了审查,重点关注像葡萄糖类-1受体激动剂这样的药物.
主要成果:
- 年轻人的MetS是由一组风险因素定义的,胰岛素耐药性是核心因素.
- 诸如非酒精性脂肪肝病和多囊性卵巢综合征等并发症经常与儿科MetS有关.
- 短期使用某些减肥药物,如GLP-1受体激动剂,已在儿科体重管理中表现出有效性.
结论:
- 儿科代谢综合征是一个重要的健康问题,对心血管健康和糖尿病风险有长期影响.
- 管理需要一个全面的方法来解决生活方式和药理干预措施.
- 虽然新药具有前景,但它们在儿科患者群体中的长期安全性和有效性需要持续调查.
关键词:
青少年时期 青春期在CVD中,CVD是非常重要的.心血管疾病是什么心血管疾病孩子 孩子 孩子 孩子糖尿病 糖尿病 糖尿病脱脂血症是什么意思 脱脂血症是什么意思葡萄糖调节失调的情况在高血压的高血压.我遇到了SS.代谢综合征是代谢综合征.这就是T2D.更多相关视频
09:40Phosphorus-31 Magnetic Resonance Spectroscopy: A Tool for Measuring In Vivo Mitochondrial Oxidative Phosphorylation Capacity in Human Skeletal Muscle
Published on: January 19, 2017
12.2K
10:31An Experimental Model of Diet-Induced Metabolic Syndrome in Rabbit: Methodological Considerations, Development, and Assessment
Published on: April 20, 2018
11.1K
相关概念视频
Obesity
1.1K
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...
1.1K
Overview of Lipid Metabolism
4.9K
Lipid metabolism is a crucial process in the human body that involves the synthesis and degradation of lipids. This process is essential for energy production, cell membrane formation, and hormone production, among other functions.
Lipolysis: The Breakdown of Lipids:
Lipolysis is the process of breaking down lipids, particularly triglycerides, into glycerol and fatty acids. This process typically occurs in the adipose tissue and is triggered by various hormones, including glucagon and...
Lipolysis: The Breakdown of Lipids:
Lipolysis is the process of breaking down lipids, particularly triglycerides, into glycerol and fatty acids. This process typically occurs in the adipose tissue and is triggered by various hormones, including glucagon and...
4.9K
Inborn Errors of Metabolism
697
Phenylketonuria (PKU) is a protein metabolism disorder characterized by high blood levels of the amino acid phenylalanine. This results from a mutation in the gene responsible for phenylalanine hydroxylase, an enzyme that converts phenylalanine into tyrosine. When this enzyme is deficient, phenylalanine builds up in the blood, leading to symptoms such as vomiting, rashes, seizures, growth deficiency, and severe mental retardation. An early diagnosis and a diet restricting phenylalanine intake...
697
Signs of Puberty
1.4K
Puberty is a critical phase, typically beginning between the ages of 8 and 13 in girls and 9 and 14 in boys, though timing can vary based on genetics, environmental factors, and overall health. This period is characterized by the development of secondary sexual characteristics and the attainment of reproductive potential. Endocrine changes underpin puberty, with hormonal surges of Luteinizing Hormone (LH) and Follicle-Stimulating Hormone (FSH) instigated by Gonadotropin-Releasing Hormone (GnRH)...
1.4K
Overview of Carbohydrate Metabolism
3.3K
Carbohydrate metabolism is a fundamental biochemical process that ensures a constant supply of energy to living cells. The most important carbohydrate is glucose, which can be broken down via glycolysis to enter into the Krebs cycle and eventually lead to the production of ATP through oxidative phosphorylation.
Glucose transport into cells is facilitated by a family of transport proteins called GLUT (Glucose Transporters). GLUT4 is the primary glucose transporter for insulin-stimulated glucose...
Glucose transport into cells is facilitated by a family of transport proteins called GLUT (Glucose Transporters). GLUT4 is the primary glucose transporter for insulin-stimulated glucose...
3.3K
Regulation of Metabolism
11.4K
Cellular needs and conditions vary from cell to cell and change within individual cells over time. For example, the required enzymes and energetic demands of stomach cells are different from those of fat storage cells, skin cells, blood cells, and nerve cells. Furthermore, a digestive cell works much harder to process and break down nutrients during the time that closely follows a meal compared with many hours after a meal. As these cellular demands and conditions vary, so do the amounts and...
11.4K
