全球心血管-肝脏-代谢综合症:流行病学,趋势和挑战
Nicholas W S Chew1,2, Anurag Mehta3, Rachel Goh4
1Department of Cardiology, National University Heart Centre, National University Health System, Singapore, Singapore. nicholas_ws_chew@nuhs.edu.sg.
Nature reviews. Cardiology
|October 6, 2025
概括
心血管 - 肝脏 - 代谢疾病,包括脂肪肝,糖尿病和肥胖,形成一个综合症. 一个新的框架提出了多系统干预措施,以应对这些相互关联的公共卫生挑战.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 代谢疾病 代谢疾病
背景情况:
- 与代谢功能障碍相关的脂肪性肝病 (MASLD),2型糖尿病 (T2DM),肥胖和心血管疾病 (CVD) 正在成为全球流行病.
- 这些情况往往并存,形成心血管-肝脏-代谢 (CLM) 综合症,具有共同的潜在机制和社会经济驱动因素.
研究的目的:
- 建立一个统一的框架,以了解和解决CLM综合症.
- 介绍有关CLM疾病当前负担和未来趋势的流行病学数据.
- 讨论挑战,并为CLM健康促进提出综合解决方案.
主要方法:
- 审查流行病学数据,以说明疾病负担和趋势.
- 为CLM健康干预制定一个微型-中型-宏观框架.
- 在CLM结构中分析社会经济影响和竞争风险.
主要成果:
- 临床瘤综合症是一个显著且日益增长的公共卫生挑战.
- 一个拟议的微-meso-宏观框架整合了从个人风险预测到宏观层面的社会决定因素的战略.
- 多系统干预是必要的,以同时解决相互关联的CLM疾病流行病.
结论:
- 解决CLM综合症需要一个全面的,多层次的方法.
- 整合精确预防,社区健康促进和系统性干预至关重要.
- 解决健康的社会和商业决定因素的不平等问题对于有效控制CLM疾病至关重要.
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