کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3000562 | 1180335 | 2008 | 12 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
A Practical “ABCDE” Approach to the Metabolic Syndrome
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کلمات کلیدی
ACCAHALDL-CPPARVLDL-CARBHDL-CNCEP ATP III - NCEP ATP 3American Heart Association - انجمن قلب آمریکاGlycemic load - بار گلیسمیNational Cholesterol Education Program Adult Treatment Panel III - برنامه آموزش کلسترول ملی بالغ درمان بزرگسالانDREAM - رویاconfidence interval - فاصله اطمینانhigh-density lipoprotein cholesterol - لیپوپروتئین پرچگالی یا اچدیالAngiotensin receptor blocker - مسدود کننده گیرنده آنژیوتانسینACEI یا angiotensin convert enzyme inhibitor - مهارکننده آنزیم تبدیلکننده آنژیوتانسینangiotensin-converting enzyme inhibitor - مهارکننده آنزیم تبدیلکننده آنژیوتانسینAmerican College of Cardiology - کالج آمریکایی قلب و عروقLow-density lipoprotein cholesterol - کلسترول لیپوپروتئین با چگالی کمVery low-density lipoprotein cholesterol - کلسترول لیپوپروتئین با چگالی کمperoxisome proliferator-activated receptor - گیرنده فعال فعال پروکسیوم
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
کاردیولوژی و پزشکی قلب و عروق
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![عکس صفحه اول مقاله: A Practical “ABCDE” Approach to the Metabolic Syndrome A Practical “ABCDE” Approach to the Metabolic Syndrome](/preview/png/3000562.png)
چکیده انگلیسی
The metabolic syndrome comprises a cluster of risk factors for cardiovascular disease and type 2 diabetes mellitus that are due to abdominal obesity and insulin resistance. This increasingly important proinflammatory condition remains both underrecognized and undertreated. To aid physicians in their approach to the metabolic syndrome, we assessed and synthesized the literature on cardiovascular risk assessment and early intervention for risk reduction. We performed a comprehensive search of MEDLINE and the Cochrane database for peer-reviewed clinical studies published from January 1, 1988, to December 31, 2007, augmented by consultation with content experts. We used the search terms metabolic syndrome, abdominal obesity, waist circumference, insulin resistance, cardiovascular disease, prediabetes, diabetes, treatment, prevention, aspirin, hypertension, cholesterol, atherogenic dyslipidemia, lifestyle therapy, diet, and exercise. Criteria used for study review were controlled study design, English language, relevance to clinicians, and validity based on experimental design and appropriateness of conclusions. Although growing evidence supports early intervention in patients with the metabolic syndrome, many physicians do not recognize the risk associated with this condition and fail to initiate early treatment. A comprehensive management plan can be assembled through an “ABCDE” approach: “A” for assessment of cardiovascular risk and aspirin therapy, “B” for blood pressure control, “C” for cholesterol management, “D” for diabetes prevention and diet therapy, and “E” for exercise therapy. This ABCDE approach provides a practical and systematic framework for encouraging metabolic syndrome recognition and for implementing a comprehensive, evidence-based management plan for the reduction of cardiovascular risk.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Mayo Clinic Proceedings - Volume 83, Issue 8, August 2008, Pages 932-943
Journal: Mayo Clinic Proceedings - Volume 83, Issue 8, August 2008, Pages 932-943
نویسندگان
Michael J. MD, MPH, Sandeep MD, MPH, Rosanne MD, Sherita H. MD, MHS, Roger S. MD, Andrew P. MD, MSc,