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首页> 外文期刊>Obesity facts : the European journal of obesity. >The Metabolic Phenotype in Obesity: Fat Mass, Body Fat Distribution, and Adipose Tissue Function
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The Metabolic Phenotype in Obesity: Fat Mass, Body Fat Distribution, and Adipose Tissue Function

机译:肥胖症中的代谢表型:脂肪质量,体脂分布和脂肪组织功能

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The current obesity epidemic poses a major public health issue since obesity predisposes towards several chronic diseases. BMI and total adiposity are positively correlated with cardiometabolic disease risk at the population level. However, body fat distribution and an impaired adipose tissue function, rather than total fat mass, better predict insulin resistance and related complications at the individual level. Adipose tissue dysfunction is determined by an impaired adipose tissue expandability, adipocyte hypertrophy, altered lipid metabolism, and local inflammation. Recent human studies suggest that adipose tissue oxygenation may be a key factor herein. A subgroup of obese individuals - the ‘metabolically healthy obese' (MHO) - have a better adipose tissue function, less ectopic fat storage, and are more insulin sensitive than obese metabolically unhealthy persons, emphasizing the central role of adipose tissue function in metabolic health. However, controversy has surrounded the idea that metabolically healthy obesity may be considered really healthy since MHO individuals are at increased (cardio)metabolic disease risk and may have a lower quality of life than normal weight subjects due to other comorbidities. Detailed metabolic phenotyping of obese persons will be invaluable in understanding the pathophysiology of metabolic disturbances, and is needed to identify high-risk individuals or subgroups, thereby paving the way for optimization of prevention and treatment strategies to combat cardiometabolic diseases.
机译:由于肥胖令人慢性促进了几种慢性疾病,因此目前的肥胖疫情提出了一个主要的公共卫生问题。 BMI和总肥胖与人口水平的心肌疾病风险正相关。然而,体脂肪分布和脂肪组织功能受损,而不是总脂肪量,更好地预测各个水平的胰岛素抵抗和相关并发症。脂肪组织功能障碍取决于脂肪组织可扩张性,脂肪细胞肥大,改变的脂质代谢和局部炎症而确定。最近的人类研究表明脂肪组织氧合可以是本文的关键因素。肥胖个体的亚群 - “代谢健康的肥胖”(MHO) - 具有更好的脂肪组织功能,不太异位脂肪储存,并且比肥胖的代谢不健康人更胰岛素敏感,强调脂肪组织功能在代谢健康中的核心作用。然而,争议已经围绕着这种想法,即代谢性健康的肥胖可能被认为是非常健康的,因为MHO个体因其增加(有氧)代谢疾病风险,并且可能具有较低的寿命,而不是由于其他合并症而较低的寿命。肥胖人的详细代谢表型在理解代谢紊乱的病理生理学方面将是非常宝贵的,并且需要鉴定高风险的个体或亚组,从而铺平了用于对心脏素质疾病进行打击的预防和治疗策略的方式。

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