肥胖的治疗:重视高危的腹部肥胖病人

来源 :英国医学杂志(中文版) | 被引量 : 0次 | 上传用户:ztldkd
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本文要点 可采用测腰围这样的简单方法作为腹部脂肪堆积的指标 中年男性内脏型肥胖的特征是可导致动脉硬化的血脂异常 在腹部肥胖的中年男性中发现,冠心病的非传统指标的三联症(高胰岛素血症、载脂蛋白B增高和小分子LDL颗粒)的出现使冠心病的危险性增20倍 每5个中年男性腰围中就有4个≥90cm,甘油三酯≥2mmol/L,这就是代谢三联症的特征 即使肥胖病人没有高胆固醇症、高糖血症和高血压,如果他们具有“高甘油三脂血症的腰围表现”,就是冠心病的高危人群。 In this paper, waist circumference can be used as a simple method of abdominal fat accumulation as an indicator of middle-aged male visceral obesity is characterized by atherosclerosis can lead to dyslipidemia in obese middle-aged men found that non-traditional indicators of coronary heart disease triple Symptoms (hyperinsulinemia, elevated apolipoprotein B, and small molecule LDL particles) increase the risk of coronary heart disease by 20 times. Every 5 middle-aged men have 4 ≥90 cm waist circumference, triglycerides ≥ 2 mmol / L, this is the characteristic of the triad of the triad Even if obese patients do not have hypercholesterolemia, hyperglycemia and hypertension, if they have “waist circumference of hypertriglyceridemia”, they are at high risk of coronary heart disease.
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