Etiology, Pathophysiology, and Treatment Strategies in the Prevention and Management of Metabolic Syndrome - PubMed
Etiology, Pathophysiology, and Treatment Strategies in the Prevention and Management of Metabolic Syndrome
Ritika Patial et al. Arch Intern Med Res. 2024.
Abstract
Metabolic Syndrome (MetS) is a complex cluster of metabolic irregularities that significantly increase the risk of developing chronic conditions, such as hypertension, type 2 diabetes, cardiovascular diseases, and other related disorders. This review aims to provide a comprehensive overview of the current understanding of MetS, its etiology and underlying pathogenesis, and the management strategies. MetS is characterized by central obesity, high blood pressure, insulin resistance, hyperglycemia, hypertriglyceridemia, and low high-density lipoprotein cholesterol levels. The prevalence of MetS is remarkably high, affecting approximately 25% of the global population, particularly in developed nations with inactive lifestyles and high-calorie diets. The development of MetS involves genetic and acquired factors, resulting in an inflammatory state that enhances the risk for cardiovascular disease. The biochemical alterations observed in MetS establish pathological connections between MetS, diabetes, and cardiovascular and neurodegenerative conditions. Despite its clinical importance, there is still debate regarding the precise components and pathophysiological associations among MetS elements. However, advancements in therapeutic measures, including drug therapies, surgical options, and experimental methods present promising avenues for managing and potentially reversing MetS. Further investigation of the MetS is critical because of its significant implications for public health and its connection to other clinical conditions and severe health outcomes, placing a substantial burden on healthcare system and society.
Keywords: Cardiovascular diseases; Inflammation; Insulin resistance; Lipid metabolism; Metabolic Syndrome; Obesity; Type 2 diabetes.
Conflict of interest statement
Conflicts of Interest: The authors declare no conflict of interest
Figures
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Pathophysiology of metabolic syndrome. This figure illustrates the complex interplay between genetic, lifestyle, and dietary factors in the development of metabolic disorders, highlighting the cascade of physiological changes that lead to significant health conditions. RAAS, renin-angiotensin-aldosterone system; ROS, reactive oxygen species.

Interconnected pathways of hypertension leading to metabolic disorders. The pathways highlight the role of the Renin-Angiotensin-Aldosterone System (RAAS), insulin resistance, obesity, and inflammation. These pathways collectively contribute to conditions like diabetes and cardiovascular complications.
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