Please use this identifier to cite or link to this item: https://olympias.lib.uoi.gr/jspui/handle/123456789/19085
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dc.contributor.authorDaskalopoulou, S. S.en
dc.contributor.authorMikhailidis, D. P.en
dc.contributor.authorElisaf, M. S.en
dc.date.accessioned2015-11-24T18:56:44Z-
dc.date.available2015-11-24T18:56:44Z-
dc.identifier.issn0003-3197-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/19085-
dc.rightsDefault Licence-
dc.subjectAdipocytes/metabolismen
dc.subjectAdulten
dc.subjectAge Factorsen
dc.subjectAlcohol Drinkingen
dc.subjectBlood Viscosityen
dc.subjectC-Reactive Protein/analysisen
dc.subjectCardiovascular Diseases/epidemiologyen
dc.subjectCholesterol, LDL/blooden
dc.subjectDiabetes Mellitus/epidemiologyen
dc.subjectEthnic Groupsen
dc.subjectFatty Acids, Nonesterified/blooden
dc.subjectFemaleen
dc.subjectFibrinogen/metabolismen
dc.subjectHumansen
dc.subjectHydroxymethylglutaryl-CoA Reductase Inhibitors/therapeutic useen
dc.subjectHyperlipidemias/therapyen
dc.subjectHypertension/therapyen
dc.subjectHypertriglyceridemia/epidemiologyen
dc.subjectHyperuricemia/epidemiologyen
dc.subjectInflammation/therapyen
dc.subjectInsulin Resistanceen
dc.subjectLife Styleen
dc.subjectMaleen
dc.subjectMetabolic Syndrome X/epidemiology/etiology/*prevention & controlen
dc.subjectObesity/epidemiologyen
dc.subjectPrevalenceen
dc.subjectRisk Factorsen
dc.subjectSmokingen
dc.subjectWeight Lossen
dc.titlePrevention and treatment of the metabolic syndromeen
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/15547646-
heal.identifier.secondaryhttp://ang.sagepub.com/content/55/6_suppl/S1.full.pdf-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.publicationDate2004-
heal.abstractThe prevalence of the metabolic syndrome is increasing owing to lifestyle changes leading to obesity. This syndrome is a complex association of several interrelated abnormalities that increase the risk for cardiovascular disease and progression to diabetes mellitus (DM). Insulin resistance is the key factor for the clustering of risk factors characterizing the metabolic syndrome. The National Cholesterol Education Program (NCEP) Adult Treatment Panel (ATP) III defined the criteria for the diagnosis of the metabolic syndrome and established the basic principles for its management. According to these guidelines, treatment involves the improvement of the underlying insulin resistance through lifestyle modification (eg, weight reduction and increased physical activity) and possibly by drugs. The coexistent risk factors (mainly dyslipidemia and hypertension) should also be addressed. Since the main goal of lipid-lowering treatment is to achieve the NCEP low-density lipoprotein cholesterol (LDL-C) target, statins are a good option. However, fibrates (as monotherapy or in combination with statins) are useful for the treatment of the metabolic syndrome that is commonly associated with hypertriglyceridemia and decreased high-density lipoprotein cholesterol (HDL-C) levels. The blood pressure target is < 140/90 mm Hg. The effect on carbohydrate homeostasis should possibly be taken into account in selecting an antihypertensive drug. Patients with the metabolic syndrome commonly have other less well-defined metabolic abnormalities (eg, hyperuricemia and raised C-reactive protein levels) that may also be associated with an increased cardiovascular risk. It seems appropriate to manage these abnormalities. Drugs that beneficially affect carbohydrate metabolism and delay or even prevent the onset of DM (eg, thiazolidinediones or acarbose) could be useful in patients with the metabolic syndrome. Furthermore, among the more speculative benefits of treatment are improved liver function in nonalcoholic fatty liver disease and a reduction in the risk of acute gout.en
heal.journalNameAngiologyen
heal.journalTypepeer-reviewed-
heal.fullTextAvailabilityTRUE-
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