【医脉通】2022+KSCMS声明:代谢综合征管理中的生活方式改变.pdf
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1、93https:/e-kcj.orgAUTHORS SUMMARYMetabolic syndrome(MetS)is highly prevalent and is associated with worse cardiovascular outcome.Lifestyle modification is the most effective way to reduce the incidence of cardiovascular complications caused by MetS.Here,we would like to review the effects and specif
2、ic methods of the 6 lifestyle modifications(weight control,smoking cessation,alcohol drinking in moderation,diet control,exercise and physical activity,and cognitive behavioral therapy)and control of blood pressure,dyslipidemia,and blood sugar based on evidence in the management of MetS.ABSTRACTWith
3、 the recent rapid increase in obesity worldwide,metabolic syndrome(MetS)has gained significant importance.MetS is a cluster of obesity-related cardiovascular risk factors including abdominal obesity,atherogenic dyslipidemia,high blood pressure and impaired glucose tolerance.MetS is highly prevalent
4、and strongly associated with an increased risk of developing diabetes and cardiovascular disease,putting a great burden on human society.Therefore,it is very important to reduce MetS risk,which can improve patients Korean Circ J.2022 Feb;52(2):93-109https:/doi.org/10.4070/kcj.2021.0328pISSN 1738-552
5、0eISSN 1738-5555State of the Art ReviewReceived:Sep 28,2021Revised:Nov 8,2021Accepted:Dec 1,2021 Published online:Dec 15,2021Correspondence toSang-Hyun Kim,MDDivision of Cardiology,Department of Internal Medicine,Boramae Medical Center,Seoul National University College of Medicine,20,Boramae-ro 5-gi
6、l,Dongjak-gu,Seoul 07061,Korea.Email:shkimmdsnu.ac.krCopyright 2022.The Korean Society of CardiologyThis is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License(https:/creativecommons.org/licenses/by-nc/4.0)which permits unrestricted noncommer
7、cial use,distribution,and reproduction in any medium,provided the original work is properly cited.ORCID iDsHack-Lyoung Kim https:/orcid.org/0000-0002-6703-1472Jaehoon Chung https:/orcid.org/0000-0002-3923-2971Kyung-Jin Kim https:/orcid.org/0000-0002-5796-3284Hyun-Jin Kim https:/orcid.org/0000-0002-7
8、885-1695Won-Woo Seo https:/orcid.org/0000-0002-4406-5485Ki-Hyun Jeon https:/orcid.org/0000-0002-6277-7697Iksung Cho https:/orcid.org/0000-0001-5927-5410Jin Joo Park https:/orcid.org/0000-0001-9611-1490Hack-Lyoung Kim,MD1,Jaehoon Chung,MD2,Kyung-Jin Kim,MD3,Hyun-Jin Kim,MD4,Won-Woo Seo,MD5,Ki-Hyun Je
9、on,MD6,Iksung Cho,MD7,Jin Joo Park,MD6,Min-Ho Lee,MD8,Jon Suh,MD9,Sang-Yup Lim,MD10,Seonghoon Choi,MD11,and Sang-Hyun Kim,MD11 Division of Cardiology,Department of Internal Medicine,Boramae Medical Center,Seoul National University College of Medicine,Seoul,Korea2Division of Cardiology,Department of
10、Internal Medicine,National Medical Center,Seoul,Korea3 Division of Cardiology,Department of Internal Medicine,Ewha Womans University Medical Center,Ewha Womans University School of Medicine,Seoul,Korea4Department of Cardiology in Internal Medicine,Hanyang University Guri Hospital,Guri,Korea5 Divisio
11、n of Cardiology,Department of Internal Medicine,Kangdong Sacred Heart Hospital,Hallym University College of Medicine,Seoul,Korea6 Division of Cardiology,Department of Internal Medicine,Cardiovascular Center,Seoul National University Bundang Hospital,Seongnam,Korea7 Division of Cardiology,Severance C
12、ardiovascular Hospital,Yonsei University College of Medicine,Seoul,Korea8 Division of Cardiology,Department of Internal Medicine,Soon Chun Hyang University Seoul Hospital,Seoul,Korea9 Division of Cardiology,Department of Internal Medicine,Soon Chun Hyang Bucheon Hospital,Soon Chun Hyang University C
13、ollege of Medicine,Bucheon,Korea10Departments of Internal Medicine,Korea University Ansan Hospital,Ansan,Korea11 Division of Cardiology,Department of Internal Medicine,Hallym University College of Medicine,Seoul,KoreaLifestyle Modification in the Management of Metabolic Syndrome:Statement From Korea
14、n Society of CardioMetabolic Syndrome(KSCMS)Min-Ho Lee https:/orcid.org/0000-0003-0748-7766Jon Suh https:/orcid.org/0000-0001-9593-8453Sang-Yup Lim https:/orcid.org/0000-0002-3042-6702Seonghoon Choi https:/orcid.org/0000-0002-6524-6090Sang-Hyun Kim https:/orcid.org/0000-0001-8026-1582FundingFinancia
15、l support for the preparation of this manuscript was provided by the Korean Society of CardioMetabolic Syndrome.Conflict of InterestThe authors have no financial conflicts of interest.Data Sharing StatementThe data generated in this study is available from the corresponding author upon reasonable re
16、quest.Author ContributionsConceptualization:Kim SH;Data curation:Kim HL,Chung J,Kim KJ,Kim HJ,Seo WW,Jeon KH,Cho I,Park JJ,Lee MH,Suh J,Lim SY,Choi S;Resources:Chung J,Kim KJ,Kim HJ,Seo WW,Jeon KH,Cho I,Park JJ,Lee MH,Suh J,Lim SY,Choi S;Supervision:Kim HL,Kim SH;Writing-original draft:Kim HL,Chung
17、J,Kim KJ,Kim HJ,Seo WW,Jeon KH,Cho I,Park JJ,Lee MH,Suh J,Lim SY,Choi S;Writing-review&editing:Kim HL,Kim SH.cardiovascular prognosis.The primary and most effective strategy to control each component of MetS is lifestyle change such as losing body weight,keeping regular exercise,adopting a healthy d
18、iet,quitting smoking and alcohol drinking in moderation.Many studies have shown that lifestyle modification has improved all components of MetS,and reduces the incidence of diabetes and cardiovascular disease.Here,the Korean Society of CardioMetabolic Syndrome has summarized specific and practical m
19、ethods of lifestyle modification in the management of MetS in the healthcare field.Keywords:Alcohols;Diet;Exercise;Life style;Metabolic syndrome;SmokingINTRODUCTIONMetabolic syndrome(MetS)is a clinical condition characterized by a clustering of obesity-associated cardiovascular risk factors includin
20、g abdominal obesity,hypertriglyceridemia,decreased high-density lipoprotein(HDL)cholesterol,high blood pressure,and/or impaired glucose tolerance(Table 1 and Figure 1).1-4)Recognizing and understanding MetS is clinically important because of its high prevalence and potential harmful effects on the c
21、ardiovascular system.As the prevalence of obesity gradually increases,the number of patients with MetS is increasing worldwide.5)6)National Health and Nutrition Examination Survey(NHANES)data showed that the overall prevalence of MetS in the United States increased from 32.5%in 20112012 to 36.9%in 2
22、0152016.7)According to the data analyzing the Korean National Health and Nutrition Examination Survey(KNHANES),the overall age-standardized prevalence of MetS slightly increased from 21.6%in 2007 to 22.9%in 2018 in South Korea.8)In subjects in their 60s,the prevalence of MetS gradually decreased fro
23、m 47.5%in 2007 to 41%in 2018,but in 94https:/e-kcj.orghttps:/doi.org/10.4070/kcj.2021.0328Lifestyle Modification in Metabolic SyndromeTable 1.Diagnostic criteria of metabolic syndrome suggested by Korean Society of CardioMetabolic SyndromeRisk factorDefining levelCentral obesityWaist circumferenceMe
24、n 90 cmWomen 85 cmTriglyceride150 mg/dLHigh-density lipoprotein cholesterolMen 40 mg/dLWomen 130/80 mmHg)and hypertriglyceridemia(triglyceride 150 mg/dL)by 2030%.53)According to a recent meta-analysis,drinking less than 5 g per day reduced the risk of MetS by 14%,whereas drinking more than 35 g per
25、day increased the risk of MetS by 1.8 times.57)Collectively,light to moderate alcohol consumption has a beneficial effect on MetS components as well as on MetS.The World Health Organization(WHO)recommends limiting alcohol consumption to less than 40 g per day for men and 20 g per day for women.63)Re
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