Обзорен преглед на концепцията за здравословно затлъстяване
Ключови думи :
мастна тъкан, метаболизъм, индекс на телесна маса, затлъстяване, метаболитни нарушения, метаболитно здравословно затлъстяванеАбстракт
Понастоящем затлъстяването вече е достигнало мащабите на пандемия и представлява глобален социално-икономически и здравен проблем. То е рисков фактор за редица заболявания като захарен диабет тип 2, инсулинова резистентност, дислипидемия, сърдечносъдови заболявания и др. Въпреки това епидемиологични и клинични проучвания разкриват, че затлъстяването е хетерогенен фенотип и че не всички пациенти със затлъстяване са изложени на еднакъв риск от усложнения. Една част от пациентите с неблагоприятен кардиометаболитен статус имат нормален индекс на телесна маса и обратно, не всички хора със затлъстяване имат метаболитни нарушения. Поради това все по-често се говори за т.нар. „метаболитно здравословно затлъстяване“.
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