Obesity after spinal cord injury.

Obesity after spinal cord injury.
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DOI:
10.1016/j.pmr.2007.03.004
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发表时间:
2007-05-01
影响因子:
1.7
通讯作者:
Gater, David R Jr
Gater, David R Jr
中科院分区:
医学4区
文献类型:
--
作者:
Gater, David R Jr

文献摘要

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美国正处于肥胖流行病之中,患有脊髓损伤(SCI)的人可能比其他任何人群都面临更大的风险。最近肥胖定义方式的变化使SCI医生对肥胖及其后遗症的危险产生了一种错误的安全感。本文定义和使用的肥胖的定义,是更相关的人有SCI,回顾了脂肪组织的生理学,并讨论了遗传和环境方面,有助于肥胖的SCI。肥胖的病理生理学是讨论相对于健康风险的人谁有SCI,特别是那些有助于心血管疾病。肥胖的患病率及其合并症进行了讨论和管理方案审查。
America is in the midst of an obesity epidemic, and individuals who have spinal cord injury (SCI) are perhaps at greater risk than any other segment of the population. Recent changes in the way obesity has been defined have lulled SCI practitioners into a false sense of security about the health of their patients regarding the dangers of obesity and its sequelae. This article defines and uses a definition of obesity that is more relevant to persons who have SCI, reviews the physiology of adipose tissue, and discusses aspects of heredity and environment that contribute to obesity in SCI. The pathophysiology of obesity is discussed relative to health risks for persons who have SCI, particularly those contributing to cardiovascular disease. Prevalence of obesity and its comorbidities are discussed and management options reviewed.