Journal of Clinical Medicine,
Год журнала:
2023,
Номер
13(1), С. 118 - 118
Опубликована: Дек. 25, 2023
Self-management
behavior
among
diabetes
patients
is
essential
to
monitor
blood
sugar
levels,
make
necessary
lifestyle
changes,
and
help
reduce
their
risk
of
complications
from
diabetes.
We
assessed
the
prevalence
metabolic
syndrome
(MS)
its
association
with
self-management
sociodemographic
characteristics
310
type
2
mellitus
(T2DM)
attending
different
care
centers
in
northern
Saudi
Arabia.
evaluated
behaviors
T2DM
using
a
validated
Arabic
version
Summary
Diabetes
Self-Care
Activities
Scale.
Regarding
MS,
we
applied
National
Cholesterol
Education
Program
(NCEP)
Adult
Treatment
Plan–3
(ATP–3)
guidelines.
A
logistic
regression
analysis
was
used
identify
predictors
MS.
found
that
more
than
one-third
(36.5%)
had
MS
according
NCEP
ATP-3
criteria.
The
significantly
associated
unsatisfactory
behaviors.
for
significant
between
gender
(ref:
female:
Adjusted
OR
(AOR)
=
1.89,
95%CI
1.17–2.95,
p
0.007)
body
mass
index
(ref.:
normal
range:
AOR
2.98,
1.31–5.07,
0.003).
Our
findings
suggest
tailor-made
multifaceted
intervention
improve
patients,
which,
turn,
can
Biology,
Год журнала:
2024,
Номер
13(7), С. 519 - 519
Опубликована: Июль 12, 2024
Glycolipid
metabolic
disorders
(GLMDs)
are
various
resulting
from
dysregulation
in
glycolipid
levels,
consequently
leading
to
an
increased
risk
of
obesity,
diabetes,
liver
dysfunction,
neuromuscular
complications,
and
cardiorenal
vascular
diseases
(CRVDs).
In
patients
with
GLMDs,
excess
caloric
intake
a
lack
physical
activity
may
contribute
oxidative
stress
(OxS)
systemic
inflammation.
This
study
aimed
review
the
connection
between
GLMD,
OxS,
metainflammation,
onset
CRVD.
GLMD
is
due
causing
dysfunction
synthesis,
breakdown,
absorption
glucose
lipids
body,
excessive
ectopic
accumulation
these
molecules.
mainly
neuroendocrine
dysregulation,
insulin
resistance,
metainflammation.
many
inflammatory
markers
defense
cells
play
vital
role
related
tissues
organs,
such
as
blood
vessels,
pancreatic
islets,
liver,
muscle,
kidneys,
adipocytes,
promoting
lesions
that
affect
interconnected
organs
through
their
signaling
pathways.
Advanced
glycation
end
products,
ATP-binding
cassette
transporter
1,
Glucagon-like
peptide-1,
Toll-like
receptor-4,
sphingosine-1-phosphate
(S1P)
crucial
since
they
glucolipid
metabolism.
The
consequences
this
system
organ
damage
morbidity
mortality.
Medicina,
Год журнала:
2023,
Номер
59(5), С. 917 - 917
Опубликована: Май 10, 2023
Perivascular
spaces
(PVS)
and
their
enlargement
(EPVS)
have
been
gaining
interest
as
EPVS
can
be
visualized
non-invasively
by
magnetic
resonance
imaging
(MRI)
when
viewing
T-2-weighted
images.
are
most
commonly
observed
in
the
regions
of
basal
ganglia
centrum
semiovale;
however,
they
also
identified
frontal
cortex
hippocampal
regions.
known
to
increased
aging
hypertension,
considered
a
biomarker
cerebral
small
vessel
disease
(SVD).
Interest
has
significantly
because
these
PVS
now
an
essential
conduit
necessary
for
glymphatic
pathway
provide
efflux
metabolic
waste.
Metabolic
waste
includes
misfolded
proteins
amyloid
beta
tau
that
accumulate
late-onset
Alzheimer’s
(LOAD)
within
interstitial
fluid
is
delivered
subarachnoid
space
eventually
spinal
(CSF).
The
CSF
acts
sink
accumulating
neurotoxicities
allows
clinical
screening
potentially
detect
if
LOAD
may
developing
early
on
its
progression
via
examination.
thought
occur
obstruction
associates
with
excessive
neuroinflammation,
oxidative
stress,
vascular
stiffening
impairs
flow
due
dampening
arterial
arteriolar
pulsatility
aids
convective
debris
effluxing
system.
Additionally,
associated
Parkinson’s
non-age-related
multiple
sclerosis
(MS).
Abstract
Metabolic
syndrome
(MetS)
is
considered
a
metabolic
disorder
that
has
been
steadily
increasing
globally
and
seems
to
parallel
the
prevalence
of
obesity.
It
consists
cluster
risk
factors,
which
traditionally
includes
obesity
hyperlipidemia,
hyperinsulinemia,
hypertension,
hyperglycemia.
These
four
core
factors
are
associated
with
insulin
resistance
(IR)
importantly,
MetS
known
increase
for
developing
cerebrocardiovascular
disease
type
2
diabetes
mellitus.
The
had
its
early
origins
in
IR
X.
undergone
numerous
name
changes
additional
variables
being
added
over
years;
however,
it
still
remains
worldwide
past
three
decades.
This
overview
continues
add
novel
insights
suggests
leptin
hyperleptinemia,
aberrant
mitochondrial
stress
reactive
oxygen
species
(ROS),
impaired
folate-mediated
one-carbon
metabolism
hyperhomocysteinemia,
vascular
stiffening,
microalbuminuria,
visceral
adipose
tissues
extracellular
vesicle
exosomes
be
list
variables.
Notably,
role
dysfunctional
activated
endothelium
deficient
nitric
oxide
bioavailability
along
attenuated
endothelial
glycocalyx,
inflammation,
systemic
metainflammation,
important
ROS
interactome
discussed.
With
new
knowledge
regarding
MetS,
comes
possibility
findings
through
further
research.
Biomedicines,
Год журнала:
2024,
Номер
12(1), С. 96 - 96
Опубликована: Янв. 2, 2024
The
recently
described
perivascular
unit
(PVU)
resides
immediately
adjacent
to
the
true
capillary
neurovascular
(NVU)
in
postcapillary
venule
and
contains
normal-benign
spaces
(PVS)
pathological
enlarged
(EPVS).
PVS
are
important
that
they
have
been
identified
be
construct
conduit
responsible
for
delivery
of
metabolic
waste
from
interstitial
fluid
ventricular
cerebrospinal
disposal
into
systemic
circulation,
termed
glymphatic
system.
Importantly,
outermost
boundary
is
lined
by
protoplasmic
astrocyte
endfeet
(pvACef)
communicate
with
regional
neurons.
As
compared
well-recognized
NVU
coupling,
PVU
less
well
understood
remains
an
emerging
concept.
primary
focus
this
narrative
review
compare
similarities
differences
between
these
two
units
discuss
each
their
structural
functional
relationships
how
relate
not
only
brain
homeostasis
but
also
may
development
multiple
clinical
neurological
disease
states
specifically
obesity,
syndrome,
type
2
diabetes
mellitus.
Additionally,
concept
importance
a
perisynaptic
coupling
neuronal
synapses
pre-
postsynaptic
neurons
will
considered
as
provide
creation
information
transfer
via
synaptic
transmission
homeostasis.
Multiple
electron
microscopic
images
illustrations
utilized
order
help
explain
complex
units.
Medicina,
Год журнала:
2023,
Номер
59(7), С. 1337 - 1337
Опубликована: Июль 20, 2023
Embryonic
genetic
mechanisms
are
present
in
the
brain
and
ready
to
be
placed
into
action
upon
cellular
injury,
termed
response
injury
wound-healing
(RTIWH)
mechanism.
When
injured,
regional
endothelial
cells
initially
undergo
activation
dysfunction
with
initiation
of
hemostasis,
inflammation
(peripheral
leukocytes,
innate
microglia,
perivascular
macrophage
cells),
proliferation
(astrogliosis),
remodeling,
repair,
resolution
phases
if
injurious
stimuli
removed.
In
conditions
wherein
chronic,
as
occurs
obesity,
metabolic
syndrome,
type
2
diabetes
mellitus,
this
process
does
not
there
is
persistent
RTIWH
remodeling.
Indeed,
unique,
that
it
utilizes
its
neuroglia:
microglia
cell,
along
peripheral
inflammatory
astroglia,
instead
scar-forming
fibrocytes/fibroblasts.
The
undergoes
astrogliosis
form
a
gliosis
scar
fibrosis
protect
surrounding
neuropil
from
parenchymal
injury.
One
unique
evolving
remodeling
changes
development
enlarged
spaces
(EPVSs),
which
focus
brief
review.
EPVSs
important
since
they
serve
biomarker
for
cerebral
small
vessel
disease
also
represent
an
impairment
effluxing
glymphatic
system
clearance
waste
interstitial
fluid
cerebrospinal
fluid,
disposal.
Therefore,
better
understand
how
mechanism
involved
closely
associated
premature
age-related
cerebrovascular
neurodegenerative
diseases
impaired
cognition.
International Journal of Environmental Research and Public Health,
Год журнала:
2024,
Номер
21(4), С. 402 - 402
Опубликована: Март 26, 2024
This
paper
revisits
the
planning
and
design
factors
of
“pedestrianized”
“walkable”
urban
streets
to
encourage
physical
activity,
focusing
on
their
prioritization
according
public
health
smart
growth.
The
aim
is
create
a
conceptual
framework
for
planners
designers
walking
reduce
metabolic
syndrome
(MetS)
risks.
Through
scoping
review,
study
found
that
while
pedestrianized
walkable
share
many
factors,
they
have
different
objectives.
explores
how
can
MetS
risk
among
middle-class
individuals
using
online
video
storytelling
30
participants
in
three
districts
Cairo,
Egypt:
El
Zamalek,
Old
Heliopolis.
It
identifies
address
symptoms
individuals:
strategic,
design-oriented,
technical.
Practitioners
policymakers
use
this
evaluate
impact
work.
particularly
relevant
cities
Global
South
are
facing
similar
challenges.
International Journal of Molecular Sciences,
Год журнала:
2024,
Номер
25(15), С. 8098 - 8098
Опубликована: Июль 25, 2024
In
recent
years,
the
incidence
of
metabolic
syndrome
(MS)
has
increased
due
to
lifestyle-related
factors
in
developed
countries.
MS
represents
a
group
conditions
that
increase
risk
diabetes,
cardiovascular
diseases,
and
other
severe
health
problems.
Low-grade
chronic
inflammation
is
now
considered
one
key
aspects
could
be
defined
as
new
factor.
Indeed,
an
visceral
adipose
tissue,
typical
obesity,
contributes
development
inflammatory
state,
which,
turn,
induces
production
several
proinflammatory
cytokines
responsible
for
insulin
resistance.
Psoriasis
relapsing
skin
disease
characterized
by
release
pro-inflammatory
cytokines,
which
can
contribute
different
pathological
within
spectrum
MS.
A
link
between
disorders
emerged
from
evidence
indicating
weight
loss
obtained
through
healthy
diets
exercise
was
able
improve
clinical
course
therapeutic
response
patients
with
obesity
or
overweight
even
prevent
its
occurrence.
factor
this
balance
gut
microbiota;
it
extremely
dynamic
system,
makes
manipulation
diet
possible
via
probiotic,
prebiotic,
symbiotic
compounds.
Given
this,
microbiota
additional
target
metabolism
conditions.
Journal of Clinical Medicine,
Год журнала:
2025,
Номер
14(8), С. 2611 - 2611
Опубликована: Апрель 10, 2025
Chronic
obstructive
pulmonary
disease
(COPD)
is
a
progressive
and
debilitating
condition
characterized
by
airflow
limitations
systemic
inflammation.
The
interaction
between
the
metabolic
inflammatory
pathways
plays
key
role
in
progression,
with
leptin
insulin
emerging
as
pivotal
regulators.
Leptin,
an
adipokine
that
regulates
energy
homeostasis,
insulin,
primary
regulator
of
glucose
metabolism,
are
both
altered
COPD
patients.
This
narrative
review
provides
in-depth
examination
roles
pathogenesis,
focusing
on
molecular
mechanisms
through
which
these
regulators
interact
how
their
dysregulation
contributes
to
spectrum
extrapulmonary
manifestations.
These
disturbances
not
only
exacerbate
symptoms
but
also
increase
risk
comorbidities
such
syndrome,
diabetes,
cardiovascular
disease,
or
muscle
wasting.
By
exploring
underlying
COPD,
this
underscores
significance
metabolic-inflammatory
axis,
suggesting
restoring
balance
modulation
could
offer
novel
therapeutic
strategies
for
improving
clinical
outcomes.
Pharmaceuticals,
Год журнала:
2025,
Номер
18(5), С. 670 - 670
Опубликована: Май 1, 2025
Type
2
Diabetes
(T2D)
is
a
complex
metabolic
disorder
that
affects
multiple
organs,
leading
to
severe
complications
in
the
pancreas,
kidneys,
liver,
and
heart.
Prolonged
hyperglycemia,
along
with
oxidative
stress
chronic
inflammation,
plays
crucial
role
accelerating
tissue
damage,
significantly
increasing
risk
of
diabetic
such
as
nephropathy,
hepatopathy,
cardiovascular
disease.
This
review
evaluates
protective
effects
various
antidiabetic
treatments
on
organ
tissues
affected
by
T2D,
based
findings
from
experimental
animal
models.
Metformin,
first-line
agent,
has
been
widely
recognized
for
its
ability
reduce
inflammation
stress,
thereby
mitigating
diabetes-induced
damage.
Its
extends
beyond
glucose
regulation,
offering
benefits
improved
mitochondrial
function
reduced
fibrosis
tissues.
In
addition
traditional
therapies,
new
classes
drugs,
including
sodium-glucose
co-transporter-2
inhibitors
glucagon-like
peptide-1
(GLP-1)
receptor
agonists
not
only
improve
glycemic
control
but
also
exhibit
nephroprotective
cardioprotective
properties
reducing
glomerular
hyperfiltration,
inflammation.
Similarly,
GLP-1
have
associated
hepatic
steatosis
enhanced
function.
Preclinical
studies
suggest
tirzepatide,
dual
GLP-1/gastric
inhibitory
polypeptide
agonist
may
offer
superior
compared
conventional
improving
β-cell
function,
enhancing
insulin
sensitivity,
fatty
liver
progression.
Despite
promising
preclinical
results,
differences
between
models
human
physiology
pose
challenge.
Further
clinical
research
needed
confirm
these
refine
treatment
strategies.
Future
T2D
management
aims
go
control,
emphasizing
protection
long-term
disease
prevention.
Environment International,
Год журнала:
2025,
Номер
199, С. 109481 - 109481
Опубликована: Апрель 17, 2025
Metabolic
syndrome
(MetS)
is
a
major
global
public
health
concern
due
to
its
rising
prevalence
and
association
with
increased
risks
of
cardiovascular
disease
type
2
diabetes.
Emerging
evidence
suggests
that
environmental
chemical
exposures
may
play
significant
role
in
the
development
MetS
by
disrupting
metabolic
pathways.
This
study
used
data
from
2,960
participants
Korean
National
Environmental
Health
Survey
(KoNEHS)
cycle
4
(2018-2020)
examine
associations
between
risk
through
machine
learning
(ML)
approaches.
Eight
ML
algorithms
were
applied,
multilayer
perceptron
(MLP)
random
forest
(RF)
models
identified
as
optimal
predictors.
The
MLP
achieved
an
AUC
0.79,
RF
highest
F1
score
0.82.
Both
highlighted
PFOA
PFOS,
alongside
age
BMI,
key
SHapley
Additive
exPlanations
(SHAP)
partial
dependence
plots
(PDP)
revealed
both
linear
nonlinear
exposure-response
patterns,
suggesting
threshold
effects
for
chemicals.
These
findings
underscore
importance
incorporating
into
assessments.
provided
robust
predictive
performance
novel
insights
interactions,
advocating
regulatory
measures
reduce
harmful
integrate
factors
prevention
strategies.