Современные представления о взаимосвязи ожирения и эректильной дисфункции у больных артериальной гипертонией
Современные представления о взаимосвязи ожирения и эректильной дисфункции у больных артериальной гипертонией
Алексеева Т.А., Литвин А.Ю. Современные представления о взаимосвязи ожирения и эректильной дисфункции у больных артериальной гипертонией. Системные гипертензии. 2017; 14 (4): 38–43. DOI: 10.26442/2075-082X_14.4.38-43
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Alekseeva T.A., Litvin A.Y. Modern concepts of the relationship between obesity and erectile dysfunction in patients with arterial hypertension. Systemic Hypertension. 2017; 14 (4): 38–43. DOI: 10.26442/2075-082X_14.4.38-43
Современные представления о взаимосвязи ожирения и эректильной дисфункции у больных артериальной гипертонией
Алексеева Т.А., Литвин А.Ю. Современные представления о взаимосвязи ожирения и эректильной дисфункции у больных артериальной гипертонией. Системные гипертензии. 2017; 14 (4): 38–43. DOI: 10.26442/2075-082X_14.4.38-43
________________________________________________
Alekseeva T.A., Litvin A.Y. Modern concepts of the relationship between obesity and erectile dysfunction in patients with arterial hypertension. Systemic Hypertension. 2017; 14 (4): 38–43. DOI: 10.26442/2075-082X_14.4.38-43
В данной статье рассмотрены основные современные понятия ожирения, а также даны определение, степени тяжести, распространенность и его патогенетические особенности. Представлены различные методы диагностики ожирения, включающие лабораторную диагностику и визуализирующие методы. Рассмотрена роль биомаркеров жировой ткани в диагностике ожирения. Подробно описаны преимущества и недостатки различных визуализирующих методов диагностики ожирения. Также в статье описаны эпидемиология, этиология и патогенез эректильной дисфункции, рассмотрены диагностические возможности в зависимости от этиологических факторов данной патологии. Подробно приведена взаимосвязь эректильной дисфункции с ожирением у больных артериальной гипертонией. В обзоре в том числе рассмотрен каскад гормональных и метаболических нарушений, приводящих к формированию порочного круга у больных с ожирением и эректильной дисфункцией. Приведены данные результатов как международных, так и отечественных исследований. В заключение эректильная дисфункция представлена как независимый предиктор сердечно-сосудистых катастроф.
In this article, we will consider the main modern concepts of obesity, as well as the definition, severity, prevalence and its pathogenetic features. The review will present various methods for diagnosing obesity, including laboratory diagnostics and visualization methods. The role of biomarkers of adipose tissue in the diagnosis of obesity will be considered. The advantages and disadvantages of various visualization methods for diagnosing obesity will be described in detail. Also in the article epidemiology, etiology and pathogenesis of erectile dysfunction will be described, diagnostic possibilities depending on the etiological factors of this pathology will be considered. Details of the relationship between erectile dysfunction and obesity in patients with arterial hypertension will be given. In this review a cascade of hormonal and metabolic disorders, leading to the formation of a vicious circle in patients with obesity erectile and dysfunction will be considered. The data of the results of both international and domestic research are given. In conclusion, erectile dysfunction is presented as an independent predictor of cardiovascular disasters.
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1. Klinicheskie rekomendatsii, razrabotannye ekspertami RMOAG, po diagnostike i lecheniiu arterial'noi gipertonii, 2013. [in Russian]
2. Litvin A.Iu., Chazova I.E. Sindrom obstruktivnogo apnoe vo vremia sna: mekhanizmy razvitiia, klinicheskoe znachenie, sviaz' s serdechno-sosudistymi zabolevaniiami, printsipy lecheniia. Kardiologicheskii vestn. 2009; 4 (2): 89–103. [in Russian]
3. Roth A, Kalter-Leibovici O, Kerbis Y et al. Prevalence and risk factors for erectile dysfunction in men with diabetes, hypertension, or both diseases: a community survey among 1412 Israeli men. Clin Cardiol 2003; 26 (1): 25–30.
4. Kirby M, Jackson G, Betteridge J, Friedli K. Is erectile dysfunction a marker for cardiovascular disease? Int J Clin Pract 2001; 55 (9): 614–8.
5. Harman SM, Metter EJ, Tobin JD et al. Longitudinal effects of aging on serum total and free testosterone levels in healthy men. Baltimore Longitudinal Study of Aging. J Clin Endocrinol Metab 2001; 86: 724–31.
6. Mokdad AH et al. Prevalence of Obesity, Diabetes, and Obesity-Related Health Risk Factors, 2001.
7. Colten HR et al. A study of the link between partial sleep deprivation and obesity. Honors College Theses 2001; Paper 112.
8. Xu H et al. Chronic inflammation in fat plays a crucial role in the development of obesity-related insulin resistance. J Clin Invest 2003; 112 (12): 1821–30.
9. Hotta K et al. Circulating concentrations of the adipocyte protein adiponectin are decreased in parallel with reduced insulin sensitivity during the progression to type 2 diabetes in rhesus monkeys. Diabetes 2001; 50 (5): 1126–33.
10. Kyle TK, Dhurandhar EJ, Allison DB. Regarding obesity as a disease: evolving policies and their implications. Endocrinol Metab Clin North Am 2016; 45: 511–20.
11. Allison DB, Downey M, Atkinson RL et al. Obesity as a disease: a white paper on evidence and arguments commissioned by the Council of the Obesity Society. Obesity (Silver Spring) 2008; 16: 1161–77.
12. Kuczmarski RJ. What is obesity? Definitions matter. In: Kumanyika S, Brownson RC, eds. Handbook of Obesity Prevention: A Resource for Health Professionals. New York, NY: Springer; 2007: p. 25–44.
13. Kragelund C, Omland T. A farewell to body-mass index? Lancet 2005; 366: 1589–91.
14. Romero-Corral A, Somers VK, Sierra-Johnson J et al. Accuracy of body mass index in diagnosing obesity in the adult general population. Int J Obes (Lond) 2008; 32: 959–66.
15. Burwell CS, Robin ED, Whaley RD, Bicklemann AG. Extreme obesity associated with alveolar hypoventilation; a Pickwickian syndrome. Am J Med 1956; 21 (5): 811–8. DOI: 10.1016/0002-9343(56)90094-8
16. Schneider HJ, Glaesmer H, Klotsche J et al. Accuracy of anthropometric indicators of obesity to predict cardiovascular risk. J Clin Endocrinol Metab 2007; 92: 589–94.
17. Ashwell M, Gunn P, Gibson S. Waist-to-height ratio is a better screening tool than waist circumference and BMI for adult cardiometabolic risk factors: systematic review and meta-analysis. Obes Rev 2012; 13: 275–86.
18. Ho-Pham LT, Campbell LV, Nguyen TV. More on body fat cutoff points. Mayo Clin Proc 2011; 86: 584–5.
19. Snitker S, Lavie CJ, Milani RV. Use of body fatness cutoff points. Mayo Clin Proc 2010; 85: 1057–8.
20. Bull World Health Organ 2013; 91: 549–50. http://dx.doi.org/10.2471/BLT.13.020813
21. Ogden CL et al. Prevalence of Childhood and Adult Obesity in the United States. JAMA 2014.
22. Ettehad D, Emdin CA, Kiran A et al. Blood pressure lowering for prevention of cardiovascular disease and death: a systematic review and meta-analysis. Lancet 2015; published online Dec 23. http://dx.doi.org/10.1016/ S0140-6736(15)01225-8
23. Chazova I.E., Zhernakova Iu.V., Oshchepkova E.V. i dr. Rasprostranennost' faktorov riska serdechno-sosudistykh zabolevanii v Rossiiskoi populiatsii bol'nykh arterial'noi gipertenziei. Kardiologiia. 2014; 10. http://dx.doi.org/10.18565/cardio.2014.10.4-12 [in Russian]
24. The GBD 2015 Obesity Collaborators. Health effects of overweight and obesity in 195 countries over 25 years. N Engl J Med 2017; 377: 13–27. DOI: 10.1056/NEJMoa1614362
25. Irlbeck T, Massaro JM, Bamberg F et al. Association between single-slice measurements of visceral and abdominal subcutaneous adipose tissue with volumetric measurements: the Framingham Heart Study. Int J Obes (Lond) 2010; 34 (4): 781–7.
26. Fernando F, Ribeiro-Filho, Alessandra N et al. Methods of Estimation of Visceral Fat: Advantages of Ultrasonography First published: December 2003. DOI: 10.1038/oby.2003.199
27. Klopfenstein BJ, Kim MS, Krisky CM et al. Comparison of 3 T MRI and CT for the measurement of visceral and subcutaneous adipose tissue in humans Br J Radiol 2012; 85 (1018): e826–e830. DOI: 10.1259/bjr/57987644
28. Després JP, Moorjani S, Lupien PJ et al. Regional distribution of body fat, plasma lipoproteins, and cardiovascular disease. Arteriosclerosis 1990; 10: 497–511.
29. Messier V, Karelis AD, Prud'homme D et al. Identifying metabolically healthy but obese individuals in sedentary postmenopausal women. Obesity (Silver Spring) 2010; 18: 911–7.
30. Wildman RP, Muntner P, Reynolds K et al. The obese without cardiometabolic risk factor clustering and the normal weight with cardiometabolic risk factor clustering: prevalence and correlates of 2 phenotypes among the US population (NHANES 1999–2004). Arch Intern Med 2008; 168: 1617–24.
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Авторы
Т.А.Алексеева, А.Ю.Литвин*
ФГБУ «Научный медицинский исследовательский центр кардиологии» Минздрава России. 121552, Россия, Москва, ул. 3-я Черепковская, д. 15а
*alelitvin@yandex.ru
________________________________________________
T.A.Alekseeva, A.Y.Litvin*
National Medical Research Center of Cardiology of the Ministry of Health of the Russian Federation. 121552, Russian Federation, Moscow, ul. 3-ia Cherepkovskaia, d. 15a
*alelitvin@yandex.ru