Cited by 243Adipokines, Inflammation, and Metabolic DiseasesDiabetes, Cardiovascular Risks, and LipoproteinsCardiovascular Disease and Adiposity

The Metabolic Syndrome and Inflammation

Sutherland, Julie P., McKinley, Benjamin, Eckel, Robert H.·2004·Metabolic Syndrome and Related Disorders

Abstract

The metabolic syndrome (MS) is a clustering of cardiovascular risk factors, with insulin resistance as a major feature. This syndrome has been variously defined, but generally consists of 3 or more of the following components: hyperglycemia, hypertension, hypertriglyceridemia, low HDL, and increased abdominal circumference and/or BMI at >30 kg/m(2). The WHO criteria require the presence of insulin resistance to make the diagnosis. The current review focuses particularly on the association of the MS and the proinflammatory state as well as treatment options to prevent the development of coronary heart disease (CHD). Chronic inflammation is frequently associated with the MS. Inflammatory markers that have been associated with MS include hs-CRP, TNF-alpha, fibrinogen, and IL-6, among others. The link between inflammation and the MS is not fully understood. One postulated mechanism is that these cytokines are released into the circulation by adipose tissue, stimulating hepatic CRP production. The prothrombotic molecule PAI-1 is also increased in the MS. Adiponectin, produced exclusively by adipocytes, is decreased in obesity. The association of these proinflammatory and prothrombotic markers with the MS is discussed in detail. The general goals of treatment of the MS are prevention of CHD events and diabetes if not already present. The approach to treatment of those with the MS should include lifestyle changes, including weight loss and exercise as well as appropriate pharmacological therapies. Certain medications, which may be used in persons with MS, have been shown to have beneficial effects on clinical outcome and/or anti-inflammatory effects.

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Crossref · 10.1089/met.2004.2.82

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Authors
Sutherland, J. P., McKinley, B., & Eckel, R. H.
Affiliations
University of Colorado Health Sciences Center, Denver, Colorado.
Venue
Metabolic Syndrome and Related Disorders
Published
2004-06
Volume
2
Issue
2
Pages
82-104
ISSN
  • 1540-4196 (ISSN-L)
  • 1557-8518
OpenAlex
W2028053287
Cited by
243
References
238
Citations by year
2026: 4 · 2025: 12 · 2024: 11 · 2023: 12 · 2022: 8 · 2021: 11 · 2020: 15 · 2019: 10 · 2018: 9 · 2017: 15 · 2016: 9 · 2015: 9 · 2014: 11 · 2013: 11 · 2012: 15
FWCI
2.68
Type
journal article
Language
en
Open access
closed
Locations
  • Metabolic Syndrome and Related Disorders (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Disease and Adiposity
Keywords
metabolic syndrome, chronic inflammation, insulin resistance, coronary heart disease prevention, inflammatory markers, C-reactive protein, TNF-α, interleukin-6, fibrinogen, adiponectin, plasminogen activator inhibitor-1, obesity, cardiovascular risk factors, lifestyle intervention, pharmacotherapy

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