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Cited by 281

The DOI matches its Crossref record; 438 of the 438 references it cites were found in a registry or an index.

Novel Insights into the Pathogenesis and Management of the Metabolic Syndrome

Open access
Wang, Helen H., Lee, Dong Ki, Liu, Min, Portincasa, Piero, Wang, David Q.-H.·2020·Pediatric Gastroenterology, Hepatology & Nutrition

Abstract

The metabolic syndrome, by definition, is not a disease but is a clustering of individual metabolic risk factors including abdominal obesity, hyperglycemia, hypertriglyceridemia, hypertension, and low high-density lipoprotein cholesterol levels. These risk factors could dramatically increase the prevalence of type 2 diabetes and cardiovascular disease. The reported prevalence of the metabolic syndrome varies, greatly depending on the definition used, gender, age, socioeconomic status, and the ethnic background of study cohorts. Clinical and epidemiological studies have clearly demonstrated that the metabolic syndrome starts with central obesity. Because the prevalence of obesity has doubly increased worldwide over the past 30 years, the prevalence of the metabolic syndrome has markedly boosted in parallel. Therefore, obesity has been recognized as the leading cause for the metabolic syndrome since it is strongly associated with all metabolic risk factors. High prevalence of the metabolic syndrome is not unique to the USA and Europe and it is also increasing in most Asian countries. Insulin resistance has elucidated most, if not all, of the pathophysiology of the metabolic syndrome because it contributes to hyperglycemia. Furthermore, a major contributor to the development of insulin resistance is an overabundance of circulating fatty acids. Plasma fatty acids are derived mainly from the triglycerides stored in adipose tissues, which are released through the action of the cyclic AMP-dependent enzyme, hormone sensitive lipase. This review summarizes the latest concepts in the definition, pathogenesis, pathophysiology, and diagnosis of the metabolic syndrome, as well as its preventive measures and therapeutic strategies in children and adolescents.

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Metadata

Authors
Wang, H. H., Lee, D. K., Liu, M., Portincasa, P., & Wang, D. Q.-H.
Venue
Pediatric Gastroenterology, Hepatology & Nutrition
Publisher
XMLink
Published
2020
Volume
23
Issue
3
Pages
189
ISSN
  • 2234-8646 (ISSN-L)
  • 2234-8840
OpenAlex
W3025184227
Cited by
281
References
438
FWCI
25.16
Type
journal article
Language
en
Open access
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CoChat. (2026). Citation check: Novel Insights into the Pathogenesis and Management of the Metabolic Syndrome. https://app.cochat.ai/papers/10.5223/pghn.2020.23.3.189
The paper
Wang, H. H., Lee, D. K., Liu, M., Portincasa, P., & Wang, D. Q.-H. (2020). Novel Insights into the Pathogenesis and Management of the Metabolic Syndrome. Pediatric Gastroenterology, Hepatology & Nutrition. https://doi.org/10.5223/pghn.2020.23.3.189

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.