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Abstract(s)
A elevada prevalência da obesidade e das suas consequências são um mau e
expectável resultado do ambiente obesogénico atual, dado que o seu início é cada vez mais
precoce e as suas consequências são, ainda hoje, um grave problema. Também se sabe que
começa a ser pouco rigoroso falar em obesidade, mas sim em obesidades, dadas as
diferenças que se verificam a nível da idade de início, género, patogénese, grau,
morfológicas, gravidade das comorbidades, bem como da resposta às diferentes
terapêuticas.
De facto, o alto índice de massa corporal (IMC) é identificado como um fator de risco
para um conjunto crescente de doenças crónicas, incluindo doenças cardiovasculares, a
diabetes mellitus, a doença renal crónica, diversas neoplasias e uma série de distúrbios
musculoesqueléticos.
Deste modo, face a esta multiplicidade de diferenças entre as várias formas de
obesidade, o objetivo desta revisão narrativa, com base em artigos científicos publicados na
atualidade, é comparar a frequência e a gravidade das comorbidades cardiometabólicas da
obesidade que se manifestam na idade adulta, conforme a idade em que surgiu a obesidade.
Perante a análise feita da literatura existente, que mais se adequava ao tema
proposto, foi decidido restringir o foco do estudo em consequências cardiometabólicas
específicas, como a doença arterial coronária, a hipertensão, a dislipidemia e a diabetes
mellitus tipo 2.
The high prevalence of obesity and its consequences are a bad and expected result of the current obesogenic milieu, where its emergence is more and more precocious and its consequences are, today still, a problem. It is known as well that it has been increasingly inaccurate to speak of obesity, but instead of obesities, considering the differences that are verified at level of the age of onset, gender, pathogenesis, degree, morphology, severity of comorbidities, as well as in the response to different therapies. In fact, a high body mass index (BMI) is identified as a risk factor for an increasing number of chronic diseases, including cardiovascular diseases, diabetes mellitus, chronic kidney disease, various neoplasms and a series of musculoskeletal disorders. Thus, before such multiplicity of differences among the various forms of obesity, the objective of this narrative revision, based on currently published scientific papers, is to compare the frequency and severity of cardiometabolic comorbidities of obesity that are manifested in adult age, according to age at onset of obesity. After analyzing existing literature which best fit the proposed theme, it was decided to restrict the focus of the study to specific cardiometabolic consequences, such as coronary artery disease, hypertension, dyslipidemia and type 2 diabetes mellitus.
The high prevalence of obesity and its consequences are a bad and expected result of the current obesogenic milieu, where its emergence is more and more precocious and its consequences are, today still, a problem. It is known as well that it has been increasingly inaccurate to speak of obesity, but instead of obesities, considering the differences that are verified at level of the age of onset, gender, pathogenesis, degree, morphology, severity of comorbidities, as well as in the response to different therapies. In fact, a high body mass index (BMI) is identified as a risk factor for an increasing number of chronic diseases, including cardiovascular diseases, diabetes mellitus, chronic kidney disease, various neoplasms and a series of musculoskeletal disorders. Thus, before such multiplicity of differences among the various forms of obesity, the objective of this narrative revision, based on currently published scientific papers, is to compare the frequency and severity of cardiometabolic comorbidities of obesity that are manifested in adult age, according to age at onset of obesity. After analyzing existing literature which best fit the proposed theme, it was decided to restrict the focus of the study to specific cardiometabolic consequences, such as coronary artery disease, hypertension, dyslipidemia and type 2 diabetes mellitus.
Description
Keywords
Comorbidades Cardiometabólicas Início da Obesidade Obesidade no Adulto Obesidade Pediátrica