Posttransplant Metabolic Syndrome
Metabolic syndrome (MS) is a cluster of metabolic derangements associated with insulin resistance and an increased risk of cardiovascular mortality. MS has become a major health concern worldwide and is considered to be the etiology of the current epidemic of diabetes and cardiovascular disease. In...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | International Journal of Hepatology |
| Online Access: | http://dx.doi.org/10.1155/2012/891516 |
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| author | M. Shadab Siddiqui Richard K. Sterling |
| author_facet | M. Shadab Siddiqui Richard K. Sterling |
| author_sort | M. Shadab Siddiqui |
| collection | DOAJ |
| description | Metabolic syndrome (MS) is a cluster of metabolic derangements associated with insulin resistance and an increased risk of cardiovascular mortality. MS has become a major health concern worldwide and is considered to be the etiology of the current epidemic of diabetes and cardiovascular disease. In addition to cardiovascular disease, the presence of MS is also closely associated with other comorbidities including nonalcoholic fatty liver disease (NAFLD). The prevalence of MS in patients with cirrhosis and end-stage liver disease is not well established and difficult to ascertain. Following liver transplant, the prevalence of MS is estimated to be 44–58%. The main factors associated with posttransplant MS are posttransplant diabetes, obesity, dyslipidemia, and hypertension. In addition to developing NAFLD, posttransplant MS is associated with increased cardiovascular mortality that is 2.5 times that of the age- and sex-matched individuals. Additionally, the presence of posttransplant MS has been associated with rapid progression to fibrosis in individuals transplanted for HCV cirrhosis. There is an urgent need for well-designed prospective studies to fully delineate the natural history and risk factors associated with posttransplant MS. Until then, early recognition, prevention, and treatment of its components are vital in improving outcomes in liver transplant recipients. |
| format | Article |
| id | doaj-art-ca66dc6f202040728fbbe155ff95a218 |
| institution | Kabale University |
| issn | 2090-3448 2090-3456 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Hepatology |
| spelling | doaj-art-ca66dc6f202040728fbbe155ff95a2182025-02-03T06:05:05ZengWileyInternational Journal of Hepatology2090-34482090-34562012-01-01201210.1155/2012/891516891516Posttransplant Metabolic SyndromeM. Shadab Siddiqui0Richard K. Sterling1Division of Gastroenterology, Hepatology and Nutrition, Virginia Commonwealth University, Richmond, VA 23298-0341, USADivision of Gastroenterology, Hepatology and Nutrition, Virginia Commonwealth University, Richmond, VA 23298-0341, USAMetabolic syndrome (MS) is a cluster of metabolic derangements associated with insulin resistance and an increased risk of cardiovascular mortality. MS has become a major health concern worldwide and is considered to be the etiology of the current epidemic of diabetes and cardiovascular disease. In addition to cardiovascular disease, the presence of MS is also closely associated with other comorbidities including nonalcoholic fatty liver disease (NAFLD). The prevalence of MS in patients with cirrhosis and end-stage liver disease is not well established and difficult to ascertain. Following liver transplant, the prevalence of MS is estimated to be 44–58%. The main factors associated with posttransplant MS are posttransplant diabetes, obesity, dyslipidemia, and hypertension. In addition to developing NAFLD, posttransplant MS is associated with increased cardiovascular mortality that is 2.5 times that of the age- and sex-matched individuals. Additionally, the presence of posttransplant MS has been associated with rapid progression to fibrosis in individuals transplanted for HCV cirrhosis. There is an urgent need for well-designed prospective studies to fully delineate the natural history and risk factors associated with posttransplant MS. Until then, early recognition, prevention, and treatment of its components are vital in improving outcomes in liver transplant recipients.http://dx.doi.org/10.1155/2012/891516 |
| spellingShingle | M. Shadab Siddiqui Richard K. Sterling Posttransplant Metabolic Syndrome International Journal of Hepatology |
| title | Posttransplant Metabolic Syndrome |
| title_full | Posttransplant Metabolic Syndrome |
| title_fullStr | Posttransplant Metabolic Syndrome |
| title_full_unstemmed | Posttransplant Metabolic Syndrome |
| title_short | Posttransplant Metabolic Syndrome |
| title_sort | posttransplant metabolic syndrome |
| url | http://dx.doi.org/10.1155/2012/891516 |
| work_keys_str_mv | AT mshadabsiddiqui posttransplantmetabolicsyndrome AT richardksterling posttransplantmetabolicsyndrome |