THE ROLE OF METABOLIC SYNDROME IN THE DEVELOPMENT OF CHRONIC BRAIN ISCHEMIA: A SYSTEMATIC REVIEW
Keywords:
Metabolic syndrome, chronic brain ischemia, cognitive impairment, dementia, cardiovascular diseaseAbstract
Metabolic syndrome (MetS) is a cluster of metabolic abnormalities, including central obesity, dyslipidemia, hypertension, and insulin resistance, that increase the risk of cardiovascular disease and type 2 diabetes. Recent evidence suggests that MetS may also play a role in the development of chronic brain ischemia (CBI), a condition characterized by reduced blood flow to the brain that can lead to cognitive impairment and dementia. This review article aims to summarize the current understanding of the relationship between MetS and CBI, highlighting the potential mechanisms through which MetS may contribute to the pathogenesis of CBI. We will also discuss the implications of these findings for the prevention and management of CBI.
References
Li W, Huang R, Shang X, et al. Metabolic syndrome and risk of dementia: a systematic review and meta-analysis of prospective cohort studies. J Neurol. 2019;266:168-177.
Vucic K, Krstic D, Stanisavljevic S, et al. Metabolic syndrome and cognitive decline in elderly patients with cerebrovascular disease. Vojnosanit Pregl. 2017;74:1025-1031.
Oveisgharan S, Hachinski V. Hypertension, executive dysfunction, and progression to dementia: the Canadian Study of Health and Aging. Arch Neurol. 2010;67:187-192.
Ott A, Stolk RP, van Harskamp F, Pols HA, Hofman A, Breteler MM. Diabetes mellitus and the risk of dementia: The Rotterdam Study. Neurology. 1999;53:1937-1942.
Tzourio C, Anderson C, Chapman N, et al. Effects of blood pressure lowering with perindopril and indapamide therapy on dementia and cognitive decline in patients with cerebrovascular disease. Arch Intern Med. 2003;163:1069-1075.
Hsu FC, Kritchevsky SB, Liu Y, et al. Association between inflammatory components and physical function in the health, aging, and body composition study: a principal component analysis approach. J Gerontol A BiolSci Med Sci. 2009;64:581-589.
van den Berg E, Kloppenborg RP, Kessels RP, et al. Type 2 diabetes mellitus, hypertension, dyslipidemia and obesity: a systematic comparison of their impact on cognition. BiochimBiophysActa. 2009;1792:470-481.
Tamura Y, Araki A. Diabetes mellitus and cognitive dysfunction: epidemiological evidence and underlying mechanisms. Diabetes Metab Res Rev. 2012;28: 1-9.
Wang J, Bi W, Cheng A, et al. Metabolic syndrome and the risk of dementia: a nationwide population-based study in Taiwan. PLoS One. 2017;12:e0170793.
Huang Y, Zheng S, Xu M, et al. Metabolic syndrome and the risk of stroke: a meta-analysis of prospective cohort studies. J Stroke Cerebrovasc Dis. 2018;27:3037-3045.
Wu L, Sun D. Meta-analysis of metabolic syndrome and risk of dementia. J Alzheimers Dis. 2017;57:835-842.
Li R, Li W, Lun Z, Zhang H, Sun Z, Kanu JS. Metabolic syndrome and risk of stroke: a meta-analysis of prospective cohort studies. J Stroke Cerebrovasc Dis. 2015;24:2860-2868.
Deckers K, Schievink SHJ, Rodriquez MMF, et al. Coronary heart disease and risk for cognitive impairment or dementia: systematic review and meta-analysis. PLoS One. 2017;12: