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Insulin resistance is associated with subclinical vascular disease in humans

World Journal of Diabetes 2019年第2期10卷 63-77页

作者： María M Adeva-Andany eva ameneiros-rodríguez Carlos Fernández-Fernández Alberto Domínguez-Montero Raquel Funcasta-Calderón Internal Medicine Department Hospital General Juan Cardona

Insulin resistance is associated with subclinical vascular disease that is not justified by conventional cardiovascular risk factors,such as smoking or *** injury associated to insulin resistance involves functional and structural damage to the arterial wall that includes impaired vasodilation in response to chemical mediators,reduced distensibility of the arterial wall(arterial stiffness),vascular calcification,and increased thickness of the arterial *** dysfunction associated to insulin resistance is present in asymptomatic subjects and predisposes to cardiovascular diseases,such as heart failure,ischemic heart disease,stroke,and peripheral vascular *** and functional vascular disease associated to insulin resistance is highly predictive of cardiovascular morbidity and *** pathogenic mechanisms remain *** studies have demonstrated that animal protein consumption increases the risk of developing cardiovascular disease and predisposes to type 2 diabetes(T2D)whereas vegetable protein intake has the opposite *** disease linked to insulin resistance begins to occur early in *** and adolescents with insulin resistance show an injured arterial system compared with youth free of insulin resistance,suggesting that insulin resistance plays a crucial role in the development of initial vascular *** of the vascular dysfunction related to insulin resistance should begin early in *** the clinical onset of T2D,asymptomatic subjects endure a long period of time characterized by insulin *** vascular dysfunction begins to develop during this phase,so that patients with T2D are at increased cardiovascular risk long before the diagnosis of the disease.

关键词： Diabetes Cardiovascular risk Arterial stiffness Arterial elasticity Intimamedia thickness Vascular calcification Insulin resistance Animal protein Vegetable protein

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