Metabolic Syndrome Consequent to Endocrine Disorders

Metabolic Syndrome Consequent to Endocrine Disorders
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Описание книги

Hormonal dysfunction can have a major and often complex impact on all key components of the metabolic syndrome. This book comprises state-of-the-art reviews on the subject written by recognized experts in the field of endocrinology. Each chapter covers specific manifestations associated with the metabolic syndrome in classic endocrine diseases. Compelling questions are highlighted and future directions presented. The topics covered include hypopituitarism, adrenal insufficiency, acromegaly, glucocorticoid excess, androgen excess, hypogonadism, prolactin, and thyroid and parathyroid hormone abnormalities. This book is meant to inspire subsequent research related to metabolic complications in endocrine diseases, thus enabling early detection as well as prompt and appropriate management.

Оглавление

Группа авторов. Metabolic Syndrome Consequent to Endocrine Disorders

Frontiers of Hormone Research

Metabolic Syndrome Consequent to Endocrine Disorders

Contents

Preface

Metabolic Syndrome in Hypopituitarism

Abstract

Hypopituitarism

The Metabolic Syndrome

Clinical Relevance of Metabolic Phenotype in Hypopituitarism

Prevalence of MetS in Patients with Hypopituitarism

Impact of GHD and GHRT on Components of MetS in Patients with Hypopituitarism

Dyslipidemia in GHD and Responses to GHRT

Glucose Metabolism and Insulin Resistance in GHD and Responses to GHRT

Changes in Body Composition: Visceral Obesity in GHD and Response to GHRT

Hypertension, Vascular Changes, Inflammatory Cardiovascular Risk Markers, and Hypofibrinolysis in Patients with GHD

Cardiac Function and Morphology

MetS and Fatty Liver Disease in Patients with GHD and Hypopituitarism

Impact of Other Hormone Deficiencies on MetS in Patients with Hypopituitarism. GC and Metabolic Phenotype

Thyroxin and Metabolic Phenotype

Sex Steroids and Metabolic Phenotype

Newer Data on Metabolic and Cardiovascular Outcome in Patients with Hypopituitarism on Long-Term GHRT

Conclusion

References

Metabolic Complications of Acromegaly

Abstract

Introduction

Abnormalities in Glucose Metabolism

Changes in Lipid Metabolism

Other Cardiometabolic Risk Factors in Acromegaly

Conclusions

References

Metabolic Syndrome in Hyperprolactinemia

Abstract

Metabolic Syndrome and Prolactin

Hyperprolactinemia

PRL, Pregnancy and Lactation

New Insights on MetS in HyperPRL

New Insights on MetS and Hypoprolactinemia

PRL and T2D

PRL and Hypertension

Adiponectin, Prolactinoma, and MetS

MetS, hyperPRL and Schizophrenia

Conclusion

References

Metabolic Syndrome in Thyroid Disease

Abstract

Introduction and Definitions

Epidemiological Data/Observational Studies

TH and MetS: Experimental Data

Hypothalamic Control of Lipid and Glucose Metabolism by TH

TH Action on Adipose Tissue

TH Action on Liver

TH Action on Glucose Metabolism via Action on Pancreatic β-Cells and Muscle

TH and Blood Pressure Regulation

Interventional Studies

TH Effects on BAT and Muscle Metabolism in Humans

TH Effects on Liver, Lipids, and Blood Pressure in Humans

TH and Weight in Humans

Therapeutic Potentials of Thyroid Hormone Mimetics

Summary

Disclosure Statement

References

Metabolic Syndrome in Parathyroid Diseases

Abstract

Introduction

Primary Hyperparathyroidism

Obesity

Impaired Glucose Tolerance and Diabetes

Dyslipidemia

Arterial Blood Hypertension

Metabolic Syndrome in Familial Forms of PHPT

Secondary Hyperparathyroidism. Metabolic Syndrome in Chronic Kidney Disease-Related Hyperparathyroidism

Metabolic Syndrome in Vitamin D Deficiency-Related Hyperparathyroidism

Pseudohypoparathyroidism

Hypoparathyroidism

Concluding Remarks and Open Questions

References

Metabolic Syndrome in Cushing’s Syndrome Patients

Abstract

Introduction

Adipose Tissue Changes

Pathomechanism

Adipose Tissue Endocrine Activity

The Adipose Tissue in CS Patients Following Cure

Liver Steatosis in CS

Glucose Metabolism Alterations

Pathomechanism

Management

Dyslipidemia

Pathomechanism

Management

Cardiovascular Changes. Hypertension

Pathomechanism

Management

Vascular Changes

Cardiac Morphology

Summary

Acknowledgment

References

Metabolic Complications in Adrenal Insufficiency

Abstract

Introduction

Treatment of AI

Adverse Effects of Replacement Therapy

Hypertension

Glucose Metabolism

Lipids and Body Weight

Summary and Future Prospects

References

Metabolic Syndrome in Polycystic Ovary Syndrome

Abstract

Prevalence of the Metabolic Syndrome in Women with Polycystic Ovary Syndrome

The Strict Interplay between Insulin Resistance, Hyperinsulinemia, and PCOS

Impact of Obesity and Visceral Adiposity on the Development of the Metabolic Syndrome in Women with PCOS

Does a PCOS Secondary to Obesity Exist?

Diabetes in PCOS

The Metabolic Syndrome and the Cardiometabolic Risk in Women with PCOS

Androgen Excess and Its Role in the Metabolic Syndrome Associated with PCOS. Aberrant Visceral Fat

Glucose Intolerance States and T2D

Dyslipidemia

Hypertension

Conclusive Remarks and Future Perspectives

References

Metabolic Syndrome in Male Hypogonadism

Abstract

Introduction

Association between MetS and HG

Association between HG and Specific MetS Components

Association between MetS and Sexual Symptoms

Associations between MetS-Associated HG and Clinical Features

The Vicious Cycle between MetS and HG

Effect of MetS Treatment on HG

Effect of HG Treatment on MetS Features and Correlates

Conclusions

References

The Metabolic Syndrome in Central Hypogonadotrophic Hypogonadism

Abstract

Definitions, Diagnostics, and Etiologies: The Metabolic Syndrome

The Biochemical Signature of CH

Confirming the Etiology of CH

Human Disease Models Providing Insights into the Relationship between Metabolism and the Reproductive Axis

Treatment Modalities as a Model for Understanding the Relationship between MetS and Hypogonadism

The Effects of Bariatric Surgery on Metabolism and Sex Steroids

The Effect of TRT on MetS

Outstanding Questions and Future Directions

References

Author Index

Subject Index

Отрывок из книги

Vol. 49

Series Editor

.....

55Sverrisdottir YB, Elam M, Herlitz H, et al: Intense sympathetic nervous system activity in adults with hypopituitarism and untreated growth hormone deficiency. J Clin Endocrinol Metab 1998;83:1881–1885.

56Savanelli MC, Scarano E, Muscogiuri G, Barrea L, Vuolo L, Rubino M, Savastano S, Colao A, Di Somma C: Cardiovascular risk in adult hypopituitaric patients with growth hormone deficiency: is there a role for vitamin D? Endocrine 2016;52:111–119.

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