産婦人科で果たす女性の健康支援としての役割(特別講演,第61回学術講演会要旨)

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The metabolic syndrome (Mets) has become the focus of the government-designated health checkup and health guidance initiatives that are currently in place as part of a comprehensive countermeasure against lifestyle-related diseases in Japan. At the same time, femoral neck fracture has tended to increase in incidence year after year and has drawn renewed attention as another lifestyle-related disease of interest, which makes affected individuals bed-ridden thus requiring nursing care. While these two diseases have generated much speculation about their association, their association remains largely unclear. We have recently shown through an examination of these two diseases that as long as the Mets has not progressed beyond visceral fat accumulation, it is associated with increases in bone mineral density due to increased body weight and decreased adiponectin secretion, however, as the Mets progresses beyond that and begins to present with vascular sclerosis and atherosclerosis, it is associated with decreased bone mineral density, so that the Mets begins to coexist with osteoporosis. These findings suggest that health education and preventive medicine measures aimed at arresting visceral fat accumulation in early stages of the Mets are likely to lead to atherosclerosis and osteoporosis being suppressed, thus confirming the rationale for regular health checkups in which visceral fat accumulation is being targeted for detection and treatment. To prevent the pathological aging process requiring medical intervention and nursing care, appropriate measures need to be taken to protect against the Mets and osteoporosis, as well as to protect lipid, vascular and bone health. Given the current expectations for Obstetrics and Gynecology in promoting women's health for life, it is clear that the specialty will have not a small role to play in female medicine in the years to come, as it continues to address both aging and estrogen deficiency as they affect female patients.
社団法人日本産科婦人科学会の論文
2009-08-01

産婦人科で果たす女性の健康支援としての役割(特別講演,第61回学術講演会要旨)

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