心肺运动试验在代谢综合征患者中的应用

Application of cardiopulmonary exercise test in patients with metabolic syndrome

虽然代谢综合征(MetS)及其危险因素的管理已经得到广泛关注,但由此引起的心肺耐力变化却往往被忽视。心肺运动试验(CPET)是检测心肺耐力的金标准。CPET在评估MetS患者心肺耐力、制定个体化运动处方、评价临床干预效果及帮助判断疾病预后方面具有重要的应用价值。对于存在疾病危险因素的患者,CPET或可作为随访过程中辅助诊断MetS的一个有力的筛查工具。更多相关的大样本临床研究值得继续开展,为CPET在MetS中的应用提供证据支持。

Although the management of metabolic syndrome(MetS)and its risk factors have been widely concerned,the changes of cardiopulmonary endurance caused by MetS are usually overlooked.Cardiopulmonary exercise test(CPET)is the gold standard for detecting cardiopulmonary endurance.CPET has important application value in evaluating the cardiopulmonary endurance of MetS patients,formulating individualized exercise prescriptions,evaluating the effect of clinical intervention,and playing a role in the prognosis of diseases.For patients with disease risk factors,CPET may be a supplementary screening tool for the diagnosis of MetS during follow-up,but more large-sample clinical studies are needed in the future to provide evidence for the application of CPET in MetS.