Особенности кардиореабилитации метаболического синдрома в условиях последствий пандемии covid-19

Аннотация. На заболевания, связанные с метаболическим синдромом, приходится две трети смертей от неинфекционных заболеваний, большинство из которых могут начинаться еще в раннем возрасте. Провоспалительная среда, наблюдаемая у пациентов с МС при ожирении, может способствовать нарушению иммунной регуляции у пациентов с  COVID 19, включая неоптимальные иммунные реакции, гипервоспаление, микрососудистую дисфункцию и  тромбоз. Физические упражнения могут быть одной из ключевых мер по уменьшению воспаления у  лиц с COVID-19, страдающих ожирением, поскольку могут снизить количество и размер адипоцитов, а также воспалительную реакцию и экспрессию цитокинов, связанные с нарушением иммунной регуляции, опосредованной избытком жировой ткани. С учетом увеличения количества людей с метаболическим синдромом и значимости данной патологии в контексте последствий пандемии COVID-19, а также с учетом важности физической активности в лечении, реабилитации и профилактики факторов кардиометаболического риска, необходимо рассмотреть основные аспекты патогенеза МС, особенности реабилитационных стратегий у пациентов с метаболическим синдромом и ожирением с последствиями перенесенной новой коронавирусной инфекции (НКВИ). Целью обзора стал поиск, обобщение и обсуждение имеющихся литературных данных по развитию и патогенезу метаболического синдрома в длительном постковидном периоде, а также систематизация имеющихся методов кардиореабилитации у данной категории лиц.

Материалы и методы. Поиск и отбор литературных источников осуществлялся в системе опубликованных исследований в научных базах cyberleninka.ru, elibrary.ru, link.springer.com, frontiersin.org, pubmed.ncbi.nlm.nih.gov, Web of Science, Google Scholar и других.

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