Cardiometabolic risk: New chronic care models
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F21%3A00075068" target="_blank" >RIV/00159816:_____/21:00075068 - isvavai.cz</a>
Result on the web
<a href="https://aspenjournals.onlinelibrary.wiley.com/doi/epdf/10.1002/jpen.2264" target="_blank" >https://aspenjournals.onlinelibrary.wiley.com/doi/epdf/10.1002/jpen.2264</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1002/jpen.2264" target="_blank" >10.1002/jpen.2264</a>
Alternative languages
Result language
angličtina
Original language name
Cardiometabolic risk: New chronic care models
Original language description
Cardiometabolic risk factors, and the chronic cardiovascular diseases (CVDs) that result from them, are highly prevalent in the US and amenable to clinical nutrition interventions. This creates an urgency to develop comprehensive care models that incorporate prevention-based actions by improving lifestyle routines. Such care models should account for social determinants of health, ethnocultural variables, and challenges to sustainability. The relevance of these newly designed chronic care models is to inform and facilitate early intervention, primarily consisting of lifestyle changes and healthy nutrition, which mitigates progression from one stage to subsequent, higher morbidity stages to a greater extent than late intervention. In this article, the mechanistic drivers and ethnocultural validation of the Cardiometabolic-Based Chronic Disease (CMBCD) model are reviewed. Main findings are that in CMBCD, primary (genetics, environment, and behavior) and metabolic (obesity as Adiposity-Based Chronic Disease [ABCD], type 2 diabetes as Dysglycemia-Based Chronic Disease [DBCD], hypertension, and dyslipidemia) drivers initiate and perpetuate the progression of CVD. Epidemiological findings and molecular mechanisms support intra-ABCD/DBCD, as well as ABCD to DBCD stage progression culminating in CVD. The ABCD definition overcomes weight stigma and body mass index underperformance by considering adiposity amount, distribution, and function; and the DBCD definition overcomes criticisms of prediabetes and an exclusive glucocentric approach by considering insulin resistance and residual vascular risk along a clinical spectrum. In conclusion, clinicians should approach patients using the CMBCD model to incorporate lifestyle changes as early as possible to optimally mitigate the burden of CVD.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30308 - Nutrition, Dietetics
Result continuities
Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2021
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
JOURNAL OF PARENTERAL AND ENTERAL NUTRITION
ISSN
0148-6071
e-ISSN
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Volume of the periodical
45
Issue of the periodical within the volume
November
Country of publishing house
US - UNITED STATES
Number of pages
8
Pages from-to
85-92
UT code for WoS article
000729442700012
EID of the result in the Scopus database
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