Dysfonction métabolique et stress chronique: un nouveau regard sur la pandémie de "diabésité" [Metabolic dysfunction and chronic stress: a new sight at "diabesity" pandemic]

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Serval ID
serval:BIB_249276667CC4
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Dysfonction métabolique et stress chronique: un nouveau regard sur la pandémie de "diabésité" [Metabolic dysfunction and chronic stress: a new sight at "diabesity" pandemic]
Journal
Revue Médicale Suisse
Author(s)
Gastaldi G., Ruiz J.
ISSN
1660-9379
Publication state
Published
Issued date
2009
Volume
5
Number
206
Pages
1273-1277
Language
french
Abstract
Chronic stress in Western society can activate the autonomus, neuroendocrine and inflammatory/immunlogic systems. Chronic exposure to stressors can indeed stimulate the hypothalamic-pituitary-adrenal axis and induce a disbalance between anabolic and catabolic hormones, responsible of an increased in visceral fat and of insulin resistance. These metabolic consequences can lead to pre-diabetes. Exposure to chronic stress results in allostatic load and its pathophysiologic consequences. The knowledge of this mecanisms and the cardiovascular and metabolic risk related, should influence our way of thinking about patient care. To decrease allostatic load, practitioners can rely on therapeutic relation. Therapeutic education is one of the skill that can be use to create therapeutic relation.
Keywords
Chronic Disease, Diabetes Mellitus/epidemiology, Diabetes Mellitus/metabolism, Disease Outbreaks, Humans, Metabolic Diseases/epidemiology, Metabolic Diseases/metabolism, Stress, Psychological/epidemiology, Stress, Psychological/metabolism
Pubmed
Create date
03/09/2009 8:42
Last modification date
20/08/2019 13:02
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