NEUROENDOCRINE MECHANISMS OF METABOLIC SYNDROME AND THEIR IMPLICATIONS FOR REHABILITATION PROGRAM DEVELOPMENT
Keywords:
metabolic syndrome, neuroendocrine mechanisms, HPA axis, sympathetic nervous system, rehabilitation, insulin resistance, cortisol, leptin resistanceAbstract
Metabolic syndrome (MetS) represents a cluster of interconnected metabolic abnormalities that significantly increase cardiovascular disease risk and type 2 diabetes mellitus. This review examines the neuroendocrine mechanisms underlying MetS pathophysiology, with particular emphasis on hypothalamic-pituitary-adrenal (HPA) axis dysfunction, sympathetic nervous system hyperactivity, and disrupted adipokine signaling. Understanding these mechanisms is essential for developing evidence-based rehabilitation interventions. We synthesize current knowledge on neuroendocrine dysregulation in MetS and discuss implications for designing targeted rehabilitation programs incorporating exercise, nutritional modification, and stress management strategies. The integration of neuroendocrine biomarkers into rehabilitation protocols may optimize therapeutic outcomes and enable personalized treatment approaches.
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