Metabolic Syndrome

Question 0

Does metabolic syndrome have sx’s?

Answer 0

Not usually

Question 1

What is needed for a Dx of metabolic syndrome?

Answer 1

If pt has 3+ of the following
Waist =/> 40" in men & 35" in women
BP of 130/85 or higher OR taking meds for HTN
TGs above 150
FBG of 100+ OR taking glu lowering meds
HDL a < 40(men) or 50 (women)

Question 2

What are the main tx methods for met syndrome

Answer 2

Limit drinking
Lose w8: 5-10% of current body w8
Exercise: 30 mins a day
Keep carbs less than. 50% of cals

Question 3

What if lifestyle modifications aren’t enough?

Answer 3

Drugs to control cholE (statins) and BP (ACEi’s) can be used

Drugs used to txt high blood sugar may help: metformin has been found to help prevent DM onset in pts w/ met syn. No guidelines yet for this tx practice

Question 4

What is your risk for CVD, DM, and stroke if u have met syndrome?

Answer 4

2x risk of CVD

5x risk of DM

Question 5

Who do we see met syndrome in?

Answer 5

5% of ppl with normal body weight
22% of ppl who are overweight
60% of obese ppl
** adults who gain 5 lbs or more per yr raise their risk of met syndrome by 45%

Question 6

What ethnicity is at most risk for met syn? Which age grp is at risk?

Answer 6

32% of US has it
25% of Europe and Latin America have it (estimated)
Within the usa Mexican Americans have the highest prevalence

Prevalence increases with age (40% of ppl over age 60 are affected)