Metabolic Syndrome

Question 1

Response to acute exercise

hint: consider the potential effect on ……. (2)

Answer 1

1. Consider the potential effect on the elements of the metabolic syndrome: hyperglycemia, (or use of blood glucose meds), elevated BP (or anti-HTN meds), dyslipidemia (or lipid-lowering meds), and central adiposity based on waist circumference.
2. Consider the potential effects on the associated comorbidities: CVD, DM, and stroke

Question 2

BENEFITS (5)

Answer 2

1. Moderately reduces abdominal obesity and improves action of insulin in overweight or obese adult
2. Possibility improve glucose tolerance in normoglycemic ind who are overweight or obese
3. Prevent development of type 2 diabetes
4. Moderately improves lipid profil
5. Moderately reduces BP (HTN and obese)

Question 3

Precaution/consideration (

Answer 3

1. Resistance training + aerobic training, can produce greater decreases in metabolic syndrome prevalence than aerobic training alone
   
   • ≥ 2 days/week of resistance training reduces risk of developing dyslipidemia, impaired fasting glucose, pre-HTN, and increased wait circumference; all elements of the Metsyn cluster
     2 Reduction of body = important goal. Gradually increase PA levels to 250-300min/week or 50-60min on 5d/week. Can be accumulated in short period of time (10min). Progression to 60-90 min to promote weight loss. mod intensity.
2. Variables that are considered risk factors for CVD and DM should be performed at a mode exercise intensity (40-59% of vo2R), 150min/week. When appropriate progress to vigorous intensity (more 60% VO2R)
3. Give attention to all risk factors that the condition is presented with

Question 4

exercise testing

p. (284)

Answer 4

1. No need for exercise testing for low-to-mod exerc int.
2. Can followed general recommendation for dysl, HTN, hyperglycemia when present.
3. Since many Metsyn are obese, see special consideration during testing for obese
4. the potential for low exercise capacity for obese should necessitate low initial workload (2-3 METS) and small increment (0,5-1,0 METS)
5. Record BP before and during testing (elevated BP)