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Metabolic Syndrome; Facts to Know.

Metabolic syndrome is not a disease, but a clustering or "constellation" of health markers.

To be diagnosed with metabolic syndrome, you must have three of the following:

Your waist measures more than 34 inches around (more than 40 inches in men).

Your fasting blood glucose is 110 mg/dL or higher; or you're already taking medication because you have high blood glucose levels.

You have a triglyceride level at or above 150 mg/dL.

Your HDL cholesterol level (the "good" cholesterol) below 50 mg/dL (at or below 40 mg/dL in men); or you're already taking medication to increase your HDL level.

Your blood pressure is at or above 130 mm Hg systolic (the top number) or 85 mm Hg diastolic (the bottom number); or you're already taking medication to treat high blood pressure.

More than a third (34.5 percent) of all Americans have metabolic syndrome, although most may not know it.

Women with a condition called polycystic ovarian syndrome (PCOS) are up to 11 times more likely to have metabolic syndrome than those without PCOS.

The risk of metabolic syndrome increases with age, although researchers still don't know if menopause has any effect on metabolic syndrome.

Although you're much more likely to have metabolic syndrome if you're overweight or obese, you can have it even if you have a normal weight. The most important risk factor is the amount of fat around your abdomen, called visceral fat. This visceral fat tends to accumulate more in women.

Metabolic syndrome significantly increases your risk of developing heart disease and diabetes and has been linked to liver disease, sleep apnea and cancer.

The only overt symptom of metabolic syndrome is being overweight.

The best way to treat metabolic syndrome is by losing weight and maintaining a healthy weight, becoming physically active and following a healthy diet. This is the only thing you can do that will improve all health markers for metabolic syndrome.

Your health care professional may prescribe medication to treat the individual components of metabolic syndrome, such as antihypertensives for high blood pressure and certain anti-diabetes drugs to improve insulin resistance.

References

Abbasi F, Brown BW Jr, Lamendola C, McLaughlin T, Reaven GM. Relationship between obesity, insulin resistance, and coronary heart disease risk. J Am Coll Cardiol. 2002 Sep 4;40(5):937--43.

Adams RJ, Appleton S, Wilson DH, et al. Population comparison of two clinical approaches to the metabolic syndrome: implications of the new International Diabetes Federation consensus definition. Diabetes Care 2005;28:2777--9.

Babu A, Fogelfeld L. Metabolic syndrome and prediabetes. Dis Mon. 2006 Feb-Mar;52(2-3):55--144.

Cholesterol-Lowering Drugs. American Heart Association. Available at: http://www.americanheart.org.

Ford ES. Prevalence of the metabolic syndrome defined by the International Diabetes Federation among adults in the U.S. Diabetes Care 2005;28:2745--9. Dis Mon. 2006 Feb-Mar;52(2-3):55--144.

Ford ES, Abbasi F, Reaven GM. Prevalence of insulin resistance and the metabolic syndrome with alternative definitions of impaired fasting glucose. Atherosclerosis. 2005 Jul;181(1):143--8. Epub 2005 Feb 12.

Ford ES, Giles WH, Dietz WH. Prevalence of the metabolic syndrome among US adults: findings from the third National Health and Nutrition Examination Survey. JAMA. 2002 Jan 16;287(3):356--9.

Freiberg MS, Cabral HJ, Heeren TC, et al. Alcohol consumption and the prevalence of the Metabolic Syndrome in the US.: a cross-sectional analysis of data from the Third National Health and Nutrition Examination Survey. Diabetes Care 2004;27:2954--9

Grundy SM. A constellation of complications: the metabolic syndrome. Clin Cornerstone. 2005;7(2--3):36--45.

Grundy SM, Brewer HB Jr, Cleeman JI, Smith SC Jr, Lenfant C; National Heart, Lung, and Blood Institute; American Heart Association. Definition of metabolic syndrome: report of the National Heart, Lung, and Blood Institute/American Heart Association conference on scientific issues related to definition. Arterioscler Thromb Vasc Biol. 2004 Feb;24(2):e13--8.

Lipitor [package insert]. Dublin, Ireland: Pfizer Ireland Pharmaceuticals; 2005.

McLaughlin T, Abbasi F, Cheal K, Chu J, Lamendola C, Reaven G. Use of metabolic markers to identify overweight individuals who are insulin resistant. Ann Intern Med. 2003 Nov 18;139(10):802--9.

Sevick MA, Dunn AL, Morrow MS, et al. Cost-effectiveness of lifestyle and structured exercise interventions in sedentary adults: results of project ACTIVE. Am J Prev Med. 2000 Jul;19(1):1--8.

Singh GK. Metabolic Syndrome in Children and Adolescents. Curr Treat Options Cardiovasc Med. 2006 Sep;8(5):403--413.

Sonnenberg L, Pencina M, Kimokoti R, et al. Dietary patterns and the metabolic syndrome in obese and non-obese Framingham women. Obes Res 2005;13:153--62.
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Publication:NWHRC Health Center - General Women's Health
Geographic Code:4EUIR
Date:Nov 14, 2006
Words:759
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