Metabolic Syndrome

(Syndrome X)

 <Presentations>

<Index>

 

 

Definition

-  Central obesity +2 of

-  HTN

-  Dyslipidaemia

-  TGs > 1.7

-  LDL < 1.03 men, 1.29 women

-  Insulin resistance

-  Impaired fasting glucose tolerance

-  +/- Type 2 DM

 

Features

-  Places pt at greater risk for DM2 (x5), stroke & heart disease (AMI, CAD) (x2-3)

-  > 25% Australians

 

Associated S/S

-  Overweight, obese (BMI)

-  Central obesity: > 94cm men, > 80cm women

-  Asian: > 90cm men

-  Physcially inactive

-  Smoker

-  PCOS

 

Mx

-  Increase activity level: 30 min/day

-  Dietician: improve eating habits, low GI..

-  Lose weight: lower BMI

-  Quit smoking

-  Reduce stress

-  Meds..