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The firstdefinition of metabolic syndromeit was given in 1998 by the World Health Organization. Since then, the criteria for diagnosis and the definition itself have undergone several variations. Today, the diagnosis ofmetabolic syndromehas no direct element with theinsulin resistancebut it evaluates, at the same time, several conditions that can lead to serious alterationspathophysiologicalof the cardiovascular system.
Metabolic syndrome: definition
There Metabolic Syndrome or metabolic snd it is a combination of metabolic alterations that determine an increased cardio-vascular risk.
High blood pressure and high cholesterol are the first alarm symptoms. Therediagnosis of metabolic syndromeit is not easy, in fact idiagnostic criteriathey are diversified.
Metabolic syndrome: diagnosis
Therediagnosis of metabolic syndromegoes to evaluate a multiplicity ofcriteria. First of all, the specialist will have to perform several measurements:
- Waist circumference - for assessing visceral fat
- Blood pressure
- HDL cholesterol
Waist circumference is a fundamental fact: a high amount of visceral fat is associated with a significant increase in the risk of cardio-vascular diseases.
According to the guidelines ofNational Cholesterol Educational Program Adult Treatment Panel,to be able to do onediagnosis of metabolic syndromethe following should be consideredcriteria:
- Visceral or abdominal obesity with a waist circumference greater than 102 cm for men and 88 cm for women.
- Arterial hypertension with systolic pressure greater than or equal to 130 mmHg and diastolic pressure greater than or equal to 85 mmHg.
- HDL cholesterol below 40 mg / dl for men or 50 mg / dl for women
- Triglycerides with a value greater than 150 mg / dl
- Glycemia greater than 110 mg / dl
Metabolic syndrome: criteria
In practice, themetabolic syndromeIs a set ofrisk factors(alterations) that affect the proper functioning of the cardiovascular system, predisposing the individual to manyheart and circulatory system diseases, including heart attack.
If there are three or more altered risk factors (high triglycerides, high cholesterol, the presence of abdominal fat, diabetes, high blood pressure ...) we speak ofmetabolic syndrome.
Treating the metabolic syndromeit means preventing a number of very serious cardiovascular diseases.
Metabolic syndrome: cure
Therecareembraces the treatment of identified alterations. Pharmacological support may be required for the treatment of arterial hypertension, for hyperglycemia and hyperlipidemia. The decision rests with a specialist. In any case, the basis of thecure for metabolic syndromethere must be onedietbalanced, specially designed for the patient.
Metabolic syndrome: diet
It is useless to search online for advice ondietto follow or onedietgeneral for themetabolic syndrome: those who enter diets online do not know your HDL and LDL cholesterol values, they do not know your nutritional needs or your medical history ... So the basis oftreatment of metabolic syndromeit is necessary to consult a good nutritionist. How to tell if it is good?
A nutritionist should never prescribe a diet without having carried out a medical history of the patient (investigation of any illnesses in the family, illnesses of the patient ...). It is also advisable to measure with the folds to identify the amount of fat. Body composition assessment (BIA), assessment of daily motor activity ... Blood tests are essential to highlight hyperlipidemias and glucose levels. In the event of psychological problems underlying the disorder (the patient is unable to follow a balanced diet) the support of a psychotherapist, psychoanalyst, life coach, mental coach or, in general, nutritional counseling is strongly recommended.
The diet should be drawn up following the specific needs of the patient. Estimating his sedentary lifestyle, evaluating his metabolism, identifying the presence of any discopathies or other alterations that would discourage his motor activity.
The objectives of thedietin the treatment ofmetabolic syndromeI'm:
- Improvement of the state of health through healthy food choices
- Increased metabolism through adequate physical activity
- Achievement of an optimal metabolic condition (lipid profile and glycemic profile)
- Reduction of fat mass (reduction of body weight)
- Prevention of any complications
Metabolic syndrome: symptoms
Hissymptomsare those related to the diagnostic criteria (high blood pressure, presence of visceral fat, hyperglycemia, high cholesterol, high triglycerides, increased risk of contracting diabetes, fatigue, overweight and obesity, difficulty breathing, sleep apnea, other symptoms related to obesity, thyroid glands, endothelial dysfunction ...).
The metabolic syndrome should not be underestimated at all. More than questioning yourself aboutsymptomsyou should be wondering aboutrisksconnected. This syndrome encompasses all the cardiovascular risk factors that intersect to build the foundation for a much feared disorder:atherosclerotic pathology.
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