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Metabolic Syndrome
Metabolic syndrome is a term used to describe a set of heart disease risk factors that have been found to cluster in some people, increasing the risk of heart attack by 4 to 20 times over that of people without these factors. Metabolic syndrome or  Syndrome X has become increasingly common in the United States. It is estimated that about a quarter of US adults have it.

What is the metabolic syndrome?
Metabolic syndrome is characterized by the presence of a group of metabolic risk factors in a person. It is common, treatable and poorly recognized for the serious complications that arise from having it.
If you have three or more of these characteristics you may be at risk for a diagnosis of Metabolic Syndrome:

  • “Central obesity”- waist measurement for:
    • Men — Greater than 40 inches
    • Women — Greater than 35 inches
  • Fasting blood triglycerides — Greater than or equal to 150 mg/dL
  • Low HDL cholesterol or “Good” cholesterol:
    • Men— Less than 40 mg/dL
    • Women— Less than 50 mg/dL
  • Elevated Blood pressure — Greater than or equal to 130/85 mmHg
  • Fasting Blood Glucose greater than or equal to 110 mg/dL

What causes metabolic syndrome?
The underlying causes of this syndrome are overweight / obesity, physical inactivity and genetic factors. Usually through a healthy diet and moderate exercise you can reverse high fasting blood glucose, high triglycerides and cholesterol as well as achieve a healthy body weight if you are diligent to control these risk factors before they get to a point beyond your control. Physical activity changes muscle fiber content and the blood supply to the muscle, allowing increased control of blood lipid (cholesterol and triglyceride) levels and boosting insulin sensitivity. People with the metabolic syndrome are at increased risk of coronary heart disease, type 2 diabetes, and other diseases related to plaque buildups in artery walls (e.g., stroke and peripheral vascular disease).

Who has the metabolic syndrome?
Metabolic syndrome or more commonly referred to as Syndrome X has become increasingly common in the United States. It is estimated that about a quarter of US adults have it.

The chief abnormality present in syndrome X is insulin resistance. Metabolic syndrome is also called the “insulin resistance syndrome” because the body cannot use insulin efficiently. If left untreated or undiagnosed, the insulin resistance is severe enough that people eventually develop type 2 diabetes. When diabetes occurs, the high risk of cardiovascular complications goes even higher.

Some people are genetically predisposed to insulin resistance. Acquired factors, such as excess body fat and physical inactivity, can bring on insulin resistance and metabolic syndrome in these people. Most people with insulin resistance have a greater amount of body fat around their midsection as opposed to their hip region. This means that a man’s “beer belly” or a woman who is “apple shaped” as opposed to being “pear shaped” is at a greater risk of having the risk factors associated with Syndrome X. That is why carrying most of your excess weight in your abdominal region is more dangerous than carrying it lower on your body. The excess fat around your critical organs (heart, liver, lungs, and intestines) carries with it increased risk of developing full blown heart disease and type 2 diabetes.

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Metabolic Syndrome or  Syndrome X