Metabolic syndrome is becoming very common in the United States. Doctors are not sure whether the syndrome is due to one single cause. But many of the risks for the syndrome are related to obesity.
The two most important risk factors for metabolic syndrome are:
· Extra weight around the middle and upper parts of the body (central obesity). This body type may be described as "apple-shaped."
· Insulin resistance. Insulin is a hormone produced in the pancreas. Insulin is needed to help control the amount of sugar in the blood. Insulin resistance means that some cells in the body use insulin less effectively than normal. As a result, blood sugar level rises, which causes insulin to rise. This may increase the amount of body fat.
Other risk factors include:
· Genes that make you more likely to develop this condition
· Changes in male, female, and stress hormones
· Lack of exercise
People who have metabolic syndrome often have one or more other factors that may be linked with the condition, including:
· Increased risk for blood clotting
· Increased levels of blood substances that are a sign of inflammation throughout the body
· Small amounts of a protein called albumin in the urine
Metabolic syndrome is present if you have three or more of the following signs:
· Blood pressure equal to or higher than 130/85 mm Hg
· Fasting blood sugar (glucose) equal to or higher than 100 mg/dL
· Large waist circumference (length around the waist): For men, 40 inches (100 centimeters) or more; for women, 35 inches (90 centimeters) or more
· Low HDL (good) cholesterol: For men, less than 40 mg/dL; for women, less than 50 mg/dL
· Triglycerides equal to or higher than 150 mg/dL
The goal of treatment is to reduce your risk for heart disease, stroke, and diabetes.
Your health care provider will recommend lifestyle changes or medicines:
· Lose weight. The goal is to lose between 7% and 10% of your current weight. You will probably need to eat 500 to 1,000 fewer calories per day.
· Get 150 minutes a week of moderate intensity exercise such as walking. Do exercises to strengthen your muscles 2 days a week.
· Lower your blood pressure by eating less salt, losing weight, exercising, and taking medicine, if needed.
Your provider may recommend daily low-dose aspirin.
If you smoke, now is the time to quit.
People with metabolic syndrome have an increased long-term risk of developing heart disease, type 2 diabetes, stroke, kidney disease, and poor blood supply to the legs.
Call your provider if you have signs or symptoms of this condition.