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The Metabolic Syndrome consists of multiple, interrelated risk factors of metabolic origin that appear to directly promote the development of atherosclerotic cardiovascular disease ( risk 2x), and are strongly associated with type 2 diabetes mellitus ( risk 5 x).
Metabolic risk factors include atherogenic dyslipidemia, elevated blood pressure, elevated plasma glucose, a prothrombotic state, and a proinflammatory state.
ATP III: The Metabolic Syndrome* *Diagnosis is established when 3 of these risk factors are present. † Abdominal obesity is more highly correlated with metabolic risk factors than is BMI. ‡ Some men develop metabolic risk factors when circumference is only marginally increased. Waist circumference measured at iliac crest. <40 mg/dL or on meds <50 mg/dL or on meds Men Women >40 in >35 in Men Women 100 mg/dL or on meds Fasting glucose 130/ 85 mm Hg or on meds Blood pressure HDL-C 150 mg/dL or on meds Triglycerides Abdominal obesity † (Waist circumference ‡ ) Defining Level Risk Factor
50 gm carbohydrate test food, European J Clin Nutr (2003) 57, 743-752.
Alcohol – What’s a serving? 12 oz beer 5 oz of wine 1.5 oz of 80 proof liquor Size of typical wine glass - 10-14 oz. Recommendations: No more than 2 drinks per day for men No more than 1 drink per day for women