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THANK
YOU
METABOLIC SYNDROME
Ivan De Paz, MD
Internal Medicine
Ivan De Paz MD
Internal Medicine
Diabetes
Hipertension
Obesity
Obesity
Obesity Classification
World Health Organization. Obesity and overweight. Fact sheet N 311.
Updated January 2015.
NHANES
Metabolic syndrome
Not a
disease
Obesity
High BP
Impaired
glucose
tolerance
Dyslipidemia
Healthy
Age-Specific Prevalence of Metabolic Syndrome by Sex and Race/Ethnicity,
2011-2016 (NHANES)
JAMA. 2020 Jun 23; 323(24): 2526–2528.
THANK
YOU
THANK
YOU
Changing from ATP III to more recent cut
points decreased the proportion of
metabolically healthy Americans from 19.9 to
12.2 %
88 %
 TOFI
 Thin on the outside
fat on the inside
 Increased amount of
fatty tissue
surrounding the
internal organs
 These patients are at
risk for metabolic
syndrome
THANK
YOU
NHANES 2009-2016
A Joint Interim Statement of the International Diabetes Federation Task Force; National Heart, Lung,
and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis
Society; and International Association for the Study of Obesity
Circulation Volume 120, Issue 16, 20 October
2009; Pages 1640-1645
A Joint Interim Statement of the IDF Task Force; National Heart, Lung, and Blood Institute; AHA;
World Heart Federation; International Atherosclerosis Society; and International Association for the
Study of Obesity
Circulation Volume 120, Issue 16, 20 October
2009; Pages 1640-1645
Trends in the prevalence of metabolic syndrome
and its components in Mexican adults, 2006-2018.
Salud Publica Mex. 2021;63:713-724.
Factors that increase the risk of metabolic syndrome
Lack of
physical
activity
smoking
Overweight
Menopause
Age
Family Diet
NIH
Unhealthy eating habits lead to
chronic inflammation and chronic
disease
Main Tx Goal
Metabolic syndrome – a new definition and management guidelines. A joint position paper by the Polish
Society of Hypertension, Polish Society for the Treatment of Obesity, Polish Lipid Association, Polish Society
of Family Medicine,Division of Prevention and Epidemiology Polish Cardiac Society, “Club 30” Polish Cardiac
Society, and Division of Metabolic and Bariatric Surgery Society of Polish Surgeons
Arch Med Sci 5, 1st September / 2022
RECOMENDATIONS
Mediterranean diet
Dash diet
Exercise
Reduce the risk of type 2
diabetes
Reduce cholesterol
Reduce blood pressure
Quit smoking
Diabetes prevention program
3234
Health risks associated with the metabolic syndrome
Diabetes
CV
Disease
THANK
YOU

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Metabolic syndrome.pptx