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17 Cards in this Set

  • Front
  • Back
epidemiology of metabolic syndrome
24% of US adults
47 million ppl
44% of ppl over age 50
children as young as 4
diagnostic criteria for metabolic syndrome
phenotypic expression
two sets of diagnostic criteria
two sets of diagnostic criteria
National cholesterol education program
International diabetes federation
National Cholesterol Education Program
need 3 of 5
abdominal measurement(102cm men and 88cm in women)
triglycerides greater than 150
HDL less than 40 in men and 50 in women
130/85 or greater
fasting glucose 100 or higher
International Diabetes Federation
Waist: 94cm in men and 80 in women AND 2 of 4
triglycerides greater than 150
HDL less than 40 in men and 50 in women
130/85 or greater
fasting glucose greater than 100
high food intake of bad nutrients =
oxidative stress and inflammation
oxidative stress and inflammation =
interruption of insulin signal transduction
interruption of insulin signal transduction =
insulin resistance
insulin resistance =
atherosclerotic events and oxidative stress and inflammation
properties of insulin
lowers blood glucose
anti-inflammatory
anti-oxidant
anti-thrombotic
anti-atherosclerotic
obesity =
pro-inflammatory
TNF-a produced by adipocytes
Adiponectin: anti-inflammatory that is low in obesity
what follows obesity
lipid abnormalities, elevated blood pressure, elevated glucose
usually, insulin resistance is a result of
inflammation that interferes with insulin signal transduction-deadly cycle
atherosclerotic events
strokes, MI, other diseases
complications of metabolic syndrome
lipid abnormalities- not enough HDL
elevated blood pressure-oxidative stress and NO
elevated blood glucose
pro-inflammatory
atherosclerotic disease
treatment for metabolic syndrome
lifestyle risk factors
recommend smoking cessation
cholesterol- LDL
blood pressure
glucose
pro-thrombotic state
pro-inflammation
underlying causes for metabolic derangements
excess nutrients are pro-inflammatory AND cause weight gain
obesity = pro-inflammatory
pro: inflammation, thrombotic, atherosclerotic