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17 Cards in this Set
- Front
- Back
epidemiology of metabolic syndrome
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24% of US adults
47 million ppl 44% of ppl over age 50 children as young as 4 |
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diagnostic criteria for metabolic syndrome
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phenotypic expression
two sets of diagnostic criteria |
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two sets of diagnostic criteria
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National cholesterol education program
International diabetes federation |
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National Cholesterol Education Program
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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 |
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International Diabetes Federation
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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 |
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high food intake of bad nutrients =
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oxidative stress and inflammation
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oxidative stress and inflammation =
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interruption of insulin signal transduction
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interruption of insulin signal transduction =
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insulin resistance
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insulin resistance =
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atherosclerotic events and oxidative stress and inflammation
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properties of insulin
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lowers blood glucose
anti-inflammatory anti-oxidant anti-thrombotic anti-atherosclerotic |
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obesity =
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pro-inflammatory
TNF-a produced by adipocytes Adiponectin: anti-inflammatory that is low in obesity |
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what follows obesity
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lipid abnormalities, elevated blood pressure, elevated glucose
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usually, insulin resistance is a result of
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inflammation that interferes with insulin signal transduction-deadly cycle
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atherosclerotic events
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strokes, MI, other diseases
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complications of metabolic syndrome
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lipid abnormalities- not enough HDL
elevated blood pressure-oxidative stress and NO elevated blood glucose pro-inflammatory atherosclerotic disease |
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treatment for metabolic syndrome
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lifestyle risk factors
recommend smoking cessation cholesterol- LDL blood pressure glucose pro-thrombotic state pro-inflammation |
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underlying causes for metabolic derangements
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excess nutrients are pro-inflammatory AND cause weight gain
obesity = pro-inflammatory pro: inflammation, thrombotic, atherosclerotic |