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THE METABOLIC SYNDROME
The Obesity problem, as we have seen in previous articles pulling behind a series of endless diseases. Diabetes type 2, hepatic steatosys, hypertension, dyslipidemie. If a person is at least 3 of these diseases we SINDROME METABOLICA. But what really?
The metabolic syndromes present in almost half of older workers and is associated with dyslipidemia, hypertension, glucose intolerance / hyperglycemia and visceral adiposity. Recent data show that the prevalence of this pathological situation is increasing along with BMI, especially among young people.
In 1998, the Consultative Committee of the WHO, has included a section devoted to MS in the document that presented new criteria classificativi and diagnosis of diabetes mellitus and ruled that the term "metabolic syndrome" is meant the combination of impaired glucose tolerance or diabetes type 2 and insulin-resistance with at least two other changes between arterial hypertension, dyslipidemie and / or low HDL cholesterol, obesity Central.
The paper said manifestations of MS can be up to 10 years before the riots glicemici be detected and that the SM with normal glucidic tolerance identifies the individual as belonging to a group at high risk of developing diabetes in the future. Even on the latter definition is appropriate to make a few observations: The first is that the diagnosis is simple only when there is glucose intolerance
It has been proposed that the presence of three or more of the following disorders in the same patient is sufficient to identify the syndrome:
• circumference life = 102 cm in males, = 88 cm in females;
• blood glucose> 110 mg / dl;
• arterial hypertension: = 130/85 mm Hg;
• hypertriglyceridemy: = 150 mg / dl;
• reduced HDL cholesterol: = 40 mg / dl in males; = 50 mg / dl in females.
The prevalence of the metabolic syndrome may be related to dietary habits, physical activity and consumption of foods high index glicemico25, a phenomenon of this magnitude can not, however, be explained by the habits of the individual but must be interpreted as a difference between a technological development and environmental rapidly in recent years, and a necessary genetic adaptation that requires very long time.
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