Metabolic Syndrome

Naomi Parrella, MD, FAAFP, Dipl. ABOM Reviewed 06/2019

BASICS

DESCRIPTION

Progressive metabolic abnormalities, including insulin resistance, a proinflammatory and prothrombotic state that manifest with at least three of (1):
- Increased waist circumference (W...

DIAGNOSIS

HISTORY

Not necessary for diagnosis of MetS; useful in identifying risk factors and beneficial preventive strategies

Family history of MetS, T2DM, and cardiovascular disease
Symptoms indicatin...

TREATMENT

Primary therapeutic goal is to prevent or reduce obesity and risk factors. Aggressive lifestyle modification (diet and exercise) is considered first-line therapy and most clinically effectiv...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Regular exercise will improve all components of the MetS. Cumulative small periods of exercise over the day provide significant health benefits. Encourage small i...

REFERENCES

Alberti KG, Eckel RH, Grundy SM, et al. Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; Na...

ADDITIONAL READING

Diet Doctor: https://www.dietdoctor.com https://www.dietdoctor.com ??[View Abstract on OvidMedline]
Intensive Dietary Management: https://idmprogram.com/tag/metabolic-syndrome/ https...

CODES

ICD10

E88.81 Metabolic syndrome

ICD9

277.7 Dysmetabolic syndrome X

SNOMED

237602007 metabolic syndrome X (disorder)

CLINICAL PEARLS

Routine WC should be measured as part of a cardiovascular risk assessment.
Consider further evaluation for MetS when history and/or physical exam demonstrates findings consistent with s...

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