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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

1
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

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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