Metabolic Syndrome

Naomi Parrella, MD, FAAFP, Dipl. ABOM Reviewed 06/2022

BASICS

DESCRIPTION

Rather than a distinct disease, Metabolic Syndrome (MetS) represents a cluster of risk factors that together, correlate with an increased risk of premature morbidity including compli...

DIAGNOSIS

HISTORY

Identifying risk factors

Family history of MetS, T2DM, stroke and cardiovascular disease
Symptoms indicating cardiovascular disease or diabetes or PCOS or sleep apnea
Comprehensive life...

TREATMENT

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

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

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

REFERENCES

Saklayen MG. The Global Epidemic of the Metabolic Syndrome. Curr Hypertens Rep. 2018;20(2):12.

Hirode G, Wong RJ. Trends in the prevalence of metabolic syndrome in the United States, 2011-...

CODES

ICD10

E88.81 Metabolic syndrome

SNOMED

237602007 Metabolic syndrome X
237651005 Insulin resistance - type A
237652003 Insulin resistance - type B

CLINICAL PEARLS

Consider further evaluation for MetS when history and/or physical exam demonstrates findings consistent with sedentary lifestyle, sleep apnea, increasing WC, elevation of BP, increased...

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