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Metabolic Syndrome

Naomi Parrella, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Progressive metabolic abnormalities including insulin resistance, a proinflammatory and prothrombotic state that manifest with at least three of:

    • Increased waist circumference (WC)

    • E...

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
Moore JX, Chaudhary N, Akinyemiju T. Metabolic syndrome prevalence by race/ethnicity and sex in the United States, National Health and Nutrition Examination Survey, 1988–2012. Prev Chronic...

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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