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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

1
Saklayen MG. The Global Epidemic of the Metabolic Syndrome. Curr Hypertens Rep. 2018;20(2):12.
2
Hirode G, Wong RJ. Trends in the prevalence of metabolic syndrome in the United States, 2011-...

SEE ALSO

Diabetes; Hypertension; Obesity; Obstructive Sleep Apnea; Polycystic Ovarian Syndrome (PCOS); Prediabetes 

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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