What Is Metabolic
Syndrome?
Metabolic syndrome is
the name for a group of risk factors that raises your risk for heart disease
and other health problems, such as diabetes and stroke.
The term
"metabolic" refers to the biochemical processes involved in the
body's normal functioning. Risk factors are traits, conditions, or habits that
increase your chance of developing a disease.
In this
article, "heart disease" refers to coronary heart disease (CHD). CHD is a condition in which a waxy substance called plaque
builds up inside the coronary (heart) arteries.
Plaque
hardens and narrows the arteries, reducing blood flow to your heart muscle.
This can lead to chest
pain, a heart attack, heart damage, or even
death.
Metabolic
Risk Factors
The five
conditions described below are metabolic risk factors. You can have any one of
these risk factors by itself, but they tend to occur together. You must have at
least three metabolic risk factors to be diagnosed with metabolic syndrome.
- A large waistline. This also is called abdominal obesity or "having an apple shape." Excess fat in the stomach area is a greater risk factor for heart disease than excess fat in other parts of the body, such as on the hips.
- A high triglyceride level (or you're on medicine to treat high triglycerides). Triglycerides are a type of fat found in the blood.
- A low HDL cholesterol level (or you're on medicine to treat low HDL cholesterol). HDL sometimes is called "good" cholesterol. This is because it helps remove cholesterol from your arteries. A low HDL cholesterol level raises your risk for heart disease.
- High blood pressure (or you're on medicine to treat high blood pressure). Blood pressure is the force of blood pushing against the walls of your arteries as your heart pumps blood. If this pressure rises and stays high over time, it can damage your heart and lead to plaque buildup.
- High fasting blood sugar (or you're on medicine to treat high blood sugar). Mildly high blood sugar may be an early sign of diabetes.
Your risk
for heart disease, diabetes, and stroke increases with the number of metabolic
risk factors you have. The risk of having metabolic syndrome is closely linked
to overweight and obesity and a lack of physical activity.
Insulin
resistance also may increase your risk for metabolic syndrome. Insulin
resistance is a condition in which the body can’t use its insulin properly.
Insulin is a hormone that helps move blood sugar into cells where it’s used for
energy. Insulin resistance can lead to high blood sugar levels, and it’s
closely linked to overweight and obesity. Genetics (ethnicity and family
history) and older age are other factors that may play a role in causing
metabolic syndrome.
How Is Metabolic Syndrome
Treated?
Metabolic
syndrome is becoming more common due to a rise in obesity rates among adults.
In the future, metabolic syndrome may overtake smoking as the leading risk
factor for heart disease.
It is
possible to prevent or delay metabolic syndrome, mainly with lifestyle changes.
A healthy lifestyle is a lifelong commitment. Successfully controlling
metabolic syndrome requires long-term effort and teamwork with your health care
providers.
Metabolic syndrome is treated with lifestyle changes and medicines. The main
goal of treatment is to lower your low-density lipoprotein (LDL) cholesterol
level enough to reduce your risk for coronary heart disease, heart attack, and other related health problems.
Your risk
for heart disease and heart attack goes up as your LDL cholesterol level rises
and your number of heart
disease risk factors increases.
Some
people are at high risk for heart attacks because they already have heart
disease. Other people are at high risk for heart disease because they
have diabetes or more than one heart disease risk factor.
Prevention, treatment and
management of High blood cholesterol start with engaging in heart-healthy
lifestyle changes.
Heart-healthy lifestyle changes
include:
- Heart-healthy eating
- Maintaining a healthy weight
- Managing stress
- Physical activity
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