What is metabolic syndrome - its causes, risk factors, symptoms and treatment.

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The health care industry constantly reminds us that any of the above risk factors - obesity, elevated cholesterol, elevated blood glucose or high blood pressure can lead to diabetes and heart diseases.

Globalization has made this one of the most common conditions and it constitutes approximately 20 - 30 % of the population of industrialized countries.

The primary goal is to treat the underlying cause of the syndrome. As discussed, majority of people with metabolic syndrome are overweight and lead a sedentary lifestyle.

Lifestyle modification is the preferred treatment of metabolic syndrome.

Weight reduction usually requires a specifically tailored multifaceted program that includes diet and exercise. Losing as little as 5 to 10 percent of your body weight can reduce insulin levels and blood pressure, and decrease your risk of diabetes.
Diet: A diet that is rich in "good" fats and contains a reasonable amount of carbohydrates (High fiber) and proteins (such as from fish and lean chicken).
Exercise: A sustainable exercise program, for example 30-45 minutes five days a week is recommended. There is a beneficial effect of exercise on blood pressure, cholesterol levels, and insulin sensitivity, regardless of whether weight loss is achieved or not. Thus, exercise in itself is a helpful tool in treating metabolic syndrome. Recent studies have shown that people on a sensible, balanced diet have a greater decrease in body weight, and also had greater improvements in blood pressure, cholesterol levels, and other markers of heart disease -- all of which are important in evaluating and treating metabolic syndrome. a helpful tool in treating metabolic syndrome.
Smoking cessation - Smoking cigarettes increases insulin resistance.

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User Comments

06 December, 2010 | milind k | Reply

dear dr,
my son 3 yrs old now,weight 14kg
he was drinking milk in bottle ,we tried our best to discontinue the nipple habit and started giving in the glass, but refused to drink totaly.
as a milk is essentail ,pl adavise the alternative step to take.
awaiting for your mail reply.

01 April, 2011 | Vijayalakshmi Iyengar | Reply

Dear Milind, All parents go through the same challenges during weaning. Yes, you are right he had to be weaned from the bottle to the glass sooner than later. You have to be persistent and slowly he will begin to accept the glass too. Initially you may have to give him some incentives, like going to the park to play once he has finished his milk or one such incentive.
The other alternative is to add the flavour of his choice to the milk, but make it seem like a fun experience. However he should have sufficient diary products, do not give up.

04 December, 2010 | ramesh upadhya | Reply

I am 54 yrs, weight is 89 ,Height 5.7 ", waistline 42, bp 140/90, sugar at border. My Ankyolysing spondilytis /Fracture D12-L1, does not me walking more than 5 mnts. Apart from my abdomen rest legs, hands are
not fat. What do u suggest to reduce abdomen dia ?

05 December, 2010 | Poonam | Reply

Hello Mr Upadhya,
Your BMI is also very high, so you need to lose overall weight, not only around the abdomen. You will need to be careful of your caloric intake in addition to increasing physical activity.
Neha has given you some good suggestions like, swimming and static cycling. You could also start off on yoga, which can help you with strengthening of the back and gradually reducing weight and increasing flexibility. Weight loss helps to regularise blood pressure and sugar levels.

05 December, 2010 | Neha Gupta | Reply

Mr. Ramesh,
As per your diseased condition i will suggest to go for physiotherapy, from a specialised person. and u can go for the swimming as dis is the best exercise which will help you in reducing your weight and as wel as wil strengthen your muscles.. if you are able then you can choose static cycling then the walking which is creating problem to you... only cardio exerciss will help you in redicuing you waist line and fat around the body..

29 September, 2010 | Shimsha | Reply

My BMI is 25, have PCOS but my triglycerides & cholesterol, BP, sugar etc are normal. Am I considered to be having metabolic syndrome?

29 September, 2010 | Poonam | Reply

Hello Shimsha
One needs to have 3 of the listed risk factors for metabolic syndrome. You do not appear to have metabolic syndrome. You must however be careful because obesity can lead to the other health conditions and increase your risk.

26 June, 2010 | shruti | Reply

Sorry ,I meant thakx Geetanjali.
My weight today is 180 pounds.

26 June, 2010 | Shruti | Reply

Hi Sangeetha,
Thankx for asking - I am embarassed to say my weight is 180pounds.

26 June, 2010 | Geetanjali | Reply

Dear Shruti,

Bariatric surgery is the last resort to treat morbid obesity. You have not
mentioned your weight. Calculate your ideal body weight and BMI. If your
body weight more than 40kg the ideal and BMI above 35 you can go in for
surgery. But Surgery comes with a baggage of a strict diet and exercise
regimen lifelong. So the best thing is to start with a workout under expert
guidance and right dietary regimen. To get the appropriate advice register
with www.nutritionvista.com.

Geetanjali Kelkar, PhD
Dietitian online
Nutrition Vista

25 June, 2010 | Shruti | Reply

My waistline is very large 44and I am only 5.4 and obese.
Can I get bariatric surgery.
I have tried lots of weightloss programs, none work for me.

The doctors say I am not a clear cut case for surgery as I am not morbidly obese.
But, I hate my waistline and tires when I wear my saree.

23 February, 2010 | Vijayalakshmi Iyengar | Reply

Hello Ms Jain
I am glad you asked for the sources of good fats as that is what everybody should focus on consuming. They are of 2 categories -mono unsaturated fats and poly unsaturated fats.
Mono unsaturated fats are got from Nuts, certain seeds, and their oils
• Peanuts/ground nut and its oil
• Walnuts
• Almonds
• Pistachios
• Sesame (til) and til oil
• Avocado
• Olives and olive oil etc
Examples of Poly unsaturated fats ( Omega 3 fatty acids, which are heart protective, come in this category)
• Sea food or oily fish
• Sunflower seed oil
• Safflower oil
• Soy bean oil
• Corn oil
• Wheat germ oil
• Rice bran oil etc
Thank You
NutritionVista team

22 February, 2010 | Anonymous | Reply

Hi. Please tell me what are the other sources of "good fats" besides olive oil which is quite expensive?

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Tags: Cardiovascular Disease, Chronic Lifestyle Diseases, Diabetes, Diabetes Prevention, Exercise and Yoga, Health Hazards, Heart Health, Hypertension, Men's Health, Metabolic Syndrome, Morbid Obesity, Obesity / Weight Loss, Pre-Diabetes, Sedentary Lifestyle, Type 2 Diabetes - Insulin Dependent Diabetes, Water, Women's Health

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