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Sunday, November 1st, 2020

Forty percent have metabolic syndrome



Forty percent of adults over age 40 have metabolic syndrome, a constellation of obesity leading to dyslipidemia, hypertension, and insulin resistance and, thus a 10-year risk of a first heart attack event of about 17 percent. All patents with metabolic syndrome should be considered for aspirin prophylaxis. This was stated by Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India.

Current criteria define the metabolic syndrome as the presence of any three of the following five traits:

  • Abdominal obesity, defined as a waist circumference in men >35 inches and in women >32 inches.
  • Serum triglycerides 150 mg/dL or drug treatment for elevated triglycerides
  • Serum HDL cholesterol <40 mg/dL in men and <50 mg/dL in women or drug treatment for low HDL-C
  • Blood pressure 130/85 mmHg or drug treatment for elevated blood pressure
  • Fasting plasma glucose (FPG) 110 mg/dL or drug treatment for elevated blood glucose.
  • Metabolic syndrome is an important risk factor for subsequent development of type 2 diabetes and/or CVD.

Thus, the key clinical implication of a diagnosis of metabolic syndrome is identification of a patient who needs aggressive lifestyle modification focused on weight reduction and increased physical activity.



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