.belly big.The metabolic
syndrome, or "Doctor, why I have this belly?
Or these hips? I can happen?
Today's approach to the prevention of disease is global, ie taking into account
various issues, in order to prevent the damage of organs.
The metabolic syndrome or insulin resistance is present in almost half of
elderly individuals and is associated with dyslipidemia, hypertension, insulin
resistance / glucose intolerance / hyperglycemia, and visceral adiposity. Recent
figures show that the prevalence of this pathological situation is increasing
along with BMI, especially among young people
Definition of Metabolic Syndrome (MS), according to The World Health
Organization
Impaired glucose regulation or diabetes
Insulin
Hypertension (= 140/90 mmHg)
Hypertriglyceridemia (150 mg / dl and / or low HDL cholesterol (<35 mg / dl in
males and <39 mg / dl in females)
Central obesity (c> 0.9 in males and> 0.85 in females and / or BMI> 30
Microalbuminuria.
But this definition does not liked to insulin resistance European Study Group
(AH), which criticized as proposed by WHO experts to avoid confusion with the
diabetes and insulin resistance indicated the new criteria.
It was agreed therefore that the presence of three or more of these disorders is
defined as metabolic syndrome.
· Waist circumference = 102 cm in males, females = 88 cm;
· Fasting glucose> 110 mg / dl;
· Hypertension blood: = 130/85 mm Hg;
· Hypertriglyceridemia: = 150 mg / dl;
· Low HDL cholesterol = 40 mg / dl in males = 50 mg / dl in females
So far the discussion seems clear: if I have big hips or stomach, if I do not
move, if I have high blood pressure, triglycerides and cholesterol, which can
happen to me, then?
I am a carrier of metabolic syndrome, yet I am sick but I got the nomination to
cardiovascular disease (CV) and the infarction, stroke and type 2 diabetes! But
what is CV? It is caused by narrowing of the coronary vessels they face, those
that carry blood to the heart, since even his heart is an organ like any other
and requires oxygen and nutrients. The progressive narrowing of the arteries is
called atherosclerosis (see link on this website) and, fortunately, if a person
had a heart attack can intervene dilation and intervening with a technique that
is called angioplasty or PTCA Percutaneous! But since we must talk about
preventing harm, we say that we must act before the disease occurs, but how?
Meanwhile, we point out that belly fat or hip (so to speak man to spherical,
like "apple" and the woman side, "pear") is called visceral fat (see photo) and
is not just a fat deposit but is a true endocrine organ, the higher fat and
obesity, the more severe CV risk. In particular, we know that it is a function
of BMI, ie body mass index, a value that is obtained by dividing the weight of
the subject by the height squared in meters, when the body mass index (BMI) +
greater than 25 (for its calculation, see the link), then the subject is obese
and your risk increases to obesity I, II and III level. The adiponectin reduces
visceral obesity and with it the peripheral sensitivity to insulin is reduced,
the risk of developing diabetes, increases the IL6, TNF alpha is an inflammatory
cytokine is increased, the factor PAI-1 increases and with it the risk
atherothrombotic.
How do prevention?
Prevention is achieved by:
a) diet (see link on the food pyramid and diet seriously) here say that the diet
is low calorie, no dressings saturated, ie no butter, lard, bacon .. etc., fiber
(bran, vegetables, fiber, legumes, oats, to reduce the absorption of fat, less
carbohydrates (pasta and whipped), not sweet, with blue fish and polyunsaturated
oils (eg corn oil) .
b) Sports, to be done moderately, under control of the physician or cardiologist
c) treating cholesterol
d) treating triglycerides
e) treating hypertension.
Hoping to have been more useful for your health, have given you the chance to
have a few ideas but very confusing (!) Have done to prevent your cardiovascular
(CV), I invite you to see all the pages I mentioned and all other links which
you can find on the index page. I also hope that the Lord will scanned by those
with the bags, as we say in our part, in Sicily, that doctors and lawyers and
accountants ...! But in the case, it is always better to be accompanied by the
police and the priest! Remember!
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