Metabolic Syndrome - Marywood University Home

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Metabolic Syndrome
America’s Health Status
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one-third of U.S. adults (35.7%) are obese.
17% (12.5 million) of children 2—19 years are obese.
Top leading causes of death (2010)
Heart disease: 597,689
Cancer: 574,743
Chronic lower respiratory diseases:138,080
Stroke 129,476
Life expectancy (2011) is 78.64 years of age
What is Metabolic Syndrome?
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Group of conditions increasing risk for heart
disease, stroke, and diabetes
- conditions include: increased blood pressure,
high blood sugar levels, excess body fat, and
abnormal cholesterol levels
 Having one of these conditions does not mean
you have metabolic syndrome, but one or
more can increase your risk.
Risk Factors
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Age – increases with age
Abdominal Obesity – “apple” shape
Lipid profile – raised triglycerides & low HDL
Insulin Resistance – glucose intolerance can
evolve into diabetes –level hyperglycemia
Blood Pressure – normal range 120/80
Other Diseases – high blood pressure, heart
disease, fatty liver disease, polycystic ovary
syndrome
Complications
…when left untreated
Heart disease
 Diabetes
 Stroke
 Dementia
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Symptoms
No clear signs or symptoms
 Indicators include….
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Large visible waistline
 High blood sugar related to Type 2 Diabetes
 High blood pressure
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Diagnosis
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Physical exam and blood testing
- waist circumference
> 35in female
>40in male
- HDL “good cholesterol”
<50 mg/dL for women
<40 mg/dL for men
- blood pressure 130/85 or higher
- fasting blood sugar >100mg/dL
 3 of the 5 risk factors can lead to a proper
diagnosis
Prevention of
Metabolic Syndrome
7% Weight Loss Goal
 Decrease Your Risk in as Little as 3
Weeks!
 Self Monitoring is Key!
• BMI Formula:
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(Weight (lbs)/ (height (in)^2)) * 703.1
Nutrient Recommendations
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Total Fat- 25-35%
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Saturated - >7%
Calories
Monounsaturated<20% Calories
Polyunsaturated- <10%
Calories
Carbohydrates- 5060%
 Protein- approx. 15%
Dietary Fats and Your Numbers
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Saturated Fats- ↑LDL cholesterol
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Monounsaturated Fatty Acids- ↓LDL↓TG,
↑HDL (only with low fat diet)
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Animal products, butter, coconut oil, palm oil
Canola oil, olive oil, peanut oil, sunflower oil,
avocados, nuts & seeds
Polyunsaturated Fats- ↓LDL ↓ HDL*
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Soybean, corn and safflower oil, oily fish
(salmon, tuna, mackerel, herring & trout) and
most nuts & seeds.
Polyunsaturated FatsThe Omegas
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Omega-3: include EPA & DHA, not
made in the body. Food sources include
salmon, tuna, sardines, mackerel,
shellfish, walnuts, flaxseeds, canola &
soybean oils.
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AHA recommends people with CHD consume 1g of
Omega-3 FA per day. Individuals with high TG may
need 2-4g per day.
Omega-6: not made in the body. Food
sources include soybean, safflower,
sunflower or corn oils.
The DASH Diet
Group
Recommende
d Servings/
Day
Example of
1 Serving
Grains
6-8
1 slice bread
Vegetables
4-5
½ cup cooked
carrots
Fruits
4-5
½ cup fresh
strawberries
Low Fat/Fat
Free Dairy
2-3
1 cup (8 oz)
Skim Milk
Meat, Poultry,
Fish
6 or Less
1 oz. Grilled
Chicken
Nuts, Seeds,
Legumes
4-5 per Week
2 Tbsp. Peanut
Butter
Fats & Oils
2-3
1 Tsp.
Vegetable oil
“Dashing” Through the Market
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Purchase Food in its Most
Basic Form- Cost of
Convenience.
Produce:
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Read the Ingredient Labels
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Fresh or Frozen over Canned
or Dried
Whole Grains
Sodium Content
Plan One Meatless Day per
Week
Stock Up on Basic Spices
EXERCISE &
METABOLIC SYNDROME
THERAPEUTIC
LIFESTYLE
CHANGE
TREATMENT & PREVENTION
GOALS
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MAINTAIN HEALTHY WEIGHT
INCREASE & MAINTAIN PHYSICAL
ACTIVITY
EXERCISE COMBINED WITH A
HEALTHY DIET
HOW MUCH EXERCISE?
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MODERATE
WALKING BRISKLY
 12 MILES/WEEK
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• VIGOROUS =MORE BENEFITS
• STRENGTH TRAINING