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Metabolic Syndrome

Metabolic Syndrome. America’s Health Status. 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

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Metabolic Syndrome

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  1. Metabolic Syndrome

  2. America’s Health Status • 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

  3. What is Metabolic Syndrome? • 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.

  4. Risk Factors • 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

  5. Complications…when left untreated • Heart disease • Diabetes • Stroke • Dementia

  6. Symptoms • No clear signs or symptoms • Indicators include…. • Large visible waistline • High blood sugar related to Type 2 Diabetes • High blood pressure

  7. Diagnosis • 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

  8. Prevention of Metabolic Syndrome • 7% Weight Loss Goal • Decrease Your Risk in as Little as 3 Weeks! • Self Monitoring is Key! • BMI Formula: (Weight (lbs)/ (height (in)^2)) * 703.1

  9. Nutrient Recommendations • Total Fat- 25-35% • Saturated - >7% Calories • Monounsaturated- <20% Calories • Polyunsaturated- <10% Calories • Carbohydrates- 50-60% • Protein- approx. 15%

  10. Dietary Fats and Your Numbers • Saturated Fats- ↑LDL cholesterol • Animal products, butter, coconut oil, palm oil • Monounsaturated Fatty Acids- ↓LDL↓TG, ↑HDL (only with low fat diet) • Canola oil, olive oil, peanut oil, sunflower oil, avocados, nuts & seeds • Polyunsaturated Fats- ↓LDL ↓ HDL* • Soybean, corn and safflower oil, oily fish (salmon, tuna, mackerel, herring & trout) and most nuts & seeds.

  11. Polyunsaturated Fats- The Omegas • Omega-3: include EPA & DHA, not made in the body. Food sources include salmon, tuna, sardines, mackerel, shellfish, walnuts, flaxseeds, canola & soybean oils. • 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.

  12. The DASH Diet

  13. “Dashing” Through the Market • Purchase Food in its Most Basic Form- Cost of Convenience. • Produce: • Fresh or Frozen over Canned or Dried • Read the Ingredient Labels • Whole Grains • Sodium Content • Plan One Meatless Day per Week • Stock Up on Basic Spices

  14. EXERCISE & METABOLIC SYNDROME THERAPEUTIC LIFESTYLE CHANGE

  15. TREATMENT & PREVENTION

  16. GOALS MAINTAIN HEALTHY WEIGHT INCREASE & MAINTAIN PHYSICAL ACTIVITY

  17. EXERCISE COMBINED WITH A HEALTHY DIET

  18. HOW MUCH EXERCISE? • VIGOROUS =MORE BENEFITS • STRENGTH TRAINING • MODERATE • WALKING BRISKLY • 12 MILES/WEEK

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