Mark F Harris1. 1. Centre for Primary Health Care and Equity, University of New South Wales, Australia. m.f.harris@unsw.edu.au
Abstract
BACKGROUND: The metabolic syndrome (MetSy) is increasingly common in Australia. It is associated with the rise in obesity and lifestyle risk behaviours. It is also controversial - its value in predicting cardiovascular disease and diabetes risk and in guiding therapy has been challenged. OBJECTIVE: This article aims to provide advice on the diagnosis of the MetSy and the principles for its prevention and management in the context of primary care, taking into consideration aetiological factors and the complexity of managing its constituent risk factors. DISCUSSION: Diagnosis of the MetSy is useful in focusing attention on central adiposity and insulin resistance as risk factors both for the syndrome, and cardiovascular and diabetes morbidity and mortality. Its assessment requires measurement of waist circumference - a simple but seldom performed procedure in general practice. The most essential components for the prevention and management of the MetSy are measures to change diet and physical activity in order to achieve and sustain weight loss.
BACKGROUND: The metabolic syndrome (MetSy) is increasingly common in Australia. It is associated with the rise in obesity and lifestyle risk behaviours. It is also controversial - its value in predicting cardiovascular disease and diabetes risk and in guiding therapy has been challenged. OBJECTIVE: This article aims to provide advice on the diagnosis of the MetSy and the principles for its prevention and management in the context of primary care, taking into consideration aetiological factors and the complexity of managing its constituent risk factors. DISCUSSION: Diagnosis of the MetSy is useful in focusing attention on central adiposity and insulin resistance as risk factors both for the syndrome, and cardiovascular and diabetes morbidity and mortality. Its assessment requires measurement of waist circumference - a simple but seldom performed procedure in general practice. The most essential components for the prevention and management of the MetSy are measures to change diet and physical activity in order to achieve and sustain weight loss.
Authors: Danúbia da Cunha Sá-Caputo; Pedro Ronikeili-Costa; Rafaelle Pacheco Carvalho-Lima; Luciana Camargo Bernardo; Milena Oliveira Bravo-Monteiro; Rebeca Costa; Janaina de Moraes-Silva; Dulciane Nunes Paiva; Christiano Bittencourt Machado; Paula Mantilla-Giehl; Adriano Arnobio; Pedro Jesus Marin; Mario Bernardo-Filho Journal: Rehabil Res Pract Date: 2014-09-03
Authors: Mohamed Bakr Zaki; Ahmed Ibrahim Abulsoud; Ahmed Mohamed Elsisi; Ahmed Soliman Doghish; Ossama Abd Elmotaal Mansour; Ashraf Ismail Amin; Mahmoud Ahmed Elrebehy; Mohamed Yousef Mohamed; Mohamed Ahmed Goda Journal: Diabetes Metab Syndr Obes Date: 2019-05-06 Impact factor: 3.168