Metabolic syndrome

Question 1

metabolic syndrome

Answer 1

constellation of metabolic abnormalities that confer increased risk of CVD and diabetes

Question 2

major features of metabolic syndrome

Answer 2

1. central obesity
2. hypertriglyceridemia
3. hyperglycaemia
4. hypertension
5. low HDL

Question 3

central obesity criteria

Answer 3

ethnic specific

european - 102cm, 88cm
asian - 90cm, 80cm
chinese - 85cm, 80cm
middle-east - 94cm, 80cm

Question 4

hypertriglyceridemia criteria

Answer 4

raised TAG

more than 1.7 mmol/L or specific treatment for lipid abnormality

Question 5

reduced HDL criteria

Answer 5

<1.03 mmol/L for males
< 1.29 mmmol/L females
or specific treatment for lipid abnormality

Question 6

hypertension criteria

Answer 6

systolic >130 mmHg or diastolic >85 mmHg or treatment of previously diagnosed hypertension

Question 7

hyperglycaemia criteria

Answer 7

fasting BG >5.6 mmol/L
or previosuly diagnosed with T2DM

Question 8

clinical presentation of metabolic syndrome

Answer 8

usually asymptomatic

examination - increased WC, increased BP, lipoatrophy, skin tags