Metabolic syndrome is a group of metabolic disorders occurring together increase the cardiovascular diseases like myocardial infarction and stroke. It could be also risk factors for diabetes, liver steatosis and several cancers.
According to guidelines from the National Heart, Lung, and Blood Institute (NHLBI) and the American Heart Association (AHA), metabolic syndrome is diagnosed when a patient has at least 3 of the following 5 conditions:
- Fasting glucose ≥100 mg/dL (or receiving drug therapy for hyperglycemia)
- Blood pressure ≥130/85 mm Hg (or receiving drug therapy for hypertension)
- Triglycerides ≥150 mg/dL (or receiving drug therapy for hypertriglyceridemia)
- HDL-C < 40 mg/dL in men or < 50 mg/dL in women (or receiving drug therapy for reduced HDL-C)
- Waist circumference ≥102 cm (40 in) in men or ≥88 cm (35 in) in women; if Asian American, ≥90 cm (35 in) in men or ≥80 cm (32 in) in women
Any patient with metabolic syndrome could have these symptoms:
- Hypertension
- Hyperglycemia
- Hypertriglyceridemia
- Reduced high-density lipoprotein cholesterol (HDL-C)
- Abdominal obesity
- Chest pain or shortness of breath: Suggesting the rise of cardiovascular and other complications
- Acanthosis nigricans, hirsutism, peripheral neuropathy, and retinopathy: In patients with insulin resistance and hyperglycemia or with diabetes mellitus
- Xanthomas or xanthelasmas: In patients with severe dyslipidemia.
In Tunisia, there is no new statistical data about the metabolic syndrome but its prevalence and incidence are notably increasing.
You should consult your physician when you have one these symptoms.
Healthy diet and physical activity could prevent the occurrence of such disease.