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How to Recognize Metabolic Syndrome - Treatment, Diet, Exercises

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You can recognize metabolic syndrome by discovering the following symptoms.

1. Obesity - most often abdominal, that is, obesity of the abdomen. We can talk about it if the abdominal circumference:

  • more than 80 cm in women;
  • from 94 cm in men.

The body mass index is also calculated: for this, you need to double

You can recognize metabolic syndrome by discovering the following symptoms.

1. Obesity - most often abdominal, that is, obesity of the abdomen. We can talk about it if the circumference of the abdomen:

  • more than 80 cm in women;
  • from 94 cm in men.

The body mass index is also calculated: to do this, you need to divide your weight by your height twice. If the result is more than 25, then this is overweight, if more than 30 - already obesity. There is a type of obesity when it is not the subcutaneous fat that increases, but the internal abdominal omentum. This is especially common in men - the fat does not hang, but the belly is large and round.

2. Insulin resistance - insensitivity to the hormone insulin. Due to changes in metabolism, receptors do not perceive insulin, which normally helps them absorb glucose. Since it is not transported into cells, its content in the blood increases and leads to subsequent disruptions in the vascular system. A fasting blood glucose level of >= 5.6 mmol/l is considered typical. The result can be type 2 diabetes.

3. Arterial hypertension is persistently high blood pressure. Pressure consistently above 140/90 is considered dangerous.

4. Hyperuricemia is an increased content of uric acid in the blood. It is difficult to recognize it without testing, since its manifestations are quite nonspecific. But in combination with excess weight and high blood pressure, pain in the abdomen, lower back, muscles, itching in the urethra, increased sweating, and nocturnal enuresis in children should be alarming.

5. Atherogenic dyslipidemia is a violation of the lipid balance in the blood serum. It is characterized by an excess of bad cholesterol (triglycerides above 1.5 mmol / l) and a decrease in good cholesterol. Dyslipidemia has no symptoms in its pure form, most often it manifests itself in combination with shortness of breath, obesity and increased blood pressure.

Treatment for metabolic syndrome

Metabolic syndrome is a reversible disorder. With timely and correct diagnosis, it can be detected even in the early stages, when risk factors are just emerging. By making efforts to eliminate these factors, you can significantly reduce the likelihood of developing cardiac diseases. Therefore, it is so important not to delay visiting a doctor when the first signs of metabolic disorders appear.

The treatment and prevention of metabolic syndrome are based on proper nutrition and sufficient physical activity. First of all, the patient is advised to lose excess weight, and only then begin to eliminate concomitant diseases. Proper nutrition will help a person get rid of excess fat tissue, because it is its volume that leads to further disorders.

Nutrition for metabolic syndrome should be carefully thought out.

It is necessary to refuse or greatly limit the intake of confectionery, fatty meats, pasta, high-fat dairy products, canned food, smoked meats, carbonated drinks, alcohol, spices. The choice of products should be based on a low carbohydrate content - they help normalize the intestinal microflora and strengthen the immune system. These include:

  1. low-fat dairy products, hard cheeses;
  2. lean meats and fish, eggs;
  3. berries, fresh fruits and vegetables - preference should be given to green vegetables.

The best cooking methods for a patient with metabolic syndrome are stewing, boiling, baking or steaming.

An active lifestyle will also help you lose weight: movement not only burns extra calories, but also stimulates blood circulation, increasing the sensitivity of cells to insulin, and improves metabolism. Physical exercises should be chosen based on the actual capabilities of the body. Perhaps, at first, the patient will be satisfied with regular walking instead of traveling by transport, walking up the stairs instead of riding the elevator and doing morning exercises. And when he gets used to such loads, he can move on to running, swimming or other sports. The main thing is not to overdo it with cardio.

Pharmaceutical treatment of metabolic syndrome

In addition to lifestyle adjustments, the doctor will also offer the patient drug treatment for metabolic syndrome. The main goal is to increase the insulin sensitivity of cells, normalize sugar levels and lipid metabolism.

If a person is unable to cope with obesity on their own with the help of diets and physical activity (or weight loss is too slow), and the health risk remains high, the doctor may prescribe special drugs.

  • An example is fat absorption inhibitors, the purpose of which is to reduce enzyme activity, prevent the breakdown of fat and its subsequent absorption in the small intestine.
  • For the same purpose, appetite suppressants can be prescribed. Due to their effect on the central nervous system, it is easier for the patient to cope with the constant feeling of hunger that can occur while following a diet for metabolic syndrome.

ACE inhibitors are prescribed to normalize blood pressure and metabolism. They block the enzyme responsible for the conversion of angiotensin I to angiotensin II. The latter compound is a powerful vasopressor - a substance that increases the tone of blood vessels. As a result of taking it, the vessels dilate, the pressure decreases and the heart activity is facilitated. Calcium channel blockers can also reduce pressure. They improve the blood supply to the myocardium, reducing its need for oxygen.

Lipid metabolism disorders in metabolic syndrome are corrected with the help of hypolipidemic drugs. They reduce the production of cholesterol by cells and promote the removal of atherogenic lipids. Some of these drugs (fibrates) can reduce the content of uric acid in the blood.

To combat insulin resistance, agents are used that reduce the biological response of cells to insulin, as well as drugs that increase the sensitivity of receptors to this hormone.

Drugs for reducing insulin resistance improve the permeability of glucose through the cell membrane and slow down the production of fatty acids. And drugs that increase insulin sensitivity inhibit the absorption of sugar from the intestines and reduce the synthesis of glucose in the liver. In addition, they help reduce the feeling of hunger and make it easier to tolerate a diet.

A patient with metabolic syndrome is also recommended to take vitamins, in particular, alpha-lipoic acid. It improves liver function, normalizes lipid metabolism and sugar absorption.

28 Jan 2025, 16:04
Medical Blog

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