nutritional disorders
Metabolic Syndrome
Key Points
Excess abdominal adiposity leads to abnormal fasting plasma glucose orinsulinresistance, dyslipidemias, and hypertension; having 3 or more of these conditions defines metabolic syndrome. Metabolic syndrome is extremely common (eg, prevalence in the United States of possibly > 40% in people > 60 years). Determine waist circumference, blood pressure, fasting plasma glucose, and lipid profile. Emphasize following a healthy diet and exercising, and manage cardiovascular risk factors; if these measures are not completely effective, consider use of anti-obesity medications and/or metabolic and bariatric surgery. 