Síndrome metabólico - Symptom

Nombres alternativos

Síndrome de resistencia a la insulina; Síndrome X

Síntomas:

Peso extra alrededor de la cintura (obesidad central o abdominal)

Pruebas y exámenes:

Según la Asociación Estadounidense del Corazón (American Heart Association) y el Instituto Nacional para el Corazón, el Pulmón y la Sangre (National Heart, Lung, and Blood Institute ), el síndrome metabólico está presente si uno tiene tres o más de los siguientes signos:

Presión arterial igual o superior a 130/85 mmHg
Glucemia (glucosa) en ayunas igual o superior a 100 mg/dL
Perímetro de la cintura (longitud alrededor de la cintura):
- Hombres: 101.6 cm (40 pulgadas) o más
- Mujeres: 88.9 cm (35 pulgadas) o más
Colesterol HDL bajo:
- Hombres: por debajo de 40 mg/dL
- Mujeres: por debajo de 50 mg/dL
Triglicéridos iguales o superiores a 150 mg/dL

Los exámenes que pueden hacerse para diagnosticar el síndrome metabólico abarcan:

Reviewed last on: 6/28/2011
Ari S. Eckman, MD, Division of Endocrinology, Diabetes and Metabolism, Trinitas Regional Medical Center, Elizabeth, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Mahley RW, Weisgraber KH, Bersot TP. Disorders of Lipid Metabolism. In: Kronenberg HM, Melmed S, Polonsky KS, Larsen PR, eds. Williams Textbook of Endocrinology. 11th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 36.

Alberti KG, Eckel RH, Grundy SM, Zimmet PZ, Cleeman JI, Donato KA, et al. Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention: National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. Circulation. 2009;120:1640-1645.

Rosenzweig JL, Ferrannini E, Grundy SM, Haffner Sm, Heine RJ, Horton ES, et al. Primary prevention of cardiovascular disease and type 2 diabetes in patients at metabolic risk: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2008; 93:3671-3689.

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