Metabolic syndrome, also known as syndrome X or obesity syndrome, is the name of a group of risk factors that increases your risk for:

  • Coronary artery disease (CAD) also known as atherosclerotic heart disease – Atherosclerosis is a condition in which plaque (a waxy substance) builds up inside your coronary arteries and hardens and narrows your arteries. The narrowing reduces blood flow to your heart muscle and can result in chest pain, a heart attack, heart damage, or even death.
  • Peripheral arterial disease
  • Stroke
  • Type 2 diabetes

Linked to Overweight, Obesity and Inactivity

Fat Man_istock_000012609799xsmall_800x450Your risk for heart disease, stroke and diabetes increases with each of the following metabolic risk factors. You have metabolic syndrome if you have THREE OR MORE of these measurements.  

  • Large waistline (abdominal obesity or “having an apple shape”): Greater than 40″ if you’re a man; Greater than 35″ if you’re a woman.
  • High triglycerides OR you’re on medication to treat high triglycerides: 150 mg/dL and greater. Triglycerides are a type of fat in your blood.
  • Low HDL (“good”) cholesterol level OR you’re on medication to treat low HDL’s: Less than 40 mg/dL (men); less than 50 mg/dL (women). HDL’s or high density lipoproteins help remove cholesterol from your arteries.
  • High blood pressure OR you’re on medication to treat high blood pressure: 130/85 mm Hg and higher.
  • High fasting blood sugar OR you’re on medication to treat high blood sugar: 100 mg/dL and greater. An early sign of diabetes is a MILDLY high blood sugar, so do take it seriously.

Metabolic syndrome may one day become the leading risk factor for heart disease (more than smoking) due to the rise in obesity amongst adults in the U.S. Compared to someone without metabolic syndrome, a person with metabolic syndrome is:

  • Twice as likely to develop heart disease.
  • Five times as likely to develop diabetes.

Karen’s Fit Tip: You can prevent (or delay the onset of) metabolic syndrome with lifestyle changes. To reduce your risk factors:

  • Lose weight. Follow a high-fiber eating plan. Aim for getting in 40 gm of fiber per day.
  • Exercise 5-7 days/week. To lose weight, you’ll need to increase your volume of exercise which may mean 60-90 minutes of moderate-intensity exercise per day.
  • Quit smoking.

Karen Owoc

Karen Owoc is a certified Clinical Exercise Physiologist specializing in cardiopulmonary rehabilitation and lifestyle medicine. Her science-based approach to longevity, nutrition, and muscle health has made her the go-to source for health seekers and medical professionals alike. Karen's best-selling book on functional longevity, "Athletes in Aprons: The Nutrition Playbook to Break 100", and her transformative perspective have mended many minds, hearts, and spirits.

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4 Comments

  1. Nice red heart.
    Sent from my iPhone
    >

    1. Thanks, Jay! Coming from a graphic designer, I pleased to hear that! 🙂

  2. Hi Karen, Once you have damage from Metabolic Syndrom can it be reversed? Can blocked arteries go away by diet and exercise?

    1. Hi Kevin… Anyone with metabolic syndrome can turn that around. For example, you can control and lower blood sugar levels with diet and exercise. Regarding reversing heart disease (atherosclerosis), you CAN “unblock” arteries with a significant lifestyle change. Studies show you can improve blood flow to the heart and its ability to pump normally with a prudent eating plan, diligent exercise and stress management. So keep up the good work! Consistency counts. Hope you’re feeling better and will be back in class soon. Best, Karen 🙂

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