Metabolic Syndrome
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is a disorder of energy utilization and storage, diagnosed by a co-occurrence of 3 out of 5 of the following
Abdominal (central) obesity
Elevated blood pressure
Elevated fasting plasma glucose
High serum triglycerides
Low high-density cholesterol (HDL) levels
PATHOPHYSIOLOGY
The exact mechanisms are under investigation
Underlying cause thought to be insulin resistance
Contributing factors
Sedentary
Disrupted sleep
Diet
Mood disorders
Aging
Excessive alcohol abuse
Genetics
Weight gain
Stres
Clinical Management
First line of defense: treat underlying cause
Lifestyle management
Physical inactivity
Obesity
Second line of defense
Drug therapy if treatment insufficient
within 3-6months
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Treat associated risk factors (treated individually)
Hypertension: diuretics or ACE inhibitors
↑ Cholesterol: statins
Diabetes: insulin/glucophage
Exercise testing
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Modify testing procedure (Secondary disease)
Resting measurements
Body composition
Posture + palpation
ROM
PWC170
HR, BP, RPE (if necessary)
ECG?
Muscle strength & endurance
Functional testing
Exercise prescription
Components of program
Resistance(2-3p week)
Flexibility (2-3 p week)
Cardio raspatory(4-7p week)
50-80% HRR, RPE 12-16
60-80% (1RM)
Maintain ROM/ Improve Gait
20-60 min
2-3 sets, 8-12 reps
20-30 sec, 3x stretch
Large Muscle groups, Walk, Run, Cycle, Rowing
Free weight, Weights, Machines, Isokinetic
Large Muscle groups