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