+ metabolic syndrome

cluster of cardiometabolic risk factors associated with increased risk of multiple chronic diseases, including cancer, cardiovascular disease and diabetes

metabolic syndrome

metabolic syndrome diagnostic criteria

-fasting glucose > ___

-blood pressure > ___

-plasma triglycerides > ___

-HDL < ___ (men) ___ (women)

-wait circumference cm > ___(men) ___(women)

100, 130/85, 150, 40, 50, 102, 88

adipose tissue = ___ and ___ function

-chronic low grade ___ can cause adipose tissue to create more ___

endocrine, immune, inflammation, insulin resistance

-insuline bines to bring ___ in

-if too much ___, will create pro-inflammatory effect (___ in arteries, keep ___ in blood)

-downhill effect, more ___ and ___

-insulin is present but __ work

FFA, FFA, fat, glucose, tired, hungry, doesnt

metabolic syndrome management

-first try ___ by improving ___ and increase ___

-then try ___

behavioral, nutrition, activity level, pharmacological

within scope of practice to provide ___ but not ___

general information, prescribe

systems review for metabolic syndrome

-observation: ___, skin ___ and ___

-___ refill time

-movement screen

posture, coloration, integrity, capillary

red flags with metabolic syndrome

-resting bp ___

-significant increase in ___ bp with activity

-blood sugar > ___

-worsening ___ and ___ frequency

-worsening episodes of ___

-unexplained ___ discomfort or pain

-__ pain or cramping with activity

-bilateral lower limb ___

130-139/80-89, systolic, 100, thirst, urination, shortness of breath, upper quadrant, lower limb, edema

yellow flags with metabolic syndrome

-resting bp ___

-moderate __ increase with activity

-blood sugar ___-___

-increasing episodes of __

-upper quadrant pain or discomfort with ___

-lower limb ___or ___ with activity

-bilateral lower limb ___

120-129/<80, bp, 90, 100, shortness of breath, activity, pain, cramping, edema

metabolic syndrome

-considerations: ___ or motivation, ___ and ___ present

-precautions: elevated bp or blood glucose ___ medical consultation

-contraindication: bp >140/>90 and blood glucose >250 ___ medical consulation

readiness, facilitators, barriers, without, without