Metabolic syndrome is a group of disorders that associated with high blood pressure, increased blood sugar, abnormal adipose deposition, and abnormal cholesterol or triglyceride levels. It is clear that with increasing rates of obesity the disease can begin at different ages and can extremely increase in childhood and adolescent. One of the most important complications of metabolic syndrome is cardiovascular disorders (CVDs). The latest report of the World Health Organization has shown that cardiovascular disease remains the first cause of death in the world. Approximately 17 million deaths, occurred in 2011, caused by CVD which means that one of every three people has died due to cardiovascular disease. It is possible to prevent or delay metabolic syndrome complications. However successfully controlling requires a long-term effort. …show more content…
Stimulating the cyclooxygenase 2 (COX-2) up-regulates PGI2 formation. Deletion of the PGI2 receptor removed the atheroprotective effect of estrogen. An increased risk of cardiovascular events has been associated with the use of COX-2 selective inhibitors. Cox-2 gene is expressed on both endothelial and macrophage cells and activation of this gene increases prostaglandins production especially PGI2, which prevents the formation of atherosclerotic plaques. Matrix metalloproteinases (MMPs) are a family of zinc-dependent endopeptidases which are involved in the pathophysiology of metabolic syndrome. Metabolic syndrome is associated with elevated serum levels of MMP9 and MMPs play a key role in increasing cardiovascular risk of metabolic
Many risk factors play a role in development of CAD one of these factors is genetic predisposition to atherosclerosis that increase
Liver is known as the metabolic port of entry for any endobiotic and xenobiotic substance. The anabolism and catabolism of most of the nutrients are in major performed by the liver. Carbohydrate, protein and fat metabolism by the liver is of significance as the anomalies in metabolism of these nutrients may introduce several types of metabolic syndromes. The protective effects of aqueous green tea extract have been shown on hyperglycaemia, hyperlipidaemia and liver dysfunction in diabetic and obese rat models [74]. Different nutrients combinations were tested in a long-term feeding in experimental mouse model. Regional and continental food habit and practices are very much different. Effects of Western, vegetarian, and Japanese dietary fat
The increase in the prevalence of type 2 diabetes is causing huge health problem through out the world including developed countries. Mostly people with low income groups are affected in developed countries (Zimmet 2001).The magnitude of the healthcare problem of type 2 diabetes results mainly from its association with obesity and cardiovascular risk factors. Indeed, type 2 diabetes has now been identified as one manifestation of the “metabolic syndrome”, a condition characterised by insulin resistance and associated with a range of cardiovascular factors (Jonathan 2003)
Diabetes Mellitus is the metabolic disorder characterized by high levels of blood glucose that is caused by deficiency of production of insulin, action of insulin, or may be both of them. The uncontrollable output of hepatic glucose and reduced uptake of glucose by the skeletal muscle with reduced synthesis of glycogen lead to hyperglycaemia. Diabetes is a complicated disease; it can affect mostly every organ of our body and causes devastating consequences.
You can have any one of these risk factors by itself, but they have a tendency to to occur together. You must have at least three metabolic risk factors to be diagnosed with metabolic syndrome. A large waistline also is called abdominal obesity or "having an apple shape." Extra fat in the stomach area is a greater risk factor for heart disease than excess fat in other parts of the body, such as on the hips. A high triglyceride level is another risk factor. Triglycerides are a type of fat found in the blood. A low HDL cholesterol level puts you at risk. HDL sometimes is called "good" cholesterol. This is because it helps remove cholesterol from your arteries. A low HDL cholesterol level raises your risk for heart disease. High blood pressure is the force of blood pushing against the walls of your arteries as your heart pumps blood. If this pressure rises and stays high over time, it can damage your heart and lead to plaque buildup. High fasting blood sugar can also be a factor which mildly high blood sugar may be an early sign of diabetes. Your risk for heart disease, diabetes, and stroke rises with the number of metabolic risk factors you have. Usually a person who has metabolic syndrome is twice as likely to develop heart disease and five times as likely to develop diabetes as someone who doesn't have metabolic syndrome. Metabolic syndrome is becoming more common due to a rise in obesity rates among adults. Soon,
Type-2 Diabetes mellitus (T2DM) is a common disease worldwide. According to the American Diabetes association (ADA), 1808 million people in the United States have been diagnosed with diabetes, and another 7 million are thought to have the disease but have not been diagnosed. (Hilaire, Woods, 2013). This disease has impacted everyone in some way. It is a controllable disease; however many individuals choose not to control it or are uneducated on how to control it. Many people with type 2 diabetes (T2DM) also have hypertension, high cholesterol, obesity, lack of physical activity, poorly controlled blood sugars, and smoking. “Current evidence supports the concept that hyperglycemia significantly contributes to the development of both cardiovascular and microvascular complications of T2DM” (Chittari, McTernan, 2011). Cardiovascular disease (CVD) remains the leading cause of death in patients with diabetes mellitus, accounting for 50% of all deaths (Campbell & Hillman, 2010).
Cardiovascular disease has gained a global attention due to the overwhelming number of cases reported annually. Stakeholders from various health monitoring agencies, health care providers, and government agencies have come together to tackle the disease, and reduce morbidity and mortality. Organizations such as the Million Hearts Initiative, the American Heart Association (AHA) 2020 Goals, and the Healthy People 2020 goals have established public health objectives aimed at targeting cardiovascular risk factors, and improving the outcome of the disease (Sidney, Rosamond, Howard & Luepker, 2013). The aspirations of the AHA 2020 objectives are to enhance the cardiovascular well-being of all Americans by 20%, as well as decrease related deaths from cardiovascular diseases and stroke by 20% (Sidney et al., 2013). Statistical analysis of the predominance of cardiovascular health risk factors among Americans is overwhelming and therefore needs immediate action. According to Go et al. (2013), about 31.9 million adults 20 years or older have total serum cholesterol levels greater than or equals to 240 mg/dL. According to a statistical data recorded between 2007 to 2010, 33% of United States adults aged 20 years of age or older are hypertensive, that is about 78 million US adults, and 44% globally (Go et al., 2013). In 2010, an overwhelming 19.7 million people in the United States were diagnosed with diabetes mellitus, in addition to 8.2 million unconfirmed cases, and 38.2% people
We all know someone who has suffered from heart disease. Whether it was from a heart attack, congestive heart failure, or stroke, some type of cardiovascular disease has taken the life of someone we loved way too soon. This epidemic of heart disease must be stopped through the collaboration of physicians, nurses, law makers, and concerned citizens. The purpose of this paper is to examine cardiovascular disease, the risks associated with heart disease and obesity per Milo’s framework, comparison of obesity and Healthy People 2020 national goals, and finally the long-term and short-term goals and interventions selected for this paper.
The underlying risk factors include obesity, physical inactivity and an atherogenic diet. The major risk factors for cardiovascular disease in this syndrome are smoking, hypertension, increased LDL cholesterol and low HDL cholesterol, aging and a family history of coronary events. The emerging risk factors are increased triglycerides, small LDL particles, insulin resistance, a pro inflammatory and prothrombotic state as well as glucose intolerance. The combination of these factors in one person is a predictor of that person having a future cardiovascular event or the onset of type 2 diabetes (Meigs, 2010). With so many risk factors laying down a set of defined parameters can be daunting. It is no wonder researchers often argue over set guidelines. However with more and more people developing these problems, it is necessary to start somewhere.
The metabolic syndrome is a cluster of the most dangerous heart attack risk factors: diabetes and raised fasting plasma glucose, abdominal obesity, high cholesterol and high blood pressure. Metabolic syndrome often precedes the onset of T2D and cardiovascular diseases (10, 11). Worldwide, it has been estimated that approximately one-fourth of the adult population has metabolic syndrome (10) and that the joined burden of obesity related diseases causes 2.8 million deaths annually (1).
Cardiovascular diseases (CVDs) are the most common cause of mortality worldwide, especially in developed countries. But they are also largely preventable, and many studies have tried to clarify the related risk factors, and what could be done to avoid them.
One source of great mortality and morbidity in Europe and North America is the cardiovascular disease, Atherosclerosis. It is recognized as a chronic inflammatory disease of the intermediate and large arteries characterized by the thickening of the arterial wall and is the primary cause of coronary and cerebrovascular heart disease (Wilson, 2005). It accounts for 4.35 million deaths in Europe and 35% death in the UK each year. Mortality rate are generally higher in men than pre-menopausal woman. Past the menopause, a woman’s risk is similar to a man’s (George and Johnston, 2010). Clinical trials have confirmed that lipid accumulation, endothelial dysfunction, cell proliferation, inflammation matrix alteration and foam cell formation are
(3) Diabetes mellitus is a serious metabolic disease that results in hyperglycemia as a result of ineffective or total inaction of insulin secretion. This condition is most often the result of a defective pancreas that can lead to damage to the heart, kidneys and blood vessels.
The presence of acute coronary syndrome in some patients served to increase lipid output, making it difficult to clearly determine lipid disorders in some patients. This is an issue of concern because high lipid levels are a hallmark for the diagnosis of metabolic syndrome.
Cardiovascular diseases are the number one factor that can erupt from obesity due to the main causes that it brings, like high blood pressure, and LDL cholesterol to a high count while lowering HDL. LDL is the “bad cholesterol”, and HDL is the “good cholesterol”. We need fats in our body for energy or ATP, in our body. If we get more LDL, it can really be a dangerous case, and