OBESITY AND METABOLIC SYNDROME ISAAC MARÍN MATA

OBESITY

The High Caloric Intake And Physical Inactivity Produces Obesity.

DIAGNOSE

Normal

18.5-24.9

Overweight

25-29.9

Obesity

>30

Insulin Resistance

DYSLIPIDEMIA

Endothelium Damage

Inflammation

Intravascular calcium and lipids deposits

Atheroesclerosis

Hypoperfusion

Vascular Ischemic Disease

Stroke-like events

AMI

DM

ETHIOLOGY

Autoinmune

Autoimmune B - cell destruction

Viral

Dietary

Genetical

Pancreatic

Pancreatitis

Cystic Fibrosis

Drug Induced

Pregnancy

Idiophatic

RISK FACTORS

Modifiable

Diet

Stress

Dyslipidemia

Physical Inactivity

Overweight

Alcoholism or Smoking

Non - Modifiable

Age

Genetic History

Ethnicity

Gestacional Diabetes

TYPES

DM Type 1

B cell Destruction

DM Type 2

Progressive B-cell loss

Gestational

HYPERTENSION

ETHIOLOGY

Secondary

Neurogenic

Vasscular Alterations

Renal and RAAS alterations

Endocrine Alteration

Essential

Non-physiological causes

TYPES

White-coat hypertension

Frank Hypertension

Masked Hypertension

RISK FACTORS

Non Modifiable

Age

Ethnicity

Genetic History

Diabetes

Male Sex

Modifiable

Stress

Dyslipidemia

High Salt Intake

Overweight

Physical Inactivity

Alcoholism or Smoking

DIAGNOSE

Normal

<120/180

Elevated

120-129/<80

HT Stage 1

130-139/80-89

HT Stage 2

>140/>90

ADA

Normal

HbA1c <5.7%

FPG < 100mg/dl

OGTT <140mg/l

Prediabetes

HbA1c 5.7% - 6.4%

FPG 100 -125 mg/dl

OGTT 140- 199 mg/dl

Diabetes

HbA1c > 6.5%

FPG > 126mg/dl

OGTT > 200 mg/dl