{"id":2102,"date":"2019-12-08T13:30:32","date_gmt":"2019-12-08T13:30:32","guid":{"rendered":"https:\/\/drmirkin.com\/?p=2102"},"modified":"2023-08-15T13:50:50","modified_gmt":"2023-08-15T13:50:50","slug":"metabolic-syndrome-predicts-heart-attacks-and-diabetes","status":"publish","type":"post","link":"http:\/\/drmirkin.com\/?p=2102","title":{"rendered":"Metabolic Syndrome Predicts Heart Attacks and Diabetes"},"content":{"rendered":"

A huge study from Korea confirms that people with Metabolic Syndrome are at increased risk for heart attacks, and that when they correct some or all of the components of Metabolic Syndrome, their risk for a heart attack goes down dramatically (Annals of Internal Medicine<\/em>, Nov 25, 2019;141(8):628-634). The researchers define “Metabolic Syndrome” as having one or more of the following:
\n\u2022 high blood pressure, or use of a drug to lower high blood pressure
\n\u2022 unhealthful cholesterol levels (LDL >100 mg\/dL), or use of a drug to lower cholesterol
\n\u2022 high fasting blood sugar (>100 mg\/dL), or the use of an antidiabetic drug
\n\u2022 high triglyceride level (>150 mg\/dL), or use of a drug to lower triglycerides
\n\u2022 excess abdominal fat<\/p>\n

The Study<\/strong>
\nThe researchers used records from their National Health Insurance Database on 9,553,042 adults without heart disease, followed through three annual exams. They found that almost 30 percent (2,612,379) had metabolic syndrome, and of those:
\n\u2022 1,486,485 (56 percent) had chronic metabolic syndrome before the study started,
\n\u2022 587,088 (22.5 percent) developed metabolic syndrome after the study began, and
\n\u2022 538,806 (21.5 percent) recovered from metabolic syndrome during the study period.<\/p>\n

These patients were then followed for an additional 3.5 years to record incidents of:
\n\u2022 sudden death from a heart attack or other heart disease
\n\u2022 surgery to open closed heart arteries
\n\u2022 an acute but not fatal heart attack
\n\u2022 a stroke from an acute blocked artery in the brain<\/p>\n

The researchers found that the group of patients who had recovered from metabolic syndrome had half the heart incidents compared to those who had chronic metabolic syndrome throughout the study period, and reducing high blood pressure to normal was associated with the largest difference. The people who developed metabolic syndrome during the study had significantly higher risk than the patients without metabolic syndrome, but had about three-quarters of the risk of the chronic group, probably because they did not have metabolic syndrome as long.<\/p>\n

Metabolic Syndrome or Pre-Diabetes in North America<\/strong>
\nIn North America, where about 70 percent of adults are overweight or obese, doctors use the terms “metabolic syndrome” or “pre-diabetes” to help their patients understand the risk of developing Type II diabetes that often leads to a heart attack. See The Hidden Epidemic of Early Diabetes<\/a>. These people usually have a high rise in blood sugar after meals, which causes considerable cell damage and puts them at risk for all of the horrible side effects of diabetes.<\/p>\n

If you have three or more of the following risk factors, you are probably already diabetic or pre-diabetic:
\n\u2022 store fat predominantly in your belly, rather than your hips
\n\u2022 family history of diabetes
\n\u2022 overweight
\n\u2022 exercise fewer than three times a week
\n\u2022 high blood pressure (systolic above 120 at bedtime)
\n\u2022 LDL (bad) cholesterol higher than 100 mg\/dl
\n\u2022 HDL (good) cholesterol lower than 40 mg\/dL
\n\u2022 triglyceride level greater than 150 mg\/dL
\n\u2022 history of diabetes during pregnancy or birth to a baby over nine pounds
\n\u2022 thick neck
\n\u2022 polycystic ovary syndrome
\n\u2022 history of blood vessel disease to heart, brain, or legs
\n\u2022 HBA1C greater than 5.7
\n\u2022 fasting blood sugar greater than 100
\n\u2022 blood sugar one hour after eating greater than 145 mg\/dL
\n\u2022 member of a high-risk ethnic population (e.g., African-American, Hispanic\/Latino-American, American Indian, Alaskan Native or Pacific Islander)<\/p>\n

My Recommendations<\/strong>
\nNorth American adults have a 40 percent chance of dying from a heart attack or a stroke, and the most common risk factors for heart attacks and strokes are being overweight or diabetic. If you are already diabetic, you may be able to cure your diabetes and prolong your life by following all the rules for an anti-inflammatory lifestyle. See Most Type II Diabetics Could Be Cured with Lifestyle Changes<\/a>.<\/p>\n

I believe that everyone should try to follow the rules for healthful living most of the time; if you don’t have any of the risk factors, try to stay that way!<\/p>\n

Checked 8\/7\/23<\/p>\n","protected":false},"excerpt":{"rendered":"

A huge study from Korea confirms that people with Metabolic Syndrome are at increased risk for heart attacks, and that when they correct some or all of the components of Metabolic Syndrome, their risk for a heart attack goes down dramatically.<\/p>\n","protected":false},"author":1,"featured_media":1025,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[20],"tags":[74,56,37,124,173,175,248,249,224],"class_list":["post-2102","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-heart","tag-diabetes","tag-heart-attack","tag-heart-attack-risk","tag-heart-disease","tag-metabolic-syndrome","tag-pre-diabetes","tag-prediabetes","tag-stroke","tag-type-ii-diabetes"],"_links":{"self":[{"href":"http:\/\/drmirkin.com\/index.php?rest_route=\/wp\/v2\/posts\/2102","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/drmirkin.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/drmirkin.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/drmirkin.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/drmirkin.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2102"}],"version-history":[{"count":0,"href":"http:\/\/drmirkin.com\/index.php?rest_route=\/wp\/v2\/posts\/2102\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/drmirkin.com\/index.php?rest_route=\/wp\/v2\/media\/1025"}],"wp:attachment":[{"href":"http:\/\/drmirkin.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2102"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/drmirkin.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2102"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/drmirkin.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2102"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}