Metabolic Syndrome: Know the Symptoms and How to Prevent It

Syndrome comes with increased risk for cardiovascular disease and Type 2 diabetes


Published:

Image courtesy of Moremar/Shutterstock.com

Going up a pants size may hurt more than just a woman’s pride. When an increase in waist circumference is accompanied by at least two other metabolic factors, such as high blood pressure and insulin resistance, you may be diagnosed with metabolic syndrome. 

Women diagnosed with this condition are at an increased risk for cardiovascular disease and Type 2 diabetes. So recognizing the symptoms and taking steps to prevent or slow metabolic syndrome can have a positive impact on your overall health.

 

Symptoms and Risk Factors

Metabolic syndrome is a diagnosis of a cluster of risk factors driven by insulin resistance, says Dr. Sue Kirkman, M.D., professor of medicine at UNC-Chapel Hill. Women are diagnosed with metabolic syndrome when they have three of five risk factors:

• High blood glucose

• Low levels of HDL (or good cholesterol)

• High levels of triglycerides (or bad cholesterol)

• A waist circumference of greater than 35 inches

• High blood pressure

It’s important to note, however, Kirkman says, that health care providers also look at a woman’s overall health. “If a woman has only two of these risk factors, for instance, but is also a smoker, we would still need to address those risk factors,” she says. 

Metabolic syndrome is a fairly common diagnosis. As Americans have gotten heavier, the number of patients diagnosed with metabolic syndrome has increased. According to data from the 2012 National Health and Nutrition Examination Survey, one in every three adult Americans has metabolic syndrome.

A diagnosis is more common in women after menopause, when they lose the protective effects of estrogen. “They tend to gain weight around the stomach rather than the thighs,” Kirkman says. “Women with a family history of Type 2 diabetes are also at a higher risk for metabolic syndrome.”

According to the American College of Cardiology, having metabolic syndrome triples a woman’s risk of heart attack or stroke. Women with metabolic syndrome are also five times more likely to develop Type 2 diabetes.

 

Metabolic Syndrome and Fertility

Women with metabolic syndrome can also have difficulty conceiving, says Dr. Kelly Acharya, M.D., an assistant professor of obstetrics and gynecology at Duke University School of Medicine in Durham. Acharya says she often sees fertility patients with metabolic syndrome.

“There’s a lot of overlap between metabolic syndrome and polycystic ovary syndrome or PCOS,” Acharya says. “Insulin resistance seems to be the common underlying factor in both.”

Acharya says insulin resistance affects ovulation as well as a patient’s overall health. Women with PCOS or metabolic syndrome are more likely to skip ovulation, which can make getting pregnant difficult.

“For treatment, we would start with lifestyle modifications, like exercise and weight loss, as well as smoking cessation, if necessary,” Acharya says. “Often, patients also need help with ovulation induction through oral medication.”

Acharya says lifestyle modifications like weight loss have the biggest impact on a woman’s health for three reasons. First, losing weight improves glucose control, which may jump-start ovulation without the help of medication. Second, when women lose weight they respond better to any needed fertility treatments. Third, a healthier weight will also mean a healthier pregnancy and reduced risk for gestational diabetes and hypertensive disorders.

“I would recommend that patients with metabolic syndrome get the disease under control as much as possible,” Acharya says. “But their chance of conceiving is high regardless, especially with collaboration with high-risk pregnancy specialists.”

Acharya also advises women with metabolic syndrome to see their OB-GYN for preconception counseling. Providers can review their medical history and refer them to a fertility specialist if they have trouble conceiving. 

 

Making Lifestyle Changes Stick

Losing weight, getting more exercise, quitting smoking, and eating better sound like simple recommendations. Putting them into practice, however, can be a tremendous challenge for many women. Kirkman says, though that women don’t need to be thin to see change.

“Just losing 5-10% of your body weight can have a huge impact on metabolic syndrome and its risk factors,” she says. To improve health, Kirkman recommends reducing caloric intake and stress, and increasing exercise. 

When it comes to dieting, studies show there’s no one best solution for everyone. 

“The best diet for people is the one they can stick to,” Kirkman says. “Whether that’s vegan or low carb or Mediterranean.”

Whichever route you take, Kirkman says, keep in mind what she considers to be universal dieting tips, such as consuming fewer calories than you burn and not drinking empty calories. Beverages like soda and sweet tea provide little nutritional value or satiation while sabotaging dieting efforts.

Exercise is another way you can prevent or treat metabolic syndrome. Kirkman advises prioritizing exercise by scheduling it on you calendar. You don’t have to be an athlete to see results. Making small, incremental lifestyle changes can help you reduce and prevent metabolic syndrome, increase your fertility, and live a longer, healthier life.

“The Diabetes Prevention Program recommends 150 minutes a week of moderate exercise, such as walking,” Kirkman says. “Any kind of moderate, aerobic exercise is helpful.”

 

Christa Hogan is a local writer and parent of three.


Kick Smoking in 5 Steps

Dr. Sue Kirkman, M.D., professor of medicine at UNC-Chapel Hill, says smoking encourages midsection weight gain — a leading factor in metabolic syndrome. The American Heart Association says smoking is the most important preventable cause of premature death in the U.S. and offers these five steps for kicking the habit.

1. Pick a Quit Day.

2. Choose a method: Cold turkey, or reduction in frequency/quantity.

3. Talk to your doctor about getting help.

4. Plan how you’ll avoid smoking when the urge to do so arises.

5. When your Quit Day arrives, stick with your goal. 

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500 S Salisbury St
Raleigh, NC  27601
View map »


Sponsor: Let's Roam
Telephone: 833-202-7626
Contact Name: Kelly
Website »

More information

Summer Garden Camps at the JCRA invite your child to investigate nature during half or full day camps.  Campers tend to the garden, harvest vegetables, catch insects, and create crafts from the...

Cost: Varies depending on week of camp

Where:
JC Raulston Arboretum
4415 Beryl Rd
Raleigh, NC  27606
View map »


Sponsor: JC Raulston Arboretum
Telephone: (919) 513-7011
Contact Name: Elizabeth Overcash
Website »

More information

Summer Garden Camps at the JCRA invite your child to investigate nature during half or full day camps.  Campers tend to the garden, harvest vegetables, catch insects, and create crafts from the...

Cost: Varies depending on camp week

Where:
JC Raulston Arboretum
4415 Beryl Rd
Raleigh, NC  27606
View map »


Sponsor: JC Raulston Arboretum
Telephone: (919) 513-7011
Contact Name: Elizabeth Overcash
Website »

More information

Kindermusik is a research-based early childhood curriculum that includes 45-minute classroom lessons with materials and resources that encourages parental involvement . Research has linked...

Cost: $70/month

Where:
Hope Community Building
2080 E Williams St
Hope Community Building, Fuquay Varina Room
Apex/Holly Springs, NC  27539
View map »


Telephone: 191-990-25432
Contact Name: Leigh Hamm
Website »

More information

Sign up for a Raleigh scavenger hunt and put on your best Nick Cage impression as you seek out the national treasures hidden in Raleigh. Via an app, be guided through the cultural, historical,...

Cost: See website for fees

Where:
Downtown Raleigh
500 S. Salisbury St.
Raleigh, NC  27601
View map »


Sponsor: LetsRoam!
Telephone: 833-202-7626
Contact Name: LetsRoam!
Website »

More information

I am a mom and retired CPA who is passionate about teaching teens about the high cost of their choices. I teach a fun, interactive "Game of Life meets Dave Ramsey" class that has teens experience...

Cost: $225

Where:
Hope Community Church- Apex
2080 E Williams Street
Apex, NC  27539
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Sponsor: Beyond Personal Finance
Contact Name: Charla McKinley
Website »

More information

Short class advertising for local class   I am a mom and retired CPA who is passionate about teaching teens about the high cost of their choices. I teach a fun, interactive "Game of Life meets...

Cost: $225

Where:
Hope Community Church- Apex
2080 E Williams Street
Apex, NC  27539
View map »


Sponsor: Beyond Personal Finance
Contact Name: Charla McKinley
Website »

More information

Short class advertising for local class   I am a mom and retired CPA who is passionate about teaching teens about the high cost of their choices. I teach a fun, interactive "Game of Life meets...

Cost: $225

Where:
Hope Community Church- Apex
2080 E Williams Street
Apex, NC  27539
View map »


Sponsor: Beyond Personal Finance
Contact Name: Charla McKinley
Website »

More information

We invite all Triangle youth between the ages of 8 thru 17 with a sincere interest in the Performance Art of Magic to join Magic Youth Raleigh! This youth program teaches magic history and theory,...

Cost: $35 per Student

Where:
New Horizons Fellowship
820 E. Williams St.
Apex, NC  27502
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Sponsor: The International Brotherhood of Magicians
Contact Name: Roger Way
Website »

More information

Young children and their families are invited to participate in an interactive program with books, songs, movement, and other early literacy-based activities, carefully selected to engage an...

Cost: Free

Where:
Cameron Village Regional Library
1930 Clark Avenue
Raleigh, NC  27605
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Sponsor: Wake County Public Libraries

More information

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The Engage Art Contest is a juried competition for original Visual Art, Music Video, Film and Performing Arts. The topic is the Spiritual Battle described in Ephesians 6:10-20 and related...

Cost: Free

Where:
Online
PO Box 78951
Charlotte, NC  28271
View map »


Sponsor: Engage Art Contest
Telephone: 980-999-1447
Contact Name: Ranika Chaney
Website »

More information

Forget tourist-filled museums, make your own memories with a photo scavenger hunt tour in Raleigh! On a Let’s Roam scavenger hunt, you and your team will work together to wander throughout...

Cost: $11

Where:
500 S Salisbury St
raleigh, NC  27601
View map »


Sponsor: Let's Roam
Website »

More information

Summer Garden Camps at the JCRA invite your child to investigate nature during half or full day camps.  Campers tend to the garden, harvest vegetables, catch insects, and create crafts from the...

Cost: Varies depending on week of camp

Where:
JC Raulston Arboretum
4415 Beryl Rd
Raleigh, NC  27606
View map »


Sponsor: JC Raulston Arboretum
Telephone: (919) 513-7011
Contact Name: Elizabeth Overcash
Website »

More information

Summer Garden Camps at the JCRA invite your child to investigate nature during half or full day camps.  Campers tend to the garden, harvest vegetables, catch insects, and create crafts from the...

Cost: Varies depending on camp week

Where:
JC Raulston Arboretum
4415 Beryl Rd
Raleigh, NC  27606
View map »


Sponsor: JC Raulston Arboretum
Telephone: (919) 513-7011
Contact Name: Elizabeth Overcash
Website »

More information

Amongst the ancient oak trees is the heart of Raleigh. We'll help you see the forest for the trees and all its magic splendor. Tourist, local, or new to town, this is a lively small group activity...

Cost: $11

Where:
Downtown
500 S Salisbury St
Raleigh, NC  27601
View map »


Sponsor: Let's Roam
Telephone: 833-202-7626
Contact Name: Kelly
Website »

More information

Kindermusik is a research-based early childhood curriculum that includes 45-minute classroom lessons with materials and resources that encourages parental involvement . Research has linked...

Cost: $70/month

Where:
Hope Community Building
2080 E Williams St
Hope Community Building, Fuquay Varina Room
Apex/Holly Springs, NC  27539
View map »


Telephone: 191-990-25432
Contact Name: Leigh Hamm
Website »

More information

The Community Farm at Chestnut Ridge + Growga are excited to offer outdoor yoga classes this spring!   The Little Sprouts Growga program is for ages 2-5. They learn basic mindfulness elements...

Cost: $150

Where:
The Community Farm at Chestnut Ridge
2902 Mt. Willing Road
Efland, NC  27243
View map »


Sponsor: The Community Farm at Chestnut Ridge
Telephone: 919-304-2178
Contact Name: Erica Romkema
Website »

More information

Sign up for a Raleigh scavenger hunt and put on your best Nick Cage impression as you seek out the national treasures hidden in Raleigh. Via an app, be guided through the cultural, historical,...

Cost: See website for fees

Where:
Downtown Raleigh
500 S. Salisbury St.
Raleigh, NC  27601
View map »


Sponsor: LetsRoam!
Telephone: 833-202-7626
Contact Name: LetsRoam!
Website »

More information

We invite all Triangle youth between the ages of 8 thru 17 with a sincere interest in the Performance Art of Magic to join Magic Youth Raleigh! This youth program teaches magic history and theory,...

Cost: $35 per Student

Where:
New Horizons Fellowship
820 E. Williams St.
Apex, NC  27502
View map »


Sponsor: The International Brotherhood of Magicians
Contact Name: Roger Way
Website »

More information

Young children and their families are invited to participate in an interactive program with books, songs, movement, and other early literacy-based activities, carefully selected to engage an...

Cost: Free

Where:
Cameron Village Regional Library
1930 Clark Avenue
Raleigh, NC  27605
View map »


Sponsor: Wake County Public Libraries

More information

The park comes alive after dark! Let the moon guide your way as we stroll around the pond in search of these night-time critters. Play fun games and try to catch some nocturnal bugs! Don't forget a...

Cost: FREE. Registration required for everyone; children must have adult accompaniment

Where:
Crowder County Park
4709 Ten-Ten Rd
Apex, NC  27529
View map »


Telephone: 919-662-2850
Website »

More information

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The Engage Art Contest is a juried competition for original Visual Art, Music Video, Film and Performing Arts. The topic is the Spiritual Battle described in Ephesians 6:10-20 and related...

Cost: Free

Where:
Online
PO Box 78951
Charlotte, NC  28271
View map »


Sponsor: Engage Art Contest
Telephone: 980-999-1447
Contact Name: Ranika Chaney
Website »

More information

Forget tourist-filled museums, make your own memories with a photo scavenger hunt tour in Raleigh! On a Let’s Roam scavenger hunt, you and your team will work together to wander throughout...

Cost: $11

Where:
500 S Salisbury St
raleigh, NC  27601
View map »


Sponsor: Let's Roam
Website »

More information

  Meet at the Waterwise Garden (first parking lot on right) Join our bird enthusiast, Vernon, for an easy walk while looking and listening for our feathered friends. Discover...

Cost: FREE

Where:
Lake Crabtree County Park
1400 Aviation Pkwy.
Morrisville, NC  27560
View map »


Sponsor: Lake Crabtree County Park
Telephone: 919-460-3355
Contact Name: Carol Cunningham
Website »

More information

Summer Garden Camps at the JCRA invite your child to investigate nature during half or full day camps.  Campers tend to the garden, harvest vegetables, catch insects, and create crafts from the...

Cost: Varies depending on week of camp

Where:
JC Raulston Arboretum
4415 Beryl Rd
Raleigh, NC  27606
View map »


Sponsor: JC Raulston Arboretum
Telephone: (919) 513-7011
Contact Name: Elizabeth Overcash
Website »

More information

Summer Garden Camps at the JCRA invite your child to investigate nature during half or full day camps.  Campers tend to the garden, harvest vegetables, catch insects, and create crafts from the...

Cost: Varies depending on camp week

Where:
JC Raulston Arboretum
4415 Beryl Rd
Raleigh, NC  27606
View map »


Sponsor: JC Raulston Arboretum
Telephone: (919) 513-7011
Contact Name: Elizabeth Overcash
Website »

More information

PARENTS JOIN OUR DHHS APPROVEDCPR/AED & First Aid Certification ClassesFoster parents are required to be CPR & First Aid certified. Parents, bring your child to class with you. Children 10 years...

Cost: 50-80

Where:
Holly Springs, NC
1001 Silverstone Way
Holly Springs, NC  27540
View map »


Sponsor: Save A Life Now Training Center LLC
Telephone: 919-215-6942
Contact Name: Valentina Cordoba
Website »

More information

Amongst the ancient oak trees is the heart of Raleigh. We'll help you see the forest for the trees and all its magic splendor. Tourist, local, or new to town, this is a lively small group activity...

Cost: $11

Where:
Downtown
500 S Salisbury St
Raleigh, NC  27601
View map »


Sponsor: Let's Roam
Telephone: 833-202-7626
Contact Name: Kelly
Website »

More information

PARENTS JOIN OUR DHHS APPROVEDCPR/AED & First Aid Certification ClassesFoster parents are required to be CPR & First Aid certified. Must register in advance. Space is limited. Parents, bring your...

Cost: 50-80

Where:
Holly Springs, NC
1001 Silverstone Way
Holly Springs, NC  27540
View map »


Sponsor: Save A Life Now Training Center LLC
Telephone: 919-215-6942
Contact Name: Valentina Cordoba
Website »

More information

Enjoy a wonderful springtime Brunch with the Bunny and photo op on Saturday, April 4, 2020 at Patterson Farm Market & Tours. Our Brunch with the Bunny is always a popular event! Tickets must be...

Cost: Ages 2 – 6: $10.00 includes tax Ages 6 – 12: $12.00 includes tax Ages: 13 – 54

Where:
Patterson Farm Inc. Market and Tours
10390 Caldwell Road
Mount Ulla, NC  28125
View map »


Sponsor: Patterson Farm Inc. Market and Tours
Telephone: 704-636-4005
Contact Name: Megan Hedrick
Website »

More information

Opportunities to explore all 4 levels of the mill don’t happen often! Learn the history of milling in North Carolina, test your mill trivia, and discover what interesting machinery is preserved...

Cost: $10/Adult; $8/Senior (ages 60+); $6/Child (ages 10-16);Registration is required

Where:
Historic Yates Mill County Park
4620 Lake Wheeler Road
Raleigh, NC  27603
View map »


Telephone: 919-856-6675
Website »

More information

Beavers are such busy creatures and have many unique features that allow them to survive in their aquatic world. Learn about their special adaptations through our "Build a Beaver" program then walk...

Cost: Free

Where:
Harris Lake County Park
2112 County Park Dr.
New Hill, NC  27562
View map »


Sponsor: Harris Lake County Park
Telephone: 919-387-4342
Contact Name: Joanne St. Clair
Website »

More information

Join us for an egg-cellent time on the farm Saturday, April 4 & 11,  2020 from 10 a.m. – 5 p.m. Explore the farm while you hunt for eggs and enjoy spring farm fun activities. Search for 12...

Cost: $10.00 for Hunters $7.00 for Non-Egg Hunters $6.00 for Non-Egg Hunters Senior (A

Where:
Patterson Farm Inc. Market and Tours
10390 Caldwell Road
Mount Ulla, NC  28125
View map »


Sponsor: Patterson Farm Inc. Market and Tours
Telephone: 704-636-4005
Contact Name: Megan Hedrick
Website »

More information

Kindermusik is a research-based early childhood curriculum that includes 45-minute classroom lessons with materials and resources that encourages parental involvement . Research has linked...

Cost: $70/month

Where:
Hope Community Building
2080 E Williams St
Hope Community Building, Fuquay Varina Room
Apex/Holly Springs, NC  27539
View map »


Telephone: 191-990-25432
Contact Name: Leigh Hamm
Website »

More information

The Town of Holly Spring's annual spring event, Spring Fling, is taking on a new location that has a nice ring to it. This year’s Spring Fling at Ting! will take place on Saturday, April 4 from...

Cost: FREE

Where:
Ting Park Baseball Stadium
1151 N. Main St.
Holly Springs, NC  27540
View map »


Sponsor: Town of Holly Springs
Contact Name: Rachel Downey

More information

Many wildflowers bloom in spring.  Join us for a leisurely hike through our fields and woods as we learn to recognize some blooming beauties and appreciate their stories. Age: 5yrs. and up;...

Cost: $2

Where:
Annie Louis Wilkerson. MD Nature Preserve Park
5229 Awls Haven Dr
Raleigh, NC  27614
View map »


Telephone: 919-996-6764
Contact Name: Bryan England
Website »

More information

Sign up for a Raleigh scavenger hunt and put on your best Nick Cage impression as you seek out the national treasures hidden in Raleigh. Via an app, be guided through the cultural, historical,...

Cost: See website for fees

Where:
Downtown Raleigh
500 S. Salisbury St.
Raleigh, NC  27601
View map »


Sponsor: LetsRoam!
Telephone: 833-202-7626
Contact Name: LetsRoam!
Website »

More information

Want to get inside Historic Yates Mill? Join us for a half-hour tour (starting at 1, 1:30, 2, 2:30 or 3 p.m.) to view the main power drive and milling machinery while exploring the mill's history...

Cost: $5/Adult, $4/Senior (60+ yrs), $3/Child (7-16yrs), Free/Child (6yrs & younger)

Where:
Historic Yates Mill County Park
4620 Lake Wheeler Road
Raleigh, NC  27603
View map »


Telephone: 919-856-6675
Website »

More information

Bring the whole family for this fun interactive Growga family class. Siblings and parents come together for a fun Growga hour, combining elements of our Little Sprouts and Growga Kids programs...

Cost: $150

Where:
The Community Farm at Chestnut Ridge
2902 Mt. Willing Road
Efland, NC  27243
View map »


Sponsor: Chestnut Ridge Camp & Retreat Center
Telephone: 919-304-2178
Contact Name: Erica Romkema
Website »

More information

We invite all Triangle youth between the ages of 8 thru 17 with a sincere interest in the Performance Art of Magic to join Magic Youth Raleigh! This youth program teaches magic history and theory,...

Cost: $35 per Student

Where:
New Horizons Fellowship
820 E. Williams St.
Apex, NC  27502
View map »


Sponsor: The International Brotherhood of Magicians
Contact Name: Roger Way
Website »

More information

Young children and their families are invited to participate in an interactive program with books, songs, movement, and other early literacy-based activities, carefully selected to engage an...

Cost: Free

Where:
Cameron Village Regional Library
1930 Clark Avenue
Raleigh, NC  27605
View map »


Sponsor: Wake County Public Libraries

More information

Garner Sports League Opening Day Ceremony will be held at South Garner Park at 9am on Saturday April 4, 2020.  Come join us as we kick off the Spring season for recreational baseball, fast-pitch...

Cost: 0.00

Where:
South Garner Park
1210 Poole Drive
Garner, NC  27529
View map »

More information

Topper the Bunny can’t wait to see you at the 5th Annual Egg-ceptional Egg Hunt at Hubb’s Farm in Clinton, NC, features age-appropriate egg hunts with a grand finale airplane egg drop at 3pm...

Cost: 10

Where:
Hubb's Farm
10276 US HWY 421 N
Clinton, NC  28328
View map »


Sponsor: Hubb's Farm
Telephone: 910-564-6709
Contact Name: Tammy Peterson
Website »

More information

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