Back to AI Flashcard MakerEducation /Simmons NURP 502 Exam 1: Metabolic Syndrome
Name the components of metabolic syndrome.
• Abdominal obesity • Insulin resistance +/- glucose intolerance • HTN • Atherogenic dyslipidemia / Hyperlipidemia • Proinflammatory state • Prothrombic state
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Term
Definition
Name the components of metabolic syndrome.
• Abdominal obesity • Insulin resistance +/- glucose intolerance • HTN • Atherogenic dyslipidemia / Hyperlipidemia • Proinflammatory state • Prothromb...
When should screening for risk factors for CV dx begin?
2 yo
Starting at age 2, what is done at office visits for CV risk?
• Graph BMI by percentile • Identify overweight/obese • Lipids (if risk factors)
When do you start screening glucose?
• Screen if overweight, family history, or hypertensive • Otherwise at age 10
How is obesity (metabolic syndrome) defined in children <10 yo?
• WC >90th percentile • BMI >85th percentile
T/F Below the age of 10, metabolic syndrome is not a diagnosis.
True. However, NIH now has reference ranges for triglycerides for metabolic syndrome at this age.
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| Term | Definition |
|---|---|
Name the components of metabolic syndrome. | • Abdominal obesity • Insulin resistance +/- glucose intolerance • HTN • Atherogenic dyslipidemia / Hyperlipidemia • Proinflammatory state • Prothrombic state |
When should screening for risk factors for CV dx begin? | 2 yo |
Starting at age 2, what is done at office visits for CV risk? | • Graph BMI by percentile • Identify overweight/obese • Lipids (if risk factors) |
When do you start screening glucose? | • Screen if overweight, family history, or hypertensive • Otherwise at age 10 |
How is obesity (metabolic syndrome) defined in children <10 yo? | • WC >90th percentile • BMI >85th percentile |
T/F Below the age of 10, metabolic syndrome is not a diagnosis. | True. However, NIH now has reference ranges for triglycerides for metabolic syndrome at this age. |
How is metabolic syndrome defined in the 10-16 yo age range? | • WC >90th percentile or adult cut off • Triglycerides >150 • HDL <40 • BP >130 or >85 • FPG >100 or known DMT2 |
When would you perform an oral GTT? | If FPG >100-125 and DMT2 not known (age range 10-16) |
How is metabolic syndrome defined in the 16+ age range? | • WC >94 cm for males • WC >80 cm for females • Triglycerides >150 or treated • HDL <40 males, <50 females, or treated • BP >130 or >85 or treated • FPG: >100 or known DMT2 |
T/F In children, it is better to look at all non-HDL lipids together than just LDL and triglycerides alone. | True |
What are total cholesterol ranges for children? | • Normal <170 • Borderline 170-199 • High 200+ |
What are LDL ranges for children? | • Normal <110 • Borderline 110-129 • High 130+ |
Name 7 clinical outcomes of metabolic syndrome. | 1. CV dx 2. DMT2 3. PCOS 4. Fatty liver 5. Cholesterol gall stones 6. Asthma 7. Sleep disturbances / Sleep apnea |
When should lipid screening be done universally? | • Between ages 9-11 • Again at 17+ |
Who should receive liver function testing? | • High cholesterol • Obesity |
What are interventions for preventing metabolic syndrome? | 1. Review BMI with all patients at all well visits, including trends. 2. Positive reinforcement for positive lifestyle changes (and don’t dwell on the chart, if (+) lifestyle changes are being made!). 3. Set reasonable, clear goals. 4. Follow up in primary care on goals set. 5. Lab screening annually, more often if abnormal. 6. Community referrals – know what is available to you and use them! Nutritionist, Exercise programs, Multidisciplinary programs. |