People with the metabolic syndrome are more likely to develop several other diseases, including higher risk for heart attack, stroke, diabetes and a liver problem called fatty liver disease. Technically, a z-score is the number of standard deviations from the mean a particular value is.
The MetS z-score was not calculated directly similar to other z-scores BMI z-scores used for children, etc.
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Rather, it was derived from a type of analysis called a confirmatory factor analysis that examines how the various components of MetS obesity, blood pressure, triglycerides, HDL cholesterol, and fasting blood sugar are correlated with one another. This score behaves like a z-score, in that it has a normal distribution with mean 0 and standard deviation equals 1.
It was derived from a nationally representative sample of the U.
The score requires information regarding the five components of the metabolic syndrome. These are systolic blood pressure the upper number of the two numbers given in a blood pressure , triglycerides, HDL cholesterol, glucose or blood sugar , and a measure of weight status. The most common means of measuring weight status is body mass index, which is calculated from height and weight. Body weight status can also be measured from waist circumference. Either of these measures of body weight status can be used in calculating a metabolic syndrome severity score. The measurements that are part of the metabolic syndrome are all done routinely at visits to the doctor.
Your score tells you where your current metabolic syndrome status is compared to others in the US population.
If your score is below zero, you have a lower degree of metabolic syndrome than the average US adult; if your score is very close to 0, then you have an average degree of metabolic syndrome. But higher scores above 0 are associated with more risk for future disease, particularly scores above 1 which is higher than At this point we do not have detailed information on risk for CVD and diabetes based on your score, but we are working on having this.
Yes, the good news is that a major influence of metabolic syndrome is lifestyle—such as food choices and exercise—and making changes in your lifestyle can lower your metabolic syndrome score. More importantly, these decreases in score are associated with decrease in risk for future disease. Healthy diet choices such as reduced portion sizes and eating less saturated fat , getting regular exercise and weight loss are all important parts of lowering your risk. Traditional MetS definitions are based on set cut-off values for each of the individual measurements that are part of MetS for example, blood pressure, fasting glucose.
There are a few problems with the traditional MetS definitions. While these individuals would be labeled as normal by traditional MetS definitions, they would be identified as having a slightly elevated MetS severity using a continuous MetS score like this one. In particular, African American men are classified as having a low prevalence of MetS using traditional criteria despite having higher insulin resistance and risk for diabetes and cardiovascular mortality. By following the degree of severity in MetS, the MetS score allows doctors and patients to more easily follow for improvements in MetS over time.
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This score has been tested among individuals with Type 2 diabetes for the ability to predict future cardiovascular disease. Higher MetS scores continued to be associated with increased risk for cardiovascular disease, even in the setting of diabetes. The MetS score remained associated with future cardiovascular disease in diabetes any way we looked at it.
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