Metabolic Syndrome

Metabolic syndrome was defined in 1999 by the World Health Organisation, and has been refined more recently by various groups including the International Diabetes Federation The IDF estimates that a quarter of the population of the world have metabolic syndrome, and they are 3 times more likely to have a heart attack and 5 times more likely to develop adult (type II) diabetes as a result. Diabetes is itself a major risk factor for cardiovascular disease and premature death.

The IDF latest definition of metabolic syndrome comprises:
· Waist circumference of 94cms (39 inches) or more in men
· Waist circumference of 80cms (33 inches) or more in women

Together with 2 of the following factors:

· Raised triglyceride levels in the blood of 1.7mmol/L or more – or on treatment for this abnormality
· Reduced high density lipoprotein (cholesterol) in the blood of 1.03mmol/L or less in men – or on treatment for this
· Reduced high density lipoprotein (cholesterol) in the blood of 1.29mmol/L or less in women – or on treatment for this
· Raise systolic blood pressure of 130mmHg or more, OR raised diastolic blood pressure of 85mmHg or more OR currently normal BP but on continued treatment for previously raised BP
· Raised fasting blood sugar levels of 5.6mol/L during fasting (without food) or known adult diabetes on treatment

If you fit these criteria, and you snore of stop breathing at night, it is essential that you get e referral to a physician who can investigate you properly – including assessing your breathing at night.