Diagnostic criteria for metabolic syndrome and insulin resistance of patients with obesity
This article discusses the diagnostic criteria for metabolic syndrome (MS), proposed in 2005, by the International Diabetes Federation. In order to clarify the legality of the components of MS was made a survey of 212 women aged from 18 to 62 years attending a clinic for treatment of obesity. All were underwent physical examination with anthropometric measurements, laboratory tests, reflecting the state of carbohydrate and fat metabolism and liver function tests, and ultrasound of the abdomen and pelvis. The study revealed the correlation between insulin resistance (IR) as a pathogenetic factor in MS, and anthropometric data, blood pressure levels, laboratory parameters of blood glucose, triglycerides, leptin, AST, ALT, gamma GTT. IR is higher than the expression level of alimentary-constitutional obesity. The presence of two such signs have MS, both from the waist size more 80 cm and blood pressure more 130/85 is combined with the emergence of morphological and functional disorders of the liver and pancreas. Therefore, hepatic steatosis may be considered as one of the criteria for MS and type 2 diabetes and the active phase of steatohepatitis should be regarded as a complications of the syndrome.