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Decide whether each of the following people meets the criteria for diagnosis of

ID: 123452 • Letter: D

Question

Decide whether each of the following people meets the criteria for diagnosis of the metabolic syndrome.

1. Wanda has a waist circumference of 34 inches, fasting blood glucose of 110 mg/dL, triglycerides of 100 mg/dL, HDL of 45 mg/dL, and blood pressure of 135/90 mmHg.

2. David has a waist circumference of 44 inches, fasting blood glucose of 95 mg/dL, triglycerides of 135 mg/dL, HDL of 30 mg/dL, and blood pressure of 120/80 mmHg.

3. Molly has a waist circumference of 29 inches, fasting blood glucose of 78 mg/dL, triglycerides of 105 mg/dL, HDL of 35 mg/dL, and blood pressure of 110/90 mmHg.

4. Danielle has a waist circumference of 42 inches, fasting blood glucose of 145 mg/dL, triglycerides of 200 mg/dL, HDL of 65 mg/dL, and blood pressure of 132/92 mmHg.

Explanation / Answer

Criteria for metabolic syndrom (NCEP ATP III revised in 2005) : any three of the five criteria should be met.

a. Waist circumference >40 inches(m) and >35 inches (F)

b. Fasting glucose >= 100mg/dl or Rx

c. TG>/ 150mg/dl or Rx

d. 130mmHg systolic or > 85 mm Hg diastolic or Rx

e. HDL cholesterol <40mg/dl (M), < 50 mg/dl (F) or Rx

Name

Waist circumference

Fasting Blood glucose

Triglyceride

HDL

Blood pressure

Meet the criteria or not

Wanda

34 inches

110 mg/dL

100 mg/dL

45 mg/dL

135/90 mmHg

Not met

David

44 inches

95 mg/dL

135 mg/dL

30 mg/dL

120/80 mmHg.

Not met

Molly

29 inches

78 mg/dL

105 mg/dL,

35 mg/dL

110/90 mmHg

Not Met

Danielle

42 inches

145 mg/dL

200 mg/dL

65 mg/dL

132/92 mmHg

Meet the criteria

The red colour indicates the range is outside the normal limit of desired level

Only Mr. Danielle meets the criteria of metabolic syndrome.

Name

Waist circumference

Fasting Blood glucose

Triglyceride

HDL

Blood pressure

Meet the criteria or not

Wanda

34 inches

110 mg/dL

100 mg/dL

45 mg/dL

135/90 mmHg

Not met

David

44 inches

95 mg/dL

135 mg/dL

30 mg/dL

120/80 mmHg.

Not met

Molly

29 inches

78 mg/dL

105 mg/dL,

35 mg/dL

110/90 mmHg

Not Met

Danielle

42 inches

145 mg/dL

200 mg/dL

65 mg/dL

132/92 mmHg

Meet the criteria

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