important. What does it mean if my child has
a large waist size?
Excessive abdominal (stomach, belly) fat has a worse health prognosis than fat distributed elsewhere on the body. A male with a waistline over 40 inches or a non-pregnant female with a waist of more than 35 inches is at a higher risk of developing such medical conditions as diabetes mellitus, elevated cholesterol and triglyc-erides, hypertension, and coronary artery (heart) dis-ease. Thus, it is not just the weight that matters, but also the weight distribution. Weight around the waist is worse than excess pounds in, say, the legs.
Metabolic syndrome is a condition that is sometimes seen in adults. This is cluster of risk factors for heart disease and stroke and includes the following:
• Excess abdominal fat
• Abnormal blood lipids (fats), including high triglyc-erides, decreased high-density lipoprotein (HDL)cholesterol, and elevated low-density lipoprotein(LDL) cholesterol
• Insulin resistance/high blood sugar
•High blood pressure
• Elevated markers of inflammation such as blood C-reactive protein
The key problems with the metabolic syndrome are obe-sity and insulin resistance. It is estimated that 50 million people in the United States have this syndrome, which the American Heart Association defines as follows:
heart attacks and
• Waistline: men ≥ 40 inches (102 cm) and women ≥ 35 inches (88 cm)
• Elevated triglycerides ≥ 150 mg/dL
• Reduced HDL (“good”) cholesterol: men < 40 mg/dL and women < 50 mg/dL • High blood pressure ≥ 130/85 mm Hg • Elevated fasting blood glucose ≥ 100 mg/dL
Key to treating this is prevention of obesity in children.After a person has this syndrome, the goals are to lose weight, treat the elevated blood pressure and sugar,increase exercise, and go on a diet low in saturated and trans fats and cholesterol.
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