“The combination of health risks known as metabolic syndrome affects slightly less than a quarter of the U.S. workforce and is linked to increased absenteeism and poorer health status, reports a study in the October Journal of Occupational and Environmental Medicine, official publication of the American College of Occupational and Environmental Medicine (ACOEM). In the workplace sample, men and women had similar rates of metabolic syndrome, although men had a higher average number of risk factors. As the number of risk factors increased, so did the rate of lifestyle health risks such as obesity, low physical activity, high stress, and smoking. Workers with metabolic syndrome were also more likely to rate their own health as fair to poor, compared to workers with fewer risk factors. Workers with more risk factors missed more work days because of illness. The percentage of workers with three or more sick days in the previous year increased from 25 percent for those with no risk factors to 39 percent for those with all five risk factors. Dr. Burton and colleagues write, ‘This is encouraging in that employers may still have time to provide employees with the education and tools they need to improve their health risks before experiencing the consequences of diabetes or heart disease.’”
http://www.medicalnewstoday.com/articles/128569.php
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The cause of the metabolic syndrome is unknown. The pathophysiology is extremely complex and has been only partially elucidated. Most patients are older, obese, sedentary, and have a degree of insulin resistance. The most important factors in order are:
1. aging,
2. genetics and
3. lifestyle, (i.e.,) low physical activity and excess caloric intake.
Metabolic syndrome is not observed in the absence of insulin resistance, while obesity is not present in many individuals who present with metabolic syndrome.
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