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Cardiometabolic Health - An Overview

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A collection of prevalent but frequently avoidable illnesses known as cardiometabolic diseases include diabetes, insulin resistance, heart attacks, and strokes.

Written by

Dr. Palak Jain

Medically reviewed by

Dr. Muhammad Zohaib Siddiq

Published At January 23, 2024
Reviewed AtJanuary 23, 2024

Introduction:

The effects of a collection of illnesses, referred to as "metabolic syndrome," on heart health are called cardiometabolic health. These may include hypertension, insulin resistance, fat around the abdomen, and elevated cholesterol. These ailments are combined under one general phrase because they frequently occur concurrently in the afflicted person and, depending on the severity of each component, gradually raise that person's risk of cardiac issues.

What 3 Diseases Are Classified as Cardiometabolic?

A collection of prevalent but frequently avoidable illnesses known as cardiometabolic diseases include:

The number of people who will encounter one or more of these illnesses at some point in their lives is rising globally.

What Is Cardiometabolic Health?

A collection of symptoms known as metabolic health can lead to ill health and raise the chance of developing chronic illnesses. These include a big waistline, elevated blood pressure, fasting blood glucose, and excessive cholesterol. Compared to people without cardiometabolic syndrome, people with the syndrome have a three times higher risk of experiencing a heart attack or stroke and a two times higher risk of dying from coronary heart disease.

It is now established that one of the main causes of elevated cardiometabolic risk is central obesity. Controlling CMS risk factors is fraught with difficulties. To maximize the reduction of cardiometabolic risk factors, however, cardiometabolic programs and therapeutic techniques combine dietary and exercise prescriptions with an emphasis on behavioral change.

What Are the Measures of Cardiometabolic Health?

The following are the measures of cardiometabolic health:

  • Body composition, including visceral adipose tissue, fat mass, and fat-free mass.

  • Physical fitness, including muscular, cardiovascular, and speed-agility components.

  • Conventional risk factors (blood lipid levels, waist circumference).

What Risk Factors Are Associated With Cardiometabolic Health?

The following conditions are associated with cardiometabolic health:

  • Insulin resistance.

  • Diabetes, or pre-diabetes.

  • Excessive amounts of triglycerides or cholesterol.

  • Elevated blood pressure.

  • Surplus body mass.

People are more likely to experience an early and severe cardiovascular disease (heart attack, stroke, and peripheral vascular disease) when these factors are combined, even if they all raise the risk of heart disease. In addition to lowering the risk, early detection and treatment stop cardiovascular disease before it ever starts.

What Pathophysiology Is Associated With Cardiometabolic Syndrome?

Myocardial infarction risk has been linked to some pathologic cardiometabolic variables.

An imbalance in energy expenditure and consumption leads to visceral fat. The tissue is metabolically active and secretes a variety of prothrombotic and proinflammatory cytokines. While visceral adipose tissue in the abdomen and fatty liver are associated with CMS, the relationship is larger with visceral adipose tissue. Waist circumference is more sensitive to predicting cardiac risk than body mass index.

How Do Glucose Levels Cause Vascular Damage?

Atherosclerosis development is more likely in people with diabetes. When a build-up of a sticky, fatty substance called plaque occurs, arteries narrow or harden, a condition known as atherosclerosis. High cholesterol is another comorbidity among diabetics. Plaque can build up in the arteries more quickly when these two medical disorders are present together. There is a definite link between heart health and glucose; controlling blood sugar levels can lower the risk of heart attacks.

What Are the Treatment Modalities That Are Used to Treat Cardiometabolic Syndrome?

A successful treatment plan can be developed with the aid of the pathophysiology of cardiometabolic syndrome identification. As part of the current CMS treatment strategy, smoking, diabetes, hypertension, dyslipidemia, and other conventional risk factors are aggressively controlled.

1. Impact of Exercise and Diet

Reversing cardiovascular risk is aided by established and developing therapy options, such as glycemic management, weight loss, strict blood pressure control, correction of dyslipidemia, and moderate physical exercise. CMS incidence or intensity can decrease by engaging in moderate-intensity physical exercise, such as quick walking, for at least 30 minutes daily. It has been demonstrated that individuals with CMS who engage in regular exercise as part of their cardiorespiratory fitness programs tend to have lower chances of all-cause death. Additionally, treatment plans should concentrate on lowering LDL cholesterol first and then lowering triglyceride levels to less than 150 mg/dL.

2. Weight Loss Surgery

Numerous well-known diabetic organizations have advocated for the use of weight-loss surgery in the clinical management of type 2 diabetes in extremely obese people. Still to be determined is when such surgery would have the best risk-benefit ratio during the diabetic course.

Some medical professionals feel that to predict clinical deterioration, it is preferable to utilize surgery relatively early in the course of the disease; others advise delaying surgery until patients are not receiving enough medication control.

What Is Cardiometabolic Diet?

The goal of the whole-food cardiometabolic food plan is to address the underlying causes of obesity, insulin resistance, and inflammation, as well as other cardiometabolic illness symptoms. This meal plan emphasizes certain therapeutic foods and is based on a modified Mediterranean diet.

Mediterranean Diet:

The Mediterranean diet, high in plant-based foods, fish, and healthy fats, significantly lowers the risk of cardiometabolic diseases. This is partly because it reduces waist circumference and improves blood levels of insulin, glucose, cholesterol, and triglycerides.

Low Glycemic, Low Simple Sugar, High Fiber Foods:

Cardiometabolic dysfunction is characterized by poor management of blood sugar. Maintaining relatively steady levels of blood sugar and insulin throughout the day is one of the objectives of the cardiometabolic food plan. This helps regulate mood and hunger while lowering the risk of cardiometabolic dysfunction. This meal plan emphasizes low- to medium-glycemic meals, restricts sources of simple sugars, and emphasizes fiber to help maintain balanced cholesterol levels, enhance gut health, and minimize substantial fluctuations in blood sugar and insulin levels.

Conclusion:

"Metabolic health" and "cardiometabolic health" are synonymous and refer to the same clinical signs. Elevated glucose fluctuation and fasting glucose levels can harm the vascular system, ultimately leading to cardiac damage. While high blood pressure, excessive glucose, and obesity are all factors that contribute to poor heart health, high circulating insulin is not a direct cause of heart disease. It is possible to cure insulin resistance, lower the chance of developing chronic illnesses, and safeguard one's heart health by adopting good lifestyle practices related to nutrition, exercise, sleep, and stress.

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Dr. Muhammad Zohaib Siddiq
Dr. Muhammad Zohaib Siddiq

Cardiology

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