{"id":2557,"date":"2009-03-01T23:38:49","date_gmt":"2009-03-01T23:38:49","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/dbtsm\/"},"modified":"2025-05-14T19:11:30","modified_gmt":"2025-05-14T19:11:30","slug":"dbtsm","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/dbtsm\/","title":{"rendered":"Criterios para S\u00edndrome Metab\u00f3lico"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>El s\u00edndrome metab\u00f3lico se refiere a la concurrencia de varios factores de riesgo cardiovascular conocidos, como la resistencia a la insulina, la obesidad, la dislipidemia aterog\u00e9nica y la hipertensi\u00f3n. Estas condiciones est\u00e1n interrelacionadas y comparten mediadores, mecanismos y v\u00edas subyacentes.<!--more--><\/p>\n<p style=\"font-weight: 400;\"><strong>Definici\u00f3n ATP III<\/strong><\/p>\n<p style=\"font-weight: 400;\">El diagn\u00f3stico del s\u00edndrome metab\u00f3lico es realizado cuando 3 o m\u00e1s de los siguientes factores de riesgo est\u00e1n presentes:<\/p>\n<ol style=\"font-weight: 400;\">\n<li>Circunferencia abdominal\u00a0&gt;102 cm (&gt;40 in)\u00a0en hombres y\u00a0&gt;88 cm (&gt;35 in)\u00a0en mujeres<\/li>\n<li>Triglic\u00e9ridos s\u00e9ricos\u00a0&gt;\/=150 mg\/dL (&gt;\/=1.7\u00a0mmol\/L)<\/li>\n<li>Presi\u00f3n arterial\u00a0&gt;\/=130\/85 mm Hg<\/li>\n<li>HDL\u00a0Colesterol\u00a0&lt;40 mg\/dL (&lt;1.0 mmol\/L)\u00a0en hombres y\u00a0&lt;50 mg\/dL (&lt;1.3\u00a0mmol\/L)\u00a0en mujeres<\/li>\n<li>Glucosa de ayunas\u00a0110 to 126 mg\/dL (6.1\u00a0to 7.0 mmol\/L)\u00a0(100 mg\/dL [&gt;\/=5.6\u00a0mmol\/L] tambi\u00e9n puede ser apropiado)<\/li>\n<\/ol>\n<p><strong>Definici\u00f3n de la OMS<\/strong><\/p>\n<p>Diabetes, IFP, IGT o resistencia a la insulina y al menos 2 de los siguientes criterios:<\/p>\n<ol>\n<li>Relaci\u00f3n cintura-cadera &gt;0,90 en hombres o &gt;0,85 en mujeres.<\/li>\n<li>Triglic\u00e9ridos s\u00e9ricos &gt;\/=1,7 mmol\/l o HDL colesterol &lt;0,9 mmol\/l en hombres y &lt;1,0 mmol\/l en mujeres.<\/li>\n<li>Presi\u00f3n arterial &gt;\/= 140\/90 mmHg<\/li>\n<li>Excreci\u00f3n de alb\u00famina urinaria &gt;20 ug\/min o relaci\u00f3n alb\u00famina &#8211; creatinina &gt;\/= 30 mg\/g<\/li>\n<\/ol>\n<p style=\"font-weight: 400;\">IFG; Glucosa de ayunas alterada<br \/>\nIGT; Tolerancia a la glucosa alterada<\/p>\n<p style=\"font-weight: 400;\"><strong>Nueva definici\u00f3n de la\u00a0International Diabetes Federation (IDF)<\/strong><\/p>\n<p style=\"font-weight: 400;\">De acuerdo a la nueva definici\u00f3n de la\u00a0IDF,\u00a0para que una persona tenga s\u00edndrome metab\u00f3lico debe tener:<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Obesidad central (definido como circunferencia de cintura\u00a0&gt;\/= 94cm\u00a0para hombres cauc\u00e1sicos y\u00a0&gt;\/= 80cm\u00a0para mujeres cauc\u00e1sicas,\u00a0con valores \u00e9tnicos espec\u00edficos para otros grupos)<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">M\u00e1s dos de los siguientes 4 factores:<\/p>\n<ol style=\"font-weight: 400;\">\n<li>Nivel de triglic\u00e9ridos (TG) elevados: &gt;\/= \u00a0150 mg\/dL (1,7 mmol\/L), o\u00a0tratamiento espec\u00edfico para esta anormalidad lip\u00eddica<\/li>\n<li>Colesterol\u00a0HDL\u00a0reducido: &lt; 40 mg\/dL (1,03 mmol\/L)\u00a0en\u00a0hombres y\u00a0&lt; 50 mg\/dL (1,29 mmol\/L)\u00a0en\u00a0mujeres, o\u00a0tratamiento espec\u00edfico para esta anormalidad lip\u00eddica<\/li>\n<li>Tensi\u00f3n arterial (TA) elevada:\u00a0TA\u00a0sist\u00f3lica\u00a0&gt;\/= \u00a0130 o\u00a0TA\u00a0diast\u00f3lica\u00a0&gt;\/=\u00a085 mm Hg, o tratamiento de hipertensi\u00f3n previamente diagnosticada<\/li>\n<li>Glucosa plasm\u00e1tica en ayunas elevada\u00a0\u00a0&gt;\/= \u00a0100 mg\/dL (5,6 mmol\/L), o\u00a0diabetes tipo 2\u00a0\u00a0previamente\u00a0diagnosticada.\u00a0Si la glucosa en ayunas es &gt;\u00a05,6 mmol\/L o 100 mg\/dL,\u00a0la prueba de tolerancia oral a la glucosa (PTOG) es\u00a0fuertemente recomendada pero no es necesaria para definir la presencia del s\u00edndrome.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol style=\"font-weight: 400;\">\n<li>Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. Executive Summary of The Third Report of The National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, And Treatment of High Blood Cholesterol In Adults (Adult Treatment Panel III). JAMA. 2001 May 16;285(19):2486-97. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11368702\/\">[Medline]<\/a><\/li>\n<li>Grundy SM, Brewer HB Jr, Cleeman JI, Smith SC Jr, Lenfant C; American Heart Association; National Heart, Lung, and Blood Institute. Definition of metabolic syndrome: Report of the National Heart, Lung, and Blood Institute\/American Heart Association conference on scientific issues related to definition. Circulation. 2004 Jan 27;109(3):433-8. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/14744958\/\">[Medline]<\/a><\/li>\n<li>World Health Organization: Definition, Diagnosis, and Classification of Diabetes Mellitus and its Complications: Report of a WHO Consultation. Geneva, World Health Org., 1999<\/li>\n<li>Alberti KG, Zimmet P, Shaw J; IDF Epidemiology Task Force Consensus Group. The metabolic syndrome&#8211;a new worldwide definition. Lancet. 2005 Sep 24-30;366(9491):1059-62. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16182882\/\">[Medline]<\/a><\/li>\n<li>Pluta W, Dudzi\u0144ska W, Lubkowska A. Metabolic Obesity in People with Normal Body Weight (MONW)-Review of Diagnostic Criteria. Int J Environ Res Public Health. 2022 Jan 6;19(2):624. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35055447\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\">Creado: May 10, 2005<br \/>\nActualizado: Apr 22, 2022<\/p>\n<p><\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>El s\u00edndrome metab\u00f3lico se refiere a la concurrencia de varios factores de riesgo cardiovascular conocidos, como la resistencia a la insulina, la obesidad, la dislipidemia aterog\u00e9nica y la hipertensi\u00f3n. Estas condiciones est\u00e1n interrelacionadas y comparten mediadores, mecanismos y v\u00edas subyacentes.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[626],"tags":[16,15,211,1322,1707,1708,5,4],"class_list":["post-2557","post","type-post","status-publish","format-standard","hentry","category-diabetes","tag-criteria","tag-criterios","tag-diabetes","tag-endocrinology","tag-metabolic","tag-metabolico","tag-sindrome","tag-syndrome"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2557","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2557"}],"version-history":[{"count":5,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2557\/revisions"}],"predecessor-version":[{"id":9700,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2557\/revisions\/9700"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2557"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2557"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2557"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}