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Revista Médica del Uruguay

versión On-line ISSN 1688-0390

Resumen

RAMIREZ, Manuel Ángel et al. El ejercicio y el síndrome metabólico. Rev. Méd. Urug. [online]. 2012, vol.28, n.4, pp.309-316. ISSN 1688-0390.

Abstract The metabolic syndrome (MS) will be the 21st Century syndrome. In Europe and the Americas, prevalence of obesity accounts for 17% of the population suffering from metabolic syndrome, doubling the risk for atherosclerotic cardiovascular disease (ASCVD). The metabolic syndrome will be the 21st Century pandemia. We need to prioritize reversing obesity and the lack of exercise The metabolic syndrome is characterized by a series of hemodynamic, molecular or cellular metabolic and inflammatory alterations. It also includes insulin resistance and localized adiposity in the abdominal area. The association of the MS and new, independent risk factors such as plasma homocysteine and C-reactive protein are considered risk predictors of cardiometabolic risk factors. Among the most relevant components of MS today, we need to consider oxidative stress and the impact of exercise. Central or abdominal obesity is an important diagnostic element for MS, closely related to cardiovascular diseases, there being no clear and direct relation with ischemic heart disease. Also, age is associated to the relation between MS and heart disease, accounting for 86% of women of old age. The rate of cardiovascular risk is variable and it depends on specific risk factors. We aim to show the positive impact of exercise on the MS and as a consequence, how it reduces the risk of vascular alterations, in particular heart alterations. This review examined the main components of abdominal obesity, alterations the glucidic metabolism, dyslipidemia and high blood pressure, apart from those that have to do with heart disease risk factors, such as systemic inflammatory response syndrome and prothombotic state.

Palabras clave : METABOLIC SYNDROME X; EXERCISE.

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