WE HAVE DOCTORS TALKING STRAIGHT IN TRINIDAD AND TOBAGO…METABOLIC SYNDROME IS REALLY THE RESULT OF A NEW ORGAN THAT HAS BEEN CREATED BY OVEREATING BAD FOODS WITHOUT EXERCISING…VISCERAL ADIPOCYTES–A NEW METABOLICALLY ACTIVE SECRETING PROTEIN…ADULT-ONSET OBESITY, OR AO2 AS WE WILL NOW CALL IT IS THE REAL CULPRIT BEHIND METABOLIC SYNDROME AND OTHER OBESITY AILMENTS….AND IT CAN BE REVERSED…LOSE THE GUT OGGIES…FOLLOW THIS BLOGSITE…READ THIS BELOW…THIS IS WHAT WE SHOULD BE HEARING MORE OF….
“..Visceral adipocytes — a new metabolically active secreting protein…”
“A senior doctor has said evolution has continued among men in Trinidad and Tobago. They have gone from hunters and gatherers who knew about fasting, and feasting, to “eating machines”.
“Tilluckdharry said today’s people “drive around in automobiles in traffic jams and congestion with no time to exercise and …we have actually developed a new organ in our body.”
Dr Roy Tilluckdharry, a cardiologist at Cross Crossing Medical Centre, San Fernando, yesterday showed the link between metabolic syndrome and heart disease and diabetes.
He did so in his presentation “The Metabolic Syndrome (MS) — Relevance to Trinidad and Tobago” at the TT Medical Association’s 14th Medical Update and Research Conference, Crowne Plaza, Port-of-Spain. Tilluckdharry said today’s people “drive around in automobiles in traffic jams and congestion with no time to exercise and …we have actually developed a new organ in our body.”
He said visceral adipocytes — a new metabolically active secreting protein — has been created which is causing hypertension, diabetes, increased thrombosis, increased inflammation and “consequently the epidemic of atherosclerosis”, that is the build up of fatty substances in the inner lining of the arteries.
He said MS “is a cluster of risk factors through metabolic pathways that increases your risk of developing cardiovascular disease or diabetes.”
The National Cholesterol Education Programme defined MS as having three of the following signs: abdominal obesity, elevated triglycerides, low HDL, increased blood pressure, increased fasting blood glucose. The International Diabetes Federation definition uses increased waist size and any two other signs.
He said the person with MS looked like the “couch potato” with the television remote control in his hand and junk food and a large belly. “Even the goodlooking ones can have MS. It is so insidious.”
Tilluckdharry said MS is relevant to TT because 3,600 people die annually of cardiovascular disease, and persons from south Asia had a high risk of developing coronary artery disease. “TT has a high percentage of East Indians.” Tilluckdharry said from birth 47 percent of people had a lifetime probability of dying of cardiovascular disease but 22 percent of dying from cancer.
“Abdominal obesity alone accounts for 20 percent of all myocardial infarctions.”
(A myocardial infarction–heart attack, is the blockage of arteries supplying blood and oxygen to heart muscle which results in injury or death of heart muscle). Not all obese people will get MS. Tilluckdharry said some people could develop subcutaneous levels of fat in their abdomen but do not have visceral fat. “What really matters is the distribution of fat but having five pounds extra in the abdomen for 16 years increased your risk of developing MS by 21 to 45 percent. Having a large waist identified the people who would develop MS over the next five years.”
Persons whose waistlines increased from 70 cm to over 105 cm had an increased risk of getting diabetes, going up from two to 15.5 percent, and obese patients with MS have ten times the risk of developing diabetes and two times the risk of developing cardiovascular disease.
Tilluckdharry said medical personnel had to be educated to recognise MS and its consequences “to recognise the addictive power of risk factors and deal with overweight and obesity.
Patients walk in and out of our offices but we don’t say a thing about weight.” He said $114,000 was spent for bypass and angioplasty but these should be the last resort. “We should spend more money on the preventive aspects.”
These include execrise, diet, weight control, using less refined carbohydrates, less sugar and use more fruits, vegetables, complex carbohydrates.
Tilluckdharry said alcohol consumption should be controlled and the “beer belly” was a sign of excessive alcohol consumption. He said the drive against smoking had to be strengthened. He called for strict management of hypertension diabetes and lipid abnormalities and make use of statins, aspirins, anti-diabetic and anti- hypertensive medications.
He concluded his presentation by calling for people to “lose your waist”.