Tuesday, September 16, 2008

Metabolic syndrome

In April 2008, the Ministry of Health, Labor and Welfare of Japan (MHLW) decided to introduce waistline criteria for people over 40-years old. MHLW says that men having waistline more than 85 cm and women having that more than 90 cm are defined as being abdominal obesity. In combination with abdominal obesity, those who having abnormal levels in any two of blood pressure, blood glucose and blood cholesterol, are diagnosed as having metabolic syndrome and recommended to go to medical institutions for further checkups.
These waistline criteria are unique in Japan. In other countries, the defined waistline criteria for men are larger than those for women. In addition, the criteria defined by MHLV are not well-founded values, and do not take into account height at all. Indeed, 85-cm waistline level is almost the average value of middle-aged men.
On the other hand, the International Diabetes Federation (IDF) and National Cholesterol Education Program (NCEP) in the USA decided to remove waistline criteria from their definition of metabolic syndrome by the end of this year. Nevertheless, MHLW sticks to the unique definition of the syndrome and made it mandatory for local governments in Japan. Approximately 56 million of insured people aged between 40 and 74 are receiving the specific health checkup in 2008.
Of course, metabolic syndrome may be associated with abdominal obesity and adipocytokines. However, I do not like the idea of twisting all lifestyle-related diseases around abdomen. I believe that humans are not so defective organism as that is unable to keep the homeostasis with a bit of fat.

By the way, I cleared the checkups for metabolic syndrome; however, I got an abnormal level for uric acid. A medical doctor told me to avoid drinking, but I will not to do.

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