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THE  WXYZ OF CARDIODIAB RISK DR.RISHIKESAN K.V VENNIYIL MED .CENTRE  SHARJAH
 
DIABETES EPIDEMIC
 
 
 
 
EARLY RECOGNITION OF RISK FACTORS ,[object Object],[object Object]
 
 
THE MNEMONIC WXYZ ,[object Object],[object Object],[object Object],[object Object]
W – THE WEIGHT/WAIST FACTOR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
FACTORS INCREASING WT.&WAIST ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
GLOBESITY ,[object Object],[object Object],[object Object]
 
W  FACTOR ,[object Object],[object Object],[object Object],[object Object]
 
Teleology ,[object Object],[object Object]
We Are Victims  Of Our Success ,[object Object],[object Object]
Why Have We Gained So Much Weight?  ,[object Object],[object Object]
Starvation Is No Longer A Threat ,[object Object],[object Object]
THE BIG TWO ,[object Object],[object Object],[object Object]
We Don’t Have To Expend Much Energy ,[object Object],[object Object]
Our Diet Has Changed ,[object Object],[object Object],[object Object]
OTHER SYSTEMATIC FACTORS LEADING TO WT. GAIN ,[object Object],[object Object],[object Object],[object Object],[object Object]
*Heating and Airconditioning in  homes and workplaces have  reduced the need for body energy expenditure to keep warm or cold. *Overwt.people tend to have overwt.children
* WOMEN ARE DELAYING  HAVING CHILDREN AND  OLDER MOTHERS TEND TO  HAVE FATTER CHILDREN
* PEOPLE TEND TO BE ATTRACTED TO THOSE WHO ARE LIKE THEM ,[object Object],[object Object],[object Object]
EXPOSURE TO CHEMICALS, ,[object Object],[object Object],[object Object],[object Object],[object Object]
SOME GROUPS OF PEOPLE ARE FATTER THAN OTHERS ,[object Object],[object Object],[object Object],[object Object]
 
WT.AND CVD
 
 
EFFECT OF WT.REDUCTION
 
X = METABOLIC XYNDROME OR SYNDROME X
X= SYNDROME X
 
CRITERIA WHO/NCEP
MANY DEFINITIONS BUT ALL CONTAIN 3 COMPONENTS   ALL DEFINITIONS HAVE 3 COMPONENTS   * OVERWT/WAIST   * CARDIOVASCULAR RISK   * ABNORMAL GLUCOSE  METABOLISM
 
Some Types of Fat  Are Worse Than Others ,[object Object],[object Object]
 
 
 
 
 
 
 
 
 
 
 
THE TREATABLE COMPONENTS ARE BLOODPRESSURE, BLOOD GLUCOSE, BLOOD FATS AND PROTHROMBOSIS
 
THE MAJOR FEATURE OF METABOLIC SYN. ,[object Object],[object Object],[object Object]
 
PATHOPHYSIOLOGY METABOLIC SYNDROME ,[object Object]
 
CHD PREVALENCE
 
 
[object Object],[object Object],[object Object],[object Object]
 
THE FULL TYPE 2 TABLETS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
Y  =  WHY THE PARTICULAR PERSON AT HIGH RISK ,[object Object],[object Object],[object Object],[object Object]
NURSES HEALTH STUDY  ,[object Object],[object Object],[object Object]
THOSE WITH DIABETES ARE RESPONSIBLE FOR THEIR OWN DIABETES ,[object Object],[object Object]
Z = SLEEP APNOEA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
OSA ,[object Object],[object Object],[object Object],[object Object]
LACK OF  ZZZ……. ,[object Object],[object Object],[object Object],[object Object],[object Object]
EPWORTH SLEEPINESS SCALE ,[object Object],[object Object],[object Object],[object Object]
 
ESS  SCORE ILLUSTRATED ,[object Object],[object Object],[object Object]
OSA AND CPAP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CONCLUSIONS ,[object Object],[object Object]
 

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The Wxyz Of Cardiodiab Risk