Dime cuanto mide tu perímetro abdominal y te diré como
están tus arterias.
Si, la cantidad de grasa abdominal es un indicador del
estado metabólico y un factor pronóstico de la salud cardiovascular.
El nivel de grasa abdominal que en la mujer debe ser máximo
de 90 centímetros y en el hombre de 100 centímetros; cuando están aumentadas
hacen parte de lo que se ha denominado Síndrome
metabólico, que a su vez se le denomina el cuarteto o sexteto
de la muerte.
La grasa abdominal principalmente en hombres nos está
indicando, que hay ya un estado inflamatorio que está dañando las arterias,
principalmente del corazón y del cerebro, alteración que podemos medir al tomar
ecografías de las arterias del cuello (Carótidas). El exceso de grasa abdominal, también indica acumulación
de grasa en hígado y páncreas, alterando el funcionamiento de estos órganos,
creando el camino a una diabetes mellitus tipo 2.
Otros componentes de este síndrome son:
Hipertensión arterial principalmente sistólica, triglicéridos altos, colesterol HDL bajo, obesidad
abdominal, intolerancia a la glucosa, cifras de glicemia por encima de
100 mg en ayunas, resistencia insulínica: son los estados más relacionados a
accidentes cerebrovasculares, infarto del corazón y a la aparición de las
complicaciones de la diabetes, como son problemas de retina, de riñón, procesos
de las arterias de miembros inferiores y neuropatía diabética.
Si a todo este complejo se le agrega títulos altos de ácido úrico y títulos elevados de un
aminoácido que se llama la Homocisteína que
poco se pide su nivel en los laboratorios, (es un indicador excelente del
riesgo cardiovascular), completamos el sexteto de la muerte.
La muy buena noticia es que todos estos factores de
riesgo cardiovascular los podemos modificar con cambios en nuestro estilo de
vida y tratamientos médicos, previniendo en alto grado esta terrible
enfermedad. Quiere decir accidentes cerebro vasculares, infartos al corazón y
las complicaciones de ser diabético.
Y muy importante los medicamentos son solo una parte
del tratamiento y no necesariamente la más importante, por eso ustedes
conocerán pacientes cercanos que toman muy juiciosamente los medicamentos y a
pesar de esto se les presentan complicaciones como las mencionadas. Cuando no
se cambia el estilo de vida, no hay un buen control de la enfermedad; el médico
tendrá que aumentar el número de medicamentos formulados y sus cantidades,
incrementando el riesgo de efectos secundarios.
César Pompeyo H MD
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