Síndrome metabólica

Os pacientes devem ser aconselhados a seguir uma dieta com poucas gorduras saturadas e proteína animal e rica em frutas, vegetais e cereais integrais. Eles também devem ser aconselhados a praticar exercícios físicos regularmente (>30 minutos por dia) e evitar atividades sedentárias.[4]Cornier MA, Dabelea D, Hernandez TL, et al. The metabolic syndrome. Endocr Rev. 2008 Dec;29(7):777-822. http://www.ncbi.nlm.nih.gov/pubmed/18971485?tool=bestpractice.com [14]Grundy SM, Hansen B, Smith SC Jr, et al. Clinical management of metabolic syndrome: report of the American Heart Association/National Heart, Lung, and Blood Institute/American Diabetes Association conference on scientific issues related to management. Circulation. 2004 Feb 3;109(4):551-6. https://circ.ahajournals.org/content/109/4/551.full http://www.ncbi.nlm.nih.gov/pubmed/14757684?tool=bestpractice.com [60]Esposito K, Marfella R, Ciotola M, et al. Effect of a Mediterranean-style diet on endothelial dysfunction and markers of vascular inflammation in the metabolic syndrome: a randomized trial. JAMA. 2004 Sep 22;292(12):1440-6. https://jama.jamanetwork.com/article.aspx?articleid=199488 http://www.ncbi.nlm.nih.gov/pubmed/15383514?tool=bestpractice.com [66]Romero-Cabrera JL, García-Ríos A, Sotos-Prieto M, et al. Adherence to a Mediterranean lifestyle improves metabolic status in coronary heart disease patients: a prospective analysis from the CORDIOPREV study. J Intern Med. 2023 May;293(5):574-88. https://onlinelibrary.wiley.com/doi/10.1111/joim.13602 http://www.ncbi.nlm.nih.gov/pubmed/36585892?tool=bestpractice.com ​[67]US Preventive Services Task Force. Healthy diet and physical activity for cardiovascular disease prevention in adults with cardiovascular risk factors: behavioral counseling interventions. Nov 2020 [internet publication]. https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/healthy-diet-and-physical-activity-counseling-adults-with-high-risk-of-cvd [207]National Institute for Health and Care Excellence. Cardiovascular disease prevention. June 2010 [internet publication]. https://www.nice.org.uk/guidance/ph25 ​​​ ChooseMyPlate.gov Opens in new window

Os pacientes acima do peso ou obesos devem emagrecer e manter um peso corporal saudável.