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Set realistic goals for metabolic syndrome patients.(Assess Readiness For Change)
NEW ORLEANS -- Setting realistic, incremental goals for weight loss and physical activity can help patients succeed in their struggle with metabolic syndrome, Dr. Daniel Bessesen said at the annual scientific sessions of the American Diabetes Association.
"Patients may think they need to lose 50 or 60 pounds. I set the goal initially at losing 5%-7% of body weight," said Dr. Bessesen of the University of Colorado Health Sciences Center, Denver. "The goal for some may be not to gain any more weight."
In a combined presentation, he and Dr. George L. Blackburn advised physicians to assess each patient's readiness for change before trying to alter health-related behaviors. (See box.)
One way to motivate patients and encourage them to be involved in their own care is to say something like, "I think your diet and physical activity are putting your health at risk in the future. I'm here to help you change if you decide to do so," Dr. Bessesen suggested.
"One of the problems with the metabolic syndrome is there are so many aspects to it," he noted. It may seem daunting to address many of these issues in a 10to 15-minute consult, but it's well worth it. Evidence suggests that early diagnosis and intervention lead to better outcomes, including a reduced risk for diabetes and cardiovascular disease.
Clinicians need to be tactful when approaching patients with a tool that has been an unfamiliar sight in medical settings--a measuring tape. Patients and physicians typically are unaccustomed to routine clinical measurement of abdominal waist circumference.
Central obesity--defined by an abdominal waist circumference greater than 40 inches for men and greater than 35 inches for women--is one of five criteria for diagnosis of metabolic syndrome specified in guidelines from the National Cholesterol Education Program.
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Source: HighBeam Research, Set realistic goals for metabolic syndrome patients.(Assess Readiness...