Metabolic Syndrome Pathophysiology and Predisposing Factors

Int J Sports Med. 2021 Mar;42(3):199-214. doi: 10.1055/a-1263-0898. Epub 2020 Oct 19.

Abstract

Metabolic syndrome (MetS) is a cluster of cardiometabolic risk factors with high prevalence among adult populations and elevated costs for public health systems worldwide. Despite the lack of consensus regarding the syndrome definition and diagnosis criteria, it is characterized by the coexistence of risk factors such as abdominal obesity, atherogenic dyslipidemia, elevated blood pressure, a prothrombotic and pro-inflammatory state, insulin resistance (IR), and higher glucose levels, factors indubitably linked to an increased risk of developing chronic conditions, such as type 2 diabetes (T2D) and cardiovascular disease (CVD). The syndrome has a complex and multifaceted origin not fully understood; however, it has been strongly suggested that sedentarism and unbalanced dietary patterns might play a fundamental role in its development. The purpose of this review is to provide an overview from the syndrome epidemiology, costs, and main etiological traits from its relationship with unhealthy diet patterns and sedentary lifestyles.

Publication types

  • Review

MeSH terms

  • Adult
  • Cardiovascular Diseases / complications
  • Diabetes Mellitus, Type 2 / complications
  • Diet
  • Humans
  • Metabolic Syndrome / etiology*
  • Metabolic Syndrome / genetics
  • Metabolic Syndrome / physiopathology*
  • Obesity, Abdominal / complications
  • Risk Factors
  • Sedentary Behavior