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Mets score calculator8/15/2023 Helping patients make lifestyle changes that address the MetS severity and specifically reduce elevated glucose and waist circumference could be essential for reducing the risk for future T2DM and CVD. A reduction in waist circumference was affiliated with reduced risk for both T2DM and CVD. Importantly, the overall change in waist circumference as a marker of visceral obesity was a high-risk predictor within the lifestyle intervention. Using mediation analysis to determine what factors created by the lifestyle modification were associated with risk, the T2DM effect was mediated by changes in MetS-Z, waist circumference, glucose and triglycerides at 1 year, whereas the effect of metformin was mediated by MetS-Z and glucose. (2, 3) The MetS-Z was further applied to the Diabetes Prevention Program data to determine whether reductions in MetS-Z were associated with reduced risk of T2DM and CVD.įor risk of T2DM within 1-5 years, they found the strongest associations with 1-year changes in MetS-Z and waist circumference. For risk of CVD, the greatest relationship was with a 1-year change in MetS-Z, glucose, and systolic blood pressure. METS is defined by the Adult Treatment Panel III (ATP-III) as the presence of abnormal values in three of 5 criteria:ĭeBoer and colleagues (1) created a METS severity score based on sex and ethnicity, which they labeled MetS-Z, thus augmenting the “present/not present” or dichotomous nature of these criteria, and they validated it in prior studies. After 2.8 years of follow up, the trial was stopped early due to the superior achievement of lifestyle intervention over metformin and usual care in the onset of T2DM. It used a strategy of a low calorie, low-fat diet and moderate physical activity such as brisk walking of around 150 minutes per week. The intensive lifestyle modification component had goals of achieving and maintaining >7% reduction in body weight. (2) Around 3,234 persons (mean age 50.6 years) with prediabetes participated between 19. The Diabetes Prevention Program was originally conducted as a randomized controlled trial to test prediabetes treatments, including usual care, metformin, or intensive lifestyle modification. A recently reported analysis of data (1) from the Diabetes Prevention Program supports efforts to reduce the components of METS (waist circumference, glucose, and systolic blood pressure) in order to reduce the risk of T2DM and CVD. Have you ever wondered if all that intense focus on lifestyle makes a difference in either the behaviors, risk factors, and progression to either type 2 diabetes (T2DM) or cardiovascular disease (CVD) for your patients with Metabolic Syndrome (METS)? Efforts to prevent diabetes are key given the risk it confers toward CVD. The following table outlines common metabolic equivalent values for certain exercises.A cornerstone of preventative cardiovascular nursing is education and counseling on lifestyle behaviors and change. METs are often used in creating workout plans to help structure proper calorie burns throughout the plan. It’s a term used to describe the rate of energy usage a given activity uses with respect to a resting metabolic rate of a human.įor example, a MET of 2 uses twice as much oxygen per minute as the body does sitting at rest. To calculate your MET (metabolic equivalent), multiply your calories burned per minute by 200, divide by 3.5, then divide again by your body weight. METS is the metabolic equivalent of the exercise.Where C is the calories burned per minute (kcal/min).The following formula is used to determine the calories burned per minute of exercise based on the metabolic equivalents of that exercise. This calculate can evaluate your MET, calories burned per minute, or bodyweight if the other values are known. Select your activity and enter your body weight into the calculator to determine your MET and calories burned per minute.
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