oa South African Family Practice - CPD editorial

Volume 51, Issue 3
  • ISSN : 2078-6190
  • E-ISSN: 2078-6204



The CPD section of this issue of the SA Family Practice journal starts with the sixth in the series on healthy lifestyle interventions in general practice. This article focuses on "Lifestyle and metabolic syndrome" by Schwellnus MP .They indicate upfront that there is no clarity on the precise definition of the metabolic syndrome but there is consensus that it is a cluster of inter-related risks factors namely elevated blood pressure, elevated plasma glucose and atherogenic dyslipidemia, due to mainly abdominal obesity and insulin resistance. In the article, the authors further explain that the prevalence of metabolic syndrome is increasing globally with its prevalence in developed countries about 30% in the adult population. In the South African population, the prevalence of the syndrome is not known as national prevalence surveys have not been done. But prevalence studies on obesity point in the direction of increasing numbers of men and women who are over weight or obese. In terms of management, lifestyle intervention is consistently regarded as the first line treatment and the cornerstone of management. This includes nutritional intervention, promotion of physical activity, psychosocial care and education. The article has practical strategies on how to implement the lifestyle intervention and ends with the importance of follow up assessment to re-set goals for achievable outcomes in the patient.

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