Mets score12/24/2022 ![]() ![]() If your score is below zero, you have a lower degree of metabolic syndrome than the average US adult if your score is very close to 0, then you have an average degree of metabolic syndrome. Your score tells you where your current metabolic syndrome status is compared to others in the US population. ![]() These include assessments of body mass index (which is calculated from a person’s height and weight) and blood pressure, as well as blood tests measuring triglycerides, HDL cholesterol, and blood sugar. The measurements that are part of the metabolic syndrome are all done routinely at visits to the doctor. Either of these measures of body weight status can be used in calculating a metabolic syndrome severity score. Body weight status can also be measured from waist circumference. The most common means of measuring weight status is body mass index, which is calculated from height and weight. These are systolic blood pressure (the upper number of the two numbers given in a blood pressure), triglycerides, HDL cholesterol, glucose (or blood sugar), and a measure of weight status. The score requires information regarding the five components of the metabolic syndrome. What variables are used for calculating the severity score? It was derived from a nationally representative sample of the U.S. This score behaves like a z-score, in that it has a normal distribution with mean 0 and standard deviation equals 1. This analysis allows us to produce a score that quantifies the value of this MetS latent factor for an individual based on the individual’s measurements of those components. This analysis also allowed for the correlations between the MetS components to be different by sex and race/ethnicity. Rather, it was derived from a type of analysis (called a confirmatory factor analysis) that examines how the various components of MetS (obesity, blood pressure, triglycerides, HDL cholesterol, and fasting blood sugar) are correlated with one another. The MetS z-score was not calculated directly similar to other z-scores (BMI z-scores used for children, etc.). Z-scores can be negative as well z=-2 is the 2.28th percentile, meaning only roughly 2% of the population has a lower MetS severity. A z=2 is equivalent to the 97.7th percentile, indicating that 97.7% of the population has a lower MetS severity than the individual. There are corresponding percentiles that are meaningful: a z=0 is equivalent to the 50th percentile, again indicating that 50 percent of the population has lower MetS severity than the individual. A z=2 means that the value is 2 standard deviations above the mean of the population, meaning much “above average”. A z-score=0 for a given individual indicates the value for that individual is equal to the mean of the population. Technically, a z-score is the number of standard deviations from the mean a particular value is. It relies on knowing what the average (or “mean”) is for the whole population and the variability (how frequently and how much people are different from average, measured in terms of standard deviation). What is a Z-score?Ī z-score is a way of placing the measurement of a particular person (for example, a person’s body mass index, a marker of body weight) in the context of what that measurement is for other people in the population. People with the metabolic syndrome are more likely to develop several other diseases, including higher risk for heart attack, stroke, diabetes and a liver problem called fatty liver disease. How is the metabolic syndrome related to other diseases? Individuals who have at least three of these abnormalities are considered to have the metabolic syndrome or “MetS.” These individuals have a higher risk of developing heart disease and other diseases like diabetes. This cluster of abnormalities include abdominal obesity (seen either by a large waist circumference or a high body mass index ), high blood pressure, high triglycerides, low HDL cholesterol (the “good cholesterol”) and high fasting blood sugar. The interesting thing about the metabolic syndrome is that five of these cardiovascular risk factors are seen together more often than would be expected by chance-as though they are caused by a similar underlying problem. These are referred to as cardiovascular risk factors. There are a lot of different processes in the body that can contribute to having heart disease, such as having high cholesterol levels or high blood sugar. ![]()
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