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Which of the following is NOT included in the definition of the cardiometabolic syndrome (IDF, 2006)?a. >5,6 mmol/ (100 mg/di) fasting glucose level b. Treated hypertensionc. >1,7 mmol/ (150 mg/di) triglyceride leveld. >3,4 mmoll (130 mg/di) non-HDL cholesterol level

Question

Which of the following is NOT included in the definition of the cardiometabolic syndrome (IDF, 2006)?a. >5,6 mmol/ (100 mg/di) fasting glucose level b. Treated hypertensionc. >1,7 mmol/ (150 mg/di) triglyceride leveld. >3,4 mmoll (130 mg/di) non-HDL cholesterol level

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Solution

The International Diabetes Federation (IDF) in 2006 defined the cardiometabolic syndrome as a cluster of the most dangerous heart attack risk factors: diabetes and prediabetes, abdominal obesity, high cholesterol and high blood pressure.

Let's look at each option:

a. >5,6 mmol/ (100 mg/di) fasting glucose level - This is included in the definition as it refers to diabetes and prediabetes.

b. Treated hypertension - This is also included in the definition as high blood pressure is a risk factor.

c. >1,7 mmol/ (150 mg/di) triglyceride level - High triglyceride levels are a part of the high cholesterol risk factor, so this is included.

d. >3,4 mmoll (130 mg/di) non-HDL cholesterol level - While high cholesterol is a risk factor, the IDF definition specifically mentions high triglycerides and low HDL cholesterol, not non-HDL cholesterol.

So, the answer is d. >3,4 mmoll (130 mg/di) non-HDL cholesterol level is NOT included in the IDF definition of the cardiometabolic syndrome.

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