%0 Journal Article %T Acercamiento a una problem¨¢tica trascendente: el s¨ªndrome metab¨®lico Approach to a transcendental problem: the metabolic syndrome %A Jos¨¦ Luis Valenciaga Rodr¨ªguez %J Revista Cubana de Medicina General Integral %D 2005 %I ECIMED %X La presencia del s¨ªndrome metab¨®lico (SM) se relaciona con un incremento significativo de riesgo de diabetes, enfermedad coronaria y cerebrovascular, por lo que se exponen y analizan algunos aspectos fundamentales para su comprensi¨®n. Se responden interrogantes como: qu¨¦ es el s¨ªndrome metab¨®lico y la insulinorresistencia?, cu¨¢les son sus causas?, cu¨¢les son las se ales y/o signos cl¨ªnicos de resistencia a la insulina que se pueden emplear para la detecci¨®n por el M¨¦dico de Familia de casos con SM o en riesgo de padecerlo?, cu¨¢les son las clasificaciones que se han empleado para caracterizarlo?, cu¨¢les son los principales estudios dirigidos a disminuir el riesgo relativo de padecer diabetes mellitus tipo II (DM2) y SM? Se realizan algunas reflexiones para el enfrentamiento de esta problem¨¢tica en la APS. As the presence of the metabolic syndrome (MS) is related to a significant increase of risk for diabetes, coronary artery disease and cerebrovascular disease, some fundamental aspects for its understanding are exposed and analyzed. Answers are given to questions such as: what is the MS and the insulin resistance?, which are their causes?, which are the clinical signals or signs of insulin resistance the family physician may use to detect cases with MS or at risk for suffering from it?, which are the classifications used to characterize it?, and which are the main studies directed to reduce the relative risk for suffering from type II diabetes mellitus and MS? Some reflections are made to face this problem at the PHC level. %K S¨ªndrome metab¨®lico %K hipertensi¨®n arterial %K dislipidemia %K tolerancia a la glucosa alterada %K diabetes mellitus %K ejercicio %K dieta %K prevenci¨®n de diabetes %K Metabolic syndrome %K arterial hypertension %K dyslipidemia %K impaired glucose tolerance %K diabetes mellitus %K exercise %K diet %K prevention of diabetes %U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21252005000100018