A 45-year-old man has waist circumference 108 cm, fasting glucose 6.5 mmol/L, triglycerides 2.8 mmol/L, HDL 0.85 mmol/L, and BP 142/90 mmHg. BMI is

Question

A 45-year-old man has waist circumference 108 cm, fasting glucose 6.5 mmol/L, triglycerides 2.8 mmol/L, HDL 0.85 mmol/L, and BP 142/90 mmHg. BMI is 34 kg/m². He does minimal exercise and has a high-calorie diet. What is the most important initial intervention?

Accepted Answer

Lifestyle modification (diet and exercise)

Answer

Start a statin

Answer

Start metformin

Answer

Start an ACE inhibitor

Answer

Start orlistat

Metabolic Syndrome Lifestyle — RACP Adult Medicine MCQ

A 45-year-old man has waist circumference 108 cm, fasting glucose 6.5 mmol/L, triglycerides 2.8 mmol/L, HDL 0.85 mmol/L, and BP 142/90 mmHg. BMI is 34 kg/m². He does minimal exercise and has a high-calorie diet. What is the most important initial intervention?