Metabolic Syndrome
Addressing Your County’s Biggest
Health Risk and Cost Driver
Todd Whitthorne
President, ACAP Health
.
Where are We Headed?
The State of Obesity
19th most obese state
2012
29.2%
2003
24.6%
1990
10.7%
www.fasinfat.org
The State of Obesity
Obesity-related cancer
2030
810,806
2010
328,379
(projected)
www.fasinfat.org
The State of Diabetes
14th most diabetic state
2012
10.6%
2003
8.1%
1990
4.7%
www.fasinfat.org
HIPPA… Privacy… Really?
Lifestyle Choices
 Followed 90,000 nurses from 1991-2011
 Ages 27 to 44
 Those that followed six healthy living
recommendations dropped their odds of
heart disease about 90%!
 Also substantially reduced the incidence of
diabetes, hypertension and high
cholesterol
Journal of the American College of Cardiology
January, 2015
Lifestyle Choices






Don’t smoke
Exercise at least 150 minutes a week
Maintain a healthy weight
Eat a healthy diet
Watch seven or fewer hours of TV/week
Drink some alcohol but no more than
about one drink per day
Journal of the American College of Cardiology
January, 2015
What Box Do You Influence First?
Diabetes
Musculoskeletal
Cardiovascular
Cancer
Single Focus…Comorbid Impact
Diabetes
Musculoskeletal
Cardiovascular
Cancer
Diabetes Escalator
10%
Adult Population
30-40%
50-60%
2nd Floor
Diabetes Dept.
NOTHING!
4,658
37%
1st Floor
Healthy Dept.
50.7%
Diabetes Continuum
12.3%
Here’s What’s Scary
 40% of those born between
2000-2011 will become diabetic
• 45% of black men
• 50% of Hispanics and black women
National Diabetes Statistics Report, 2014
You’re kidding, right?
This is Real!
A Dangerous Combination
3 or more out of range
33
↓
Metabolic Syndrome (MetS)
Metabolic Syndrome
Waist Circumference
(Men >40”, Women >35”)
AHA/ATP III
Recent Headline
September 17, 2014
54%
JAMA/CDC, September 17, 2014
54%...up from 46% in 1999/2000
Metabolic Syndrome
Waist Circumference
(Men >40”, Women >35”)
Triglycerides (>150 mg/dL)
Blood Sugar (>100 mg/dL)
Blood Pressure (>130/85 mmHg)
HDL Cholesterol
(Men <40mg/dL, Women <50 mg/dL)
AHA/ATP III
Depression
Alzheimer’s
Stroke
Cataracts
Retinopathy
Sleep Apnea
Esophagus
Cancer
Breast Cancer
Heart Attack
Cardiovascular
Disease
Gall Bladder
Disease
Congestive
Heart Failure
Nonalcoholic Fatty
Liver Disease
Hypertension
Pancreatitis
Pulmonary
Disease
Pancreas Cancer
Diabetes
Colorectal
Cancer
Kidney
Disease/Cancer
Erectile
Dysfunction
Ovarian Cancer
Gynecological
Abnormalities
Urinary Tract
Cancer
Endometrial
Cancer
Psoriasis
Arthritis
Non-Hodgkins
Lymphoma
Gout
Disease Risk Associated With
Metabolic Syndrome Elements
Leukemia
So here’s the problem…
Metabolic Syndrome increases
the risk of:
Diabetes 7 times
Heart disease 3 times
Stroke 2 times
Medical spend 4 times
Lost work days 2 times
Total Per Capita Expenditures for Insureds,
With and Without Diabetes
Health Care Cost Institute
Data weighted to reflect national, under 65 population
Data from 2012 and 2013 actuarially completed
Adults with Diabetes
1,800,000 Texans!
Risk of Diabetes
For Each Risk Factor
6
5.1
Risk of Diabetes
5
4
3
2
1
0.9
0.8
Triglycerides
Hypertension
1.1
0.2
0
HDL
Obesity
Glucose
Diabetes and Combinations of RFs
with the MS Categories
70
60
Risk of DM
50
40
30
20
10
0
1
2
3
Metabolic Syndrome Risk Factors
4
5
Diabetes and Combinations of RFs
with the MS Categories
70
60
Risk of DM
50
40
30
20
10
0
1
2
3
Metabolic Syndrome Risk Factors
4
5
Diabetes and Combinations of RFs
with the MS Categories
70
60
Risk of DM
50
40
30
20
10
0
1
2
3
Metabolic Syndrome Risk Factors
4
5
Metabolic Risk Assessment
10%
30-40%
Adult Population
4
3
2
50-60%
1
5
6
7
8
What’s your number?
Which direction are
you headed?
Diabetes Continuum
Nutrition
?
Weight
Health
Exercise and Weight Loss
Feet vs. Mouth
No matter what…your feet cannot
outrun your mouth!!
Feet vs. Mouth
Feet vs. Mouth
Weight Loss 101
• It’s not what you eat...
it’s when and how you eat!
• Learn difference between appetite and hunger
• Eat when you’re hungry, not when you’re not!
• Slow down…
Your stomach does NOT have taste buds!
www.naturallyslim.com
Remember……
The position we occupy is not as
important as the direction we are
moving in.
Leo Tolstoy
1828-1910
Contact Information
Todd Whitthorne
[email protected]
214-706-5471
@twhitthorne