The cluster of metabolic disorders associated with syndrome X includes insulin resistance, elevated triglycerides, a prothrombotic state and hypertension. The suggestion that this is a potentially reversible condition implies by association that the other conditions mentioned are also potentially reversible. Once a clinician understands and identifies IR within the population they serve, actions can be taken that might correct the condition. Recognition and initiating steps toward improvement are the first steps of primary prevention. Health care practitioners, including midwives, are exposed to these conditions in their practices, yet many times feel inadequate to provide the support needed to promote significant and permanent changes.
Obesity is a major health problem in America.
Recent research has yielded new finding concerning the causes of obesity, as well as new goals for obesity treatment. Considering the fact that IR is seen before the onset of major health conditions, and new research suggests it is a reversible condition, CPGs can provide practitioners with tools for screening their overweight and obese clients for IR and then providing them with guidance and information to help promote healthy lifestyle changes that have the potential to improve their health.