When taking a health history from a client with increased visceral fat as determined by waist size, the nurse would also expect to find an increased possibility of which of the following conditions?
A) Type 2 diabetes
B) Hyperthyroidism
C) Chronic renal disease
D) Hypotension
A) Type 2 diabetes
Explanation: A) The increased visceral (central) adiposity leads to insulin resistance and endothelial dysfunction, which lead to metabolic syndrome, type 2 diabetes, and atherosclerosis. The constellation of abnormalities in metabolic syndrome includes central adiposity, hypertension, insulin resistance, hyperinsulinemia, glucose intolerance, dyslipidemias (hypertriglyceridemia, decreased HDL cholesterol, and small LDL diameter), and increased plasminogen activator inhibitor-1. Central adiposity does not increase the risk of hyperthyroidism, renal disease, or hypotension.
B) The increased visceral (central) adiposity leads to insulin resistance and endothelial dysfunction, which lead to metabolic syndrome, type 2 diabetes, and atherosclerosis. The constellation of abnormalities in metabolic syndrome includes central adiposity, hypertension, insulin resistance, hyperinsulinemia, glucose intolerance, dyslipidemias (hypertriglyceridemia, decreased HDL cholesterol, and small LDL diameter), and increased plasminogen activator inhibitor-1. Central adiposity does not increase the risk of hyperthyroidism, renal disease, or hypotension.
C) The increased visceral (central) adiposity leads to insulin resistance and endothelial dysfunction, which lead to metabolic syndrome, type 2 diabetes, and atherosclerosis. The constellation of abnormalities in metabolic syndrome includes central adiposity, hypertension, insulin resistance, hyperinsulinemia, glucose intolerance, dyslipidemias (hypertriglyceridemia, decreased HDL cholesterol, and small LDL diameter), and increased plasminogen activator inhibitor-1. Central adiposity does not increase the risk of hyperthyroidism, renal disease, or hypotension.
D) The increased visceral (central) adiposity leads to insulin resistance and endothelial dysfunction, which lead to metabolic syndrome, type 2 diabetes, and atherosclerosis. The constellation of abnormalities in metabolic syndrome includes central adiposity, hypertension, insulin resistance, hyperinsulinemia, glucose intolerance, dyslipidemias (hypertriglyceridemia, decreased HDL cholesterol, and small LDL diameter), and increased plasminogen activator inhibitor-1. Central adiposity does not increase the risk of hyperthyroidism, renal disease, or hypotension.
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