
What Is Metabolic Syndrome?
Metabolic syndrome, also known as Syndrome X, Insulin Resistance Syndrome, or Dysmetabolic Syndrome, is a cluster of interrelated health conditions that significantly raise the risk of heart disease, stroke, and type 2 diabetes.

The term metabolic syndrome was first coined in 1988 by Dr. Gerald Reaven, who observed a consistent clustering of risk factors—high cholesterol, elevated blood pressure, and high blood sugar—particularly among individuals with higher body weight.
This cluster of conditions signals an elevated cardiovascular risk and, without intervention, often leads to rapid weight gain around the midsection and a predisposition to diabetes and other serious health complications.
According to the World Health Organization, common symptoms of metabolic syndrome include elevated cortisol levels, high blood pressure, increased blood sugar, fatigue, and a concentration of abdominal fat, often seen as a “spare tire” around the waist.
Key Characteristics of Metabolic Syndrome
Addressing metabolic syndrome often requires lifestyle changes such as improved diet, regular physical activity, and weight management to reduce these risk factors, aiming to prevent the progression to more severe conditions like type 2 diabetes and cardiovascular disease.

Metabolic Syndrome Symptoms
Metabolic syndrome encompasses a range of symptoms that often indicate underlying health issues, forming a complex web of interconnected conditions. These symptoms are not isolated occurrences but rather signals of an imbalance in the body’s metabolic processes. Recognising these symptoms is crucial, as it allows individuals to take proactive steps toward better health. For instance, common signs such as persistent fatigue, high blood pressure, and abdominal obesity may seem benign at first but can lead to serious health complications if ignored. When individuals acknowledge these early warning signs, they can seek timely medical intervention, potentially reversing or managing the syndrome before it progresses to more severe conditions like type 2 diabetes or cardiovascular disease.
Furthermore, being aware of the symptoms associated with metabolic syndrome encourages individuals to assess their lifestyle choices critically. It prompts a closer look at dietary habits, physical activity levels, and stress management techniques. By understanding the relationship between their symptoms and their lifestyle, individuals can make informed decisions that lead to positive changes.
This could include adopting a healthier diet, increasing physical activity, or incorporating stress-reduction practices into their daily routine. Overall, the ability to recognise and understand the symptoms of metabolic syndrome is the first step toward taking charge of one’s health and preventing the potential complications that arise from this multifaceted syndrome.
Here are some common symptoms associated with metabolic syndrome (Swarup 2024) :
Being aware of these symptoms is crucial for early detection and management of metabolic syndrome, allowing for timely lifestyle modifications and medical interventions to improve overall health.
Metabolic Syndrome Criteria
A diagnosis of metabolic syndrome is made if you have three or more of the following risk factors, each of which independently increases the risk of cardiovascular disease, type 2 diabetes, and stroke. (Huang 2009).
Meeting this threshold is a strong warning sign to take proactive steps toward lifestyle and health changes to reduce these risks.
Criteria for Metabolic Syndrome Diagnosis:

Strong Indicator To Adopt Healthier Habits
Each of these symptoms alone elevates the risk of severe health issues, but having three or more dramatically increases that risk. If you meet the criteria for metabolic syndrome, it’s crucial to recognise this as a strong indicator to adopt healthier habits—through diet, exercise, and managing stress—to lower your risk and prevent further health complications.
In New Zealand, metabolic syndrome affects a significant portion of the population, with surveys estimating that 32% of Māori (New Zealand’s indigenous people), 39% of Pacific Islanders, and between 16% and over 40% of New Zealanders of European descent are impacted. This widespread issue is evidenced by the increase in individuals with larger body types, a trend that’s not unique to New Zealand but also very prevalent in the United States and other developed countries like England.
This rise in metabolic syndrome is often visible, as lifestyle shifts and environmental factors contribute to a higher prevalence of obesity and associated health risks globally. The widespread nature of metabolic syndrome underscores the need for public health initiatives, education on healthy lifestyle choices, and accessible healthcare strategies to help manage and prevent its impact on communities everywhere.
Metabolic Sin-drome: A Disease of Modern Civilisation

Metabolic syndrome, or as I sometimes call it, metabolic “sin”drome, represents one of the major “diseases of modern civilization.” This condition, marked by a combination of unhealthy lifestyle factors, continues to rise as people adopt more sedentary habits and processed diets.
The syndrome often results from high consumption of refined carbohydrates, sugary drinks, fatty takeaways, and excessive indulgence, compounded by a lack of physical activity and overuse of screens.
The risk is increasingly relevant for today’s children. Unlike past generations who spent more time outdoors and engaged in physical play, today’s youth face a high-tech lifestyle that encourages unhealthy eating, increased screen time, and stress from intense computer games, all of which elevate cortisol levels and can lead to early-onset metabolic syndrome.
The Stages of Metabolic Syndrome Progression
Metabolic syndrome progresses through several stages, with age-specific milestones that mark increasing risk if lifestyle factors remain unaddressed:
Growing Concern for Childhood Obesity and Lifestyle Risks

Increasingly, children are showing signs of metabolic syndrome due to poor diet and sedentary lifestyles.
Rising obesity rates among youth are directly tied to higher screen time and elevated cortisol levels from fast-paced gaming, both of which contribute to weight gain.
Key insights about metabolic syndrome trends:
A quick observation of neighbourhoods in affected countries highlights the growing issue. Metabolic syndrome has become more than a personal health matter; it’s a societal concern that needs proactive intervention and lifestyle changes.

Metabolic Syndrome Is Related To Insulin Resistance
Metabolic syndrome is closely linked to insulin resistance, a condition in which the body becomes less responsive to insulin, the hormone that regulates blood sugar.
This resistance means that, despite the presence of insulin, glucose from food cannot effectively enter cells to be used for energy. Instead, glucose accumulates in the bloodstream, leading to high blood sugar levels. Most individuals with metabolic syndrome already exhibit some degree of insulin resistance, making it a crucial component of this syndrome.
As insulin resistance progresses, it poses significant health risks, including heart disease, eye disease, and type 2 diabetes.
Elevated blood sugar levels can lead to damage in blood vessels and nerves, increasing the chances of serious complications over time.
Recognising the connection between metabolic syndrome and insulin resistance is vital for early intervention. Making lifestyle changes such as improving diet, increasing physical activity, and managing stress can help restore insulin sensitivity and mitigate these risks.
Key Points to Know:
Metabolic Syndrome Treatment
Effective treatment for metabolic syndrome often begins with self-care and lifestyle modifications. By focusing on healthy eating principles and habits, individuals can significantly reduce their risk factors and improve their overall health.
Let’s explore the 4 essential changes you can make to combat metabolic syndrome:
1. Change Your Lifestyle
Regular exercise is crucial for managing metabolic syndrome. Even if immediate weight loss isn’t apparent, physical activity can help lower blood pressure, cholesterol, and insulin resistance. If you’re not already active, start gently by incorporating more walking into your routine and gradually increasing your daily activity level. Consider using a pedometer to track your steps and aim to be active most days of the week. It’s important to find a fitness routine that suits your personality to ensure consistency, while also avoiding overexertion.
2. Eat Well
A balanced and nutritious diet can improve cholesterol levels, insulin resistance, and blood pressure, even without significant weight loss. Consult with your naturopath or a certified nutritionist for personalised guidance, especially if you have existing health conditions such as heart disease or diabetes. A Mediterranean-styled diet rich in fruits, vegetables, lean proteins, legumes, probiotic and fermented foods, and whole grains is recommended. Many healthcare professionals advocate for the Mediterranean or DASH diet, which effectively balances healthy fats with carbohydrates and proteins.
3. Lose Weight
Achieving and maintaining a healthy weight is crucial for individuals who are overweight or obese. Even modest weight loss can lead to significant improvements in managing metabolic syndrome. Every pound lost can positively impact your health, making it easier to control blood pressure and improve overall well-being.
4. Quit Smoking
While smoking may not directly cause metabolic syndrome, it significantly increases the risk of cardiovascular disease and blood vessel damage. Quitting smoking is a vital step toward better health and can enhance the effectiveness of other lifestyle changes.
By focusing on these lifestyle adjustments, you can take control of your health and effectively manage metabolic syndrome. The journey may require effort and commitment, but the rewards—improved health and reduced risk of serious complications—are well worth it.
The Metabolic Syndrome Diet

Adopting a diet that focuses on natural, whole foods is essential for managing metabolic syndrome.
By prioritising fresh ingredients and home-cooked meals, you can ensure your nutrition is both wholesome and beneficial.
Here are some dietary guidelines to help you make healthier choices:
By following these dietary guidelines, you can create a nourishing eating plan that supports your overall health and helps manage metabolic syndrome effectively.
Article of Interest 50 Healthiest Snack Ideas

Avoid These Foods First
It’s time to stop eating those really sweet foods, fatty foods, or highly salted foods first. They are the top-tier when it comes to junk food.
These foods are sky high in calories, refined sugar, unhealthy fats, sodium, and all kinds of chemicals, including flavours and colours, which can contribute to various health issues when consumed in excess. It’s important to get rid of all these junk foods and prioritise whole, nutrient-dense options for better gut health. Are you eating any of the following junk foods? It’s not good for our gut!
The Very Sweet
The Very Fatty
The Very Salty
10 Best Healthy Eating Concepts
The following points have been the mainstay of nutritional recommendations from our clinic for many years until my retirement, and here it is online. I’d like to think some of our advice has helped people recover their health, and that it can help you recover and remain in very good health as well.
Key Diet and Nutrition Pages

Eric Bakker N.D.
Greetings! I am a naturopathic physician from New Zealand. Although I’ve retired from clinical practice since 2019, I remain passionate about helping people improve their lives. You’ll find I’m active online with a focus on natural health and wellbeing education through my Facebook page and YouTube channel, including this website.