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The real value of diagnosing the metabolic syndrome may be to engender clinicians with a mind-set to focus on prevention of disease.
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Citations
... But the Dutch have grown most rapidly, partly because they were more stunted during the nineteenth century than were either the British or the Americans (Fogel, 2004). However, insulin resistance syndrome had already become increasingly prevalent by 1923, which Kylin termed 'metabolic syndrome' (Spellman & Chemitiganti, 2010). ...
... This was an interesting period for Western medicine: Penicillin had been discovered in 1920, but it was still unavailable to the Indian masses. In the West, the consequences of overnutrition were becoming apparent, prompting Kylin to coin the term 'metabolic syndrome' in 1923 (Spellman & Chemitiganti, 2010) and insulin to be discovered in 1930. ...
Insulin resistance syndrome, with diabetes in particular, is affecting an ever-increasing proportion of India's population. The increasing consumption of low-fibre and refined carbohydrates is thought to be related to the increased risk of insulin resistance syndrome.
The aim was to study the history of eating behaviours in India, the patterns (macronutrients, frequency, and quantity) of food consumption amongst ancient, medieval and modern Indians, and the evolution of a primarily low-fibre and refined carbohydrate diet.
The ancient dietary laws of India, historical documents, ancient and medieval literature and poetry were studied covering a time period of more than 2000 years and compared with modern diets among people of different geographical regions, faiths, and social strata using USDA's National Nutritional Database for analysis.
The data presented shows a gradual shift over the centuries from a low intake of high-fibre carbohydrates and animal proteins to an increasing intake of high-fibre and refined carbohydrates associated with a decreasing intake of animal proteins. Between 1775 and 1947 there was a shift to a frequent intake of high-fibre carbohydrates. From 1947 onwards there has been an increase in the frequency of intake and quantities of low-fibre and refined carbohydrates with protein intake improving only marginally.
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