Table 2 Prevalences of the metabolic syndrome and the frequencies of its criteria according to the different proposed definitions for childhood and adolescence in 1205 overweight Caucasian children and adolescents.
Cook et al13 | (%) | De Ferranti et al15 | (%) | Viner et al14 | (%) | Weiss et al12 | (%) | ||||
---|---|---|---|---|---|---|---|---|---|---|---|
⩾3 of the 5 criteria below: | 21 | ⩾3 of the 5 criteria below: | 39 | ⩾3 of the 4 criteria below: | 18 | ⩾3 of the 5 criteria below: | 29 | ||||
WC ⩾90th percentile | 78 | WC ⩾75th percentile for | 80 | BMI ⩾95th percentile for | 89 | BMI >97th percentile for | 80 | ||||
for age and gender | age and gender | age and gender | age and gender | ||||||||
BP ⩾90th percentile | 32 | BP ⩾90th percentile | 32 | Systolic BP ⩾95th percentile | 22 | BP ⩾95th percentile | 22 | ||||
Triglycerides ⩾110 mg/dl | 43 | Triglycerides ⩾100 mg/dl | 52 | 1 of the 3 criteria below: | 36 | Triglycerides >110 mg/dl | 43 | ||||
HDL‐chol ⩽40 mg/dl | 17 | HDL‐chol | 54 | Triglycerides ⩾150 mg/dl | 21 | HDL‐chol <40 mg/dl | 17 | ||||
Impaired fasting glucose | 1 | ⩽50 mg/dl (female) or | HDL‐chol <35 mg/dl | 6 | Impaired glucose tolerance* | 14 | |||||
⩽45 mg/dl (male) | Total chol ⩾95th percentile | 18 | |||||||||
Impaired fasting glucose | 1 | 1 of the 3 criteria below: | 27 | ||||||||
Impaired fasting glucose | 1 | ||||||||||
Impaired glucose tolerance* | 14 | ||||||||||
Fasting insulin: | 26 | ||||||||||
⩾15 mU/l prepubertal | |||||||||||
⩾30 mU/l pubertal | |||||||||||
⩾20 mU/l late/postpubertal |
*Oral glucose tolerance test was performed in 194 children; disturbed glucose metabolism was defined in the other children by impaired fasting glucose or hyperinsulinaemia (⩾15 mU/l for prepubertal children, ⩾30 mU/l for pubertal children, ⩾20 mU/l for postpubertal children).
BP, blood pressure; chol, cholesterol; WC, waist circumference.