Table 1.
Various criteria of diagnosis of the metabolic syndrome
| Clinical measure | World Health Organization (1998) | European Group for the Study of Insulin Resistance (1999) | Adult Treatment Panel III (2001) |
|---|---|---|---|
| Insulin resistance | Impaired glucose tolerance, impaired fasting glucose, type 2 diabetes, or lowered insulin sensitivity + any two of the following | Plasma insulin >75th percentile + any two of the following | None, but any three of the following five features |
| Body weight | BMI >30 kg/m2 or waist-to-hip ratio >0.9 (men) or >0.85 (women) | Waist circumference ≥94 cm (men) or ≥80 cm (women) | Waist circumference ≥94 cm (men) or ≥80 cm (women) |
| Lipid | Triglycerides ≥150 mg/dl and/or HDL cholesterol <35 mg/dl in men or <39 mg/dl in women | Triglycerides ≥150 mg/dl and/or HDL cholesterol <39 mg/dl in men or women | Triglycerides ≥150 mg/dl and/or HDL cholesterol <40 mg/dl in men or <50 mg/dl in women |
| Blood pressure | ≥140/90 mmHg | ≥140/90 mmHg or on hypertension Rx | ≥130/85 mmHg |
| Glucose | Impaired glucose tolerance, impaired fasting glucose, or type 2 diabetes | Impaired glucose tolerance or impaired fasting glucose | >110 mg/dl |
| Other | Microalbuminuria |