Table 1:
Clinical diagnosis of metabolic syndrome
| Clinical measures | WHO(1998) | EGIR | ATPIII (2001) | AACE(2003) | IDF(2005) | IDF/ATPIII 2009 |
| Insulin Resistance | IGT, IFGT2DM or lowered insulin sensitivity plus any two of the following | Plasma insulin > 75th percentile plus any 2 of the following | None but any 3 of the following 5 features | IGT or IFG plus any of the following | None | None Any 3 of the following |
| Body Weight | Men; waist to hip ratio = 0.90.Women =0.85 and or BMI= 30Kg/m2 | WC= 94cm in men and 80cm in women | WC= 102cm in men or= 88cm in women | BMI= 25kg/m2 | Increased WC (population specific) plus any 2 of the following | Increased WC (population specific) |
| Lipid | TG= 150mg/dl and/ or HDLC=35mg/dl in men and 39mg/dl in women. | TG=150mg/dl.HDL-C< 39mg/dl in men and women. | TG=150mg/dl.HDL-C < 40mg/dl in men and < 50mg/dl in women. | TG=150mg/dl and HDL-C < 40mg/dl in men or < 50mg/dl in women | TG=150mg/dl or on Rx. HDL-C <40mg/dl in men and <50mg/dl in women or on Rx. | Similar to IDF |
| Blood pressure Glucose | =140/90mmHg | =140/90 | =130/85 | =130/85 | =130 or=85 or on Rx | Similar to IDF |
| IGT, IFG, T2DM | IGT, IFG (not diabetes) | FBG> 100mg/dl includes diabetes. | IGT or IFG but not diabetes | FBG> 100mg/dl including diabetes. | Similar to IDF | |
| Others | Microalbuminuria | Other features of insulin resistance |
TG-Triglyceride HDL-C –High density lipoprotein IGT –Impaired glucose tolerance IFG- Impaired fasting glucose FBG – Fasting blood glucose T2 DM –Type 2 Diabetes Mellitus BMI- Body mass index Rx- Treatment