Table 2.
Metabolic syndrome criteria for pediatric populations
| Ages (years) | AHA Criteria 12–19 |
IDF Criteria
|
||
|---|---|---|---|---|
| 6 to 9 | 10–15 | 16+ (adult criteria) | ||
| Waist circumference | >75th percentile for age and gender | ≥90th percentile | ≥90th percentile Or adult cut off if lower | Adult ethnic norms (or BMI > 30) |
| Blood Pressure | >90th percentile for age, gender and height | Cannot diagnose metabolic syndrome, but screen if suggestive family history | Systolic ≥ 130 or Diastolic ≥ 85 | Systolic ≥ 130 or Diastolic ≥ 85 Or treatment of diagnosed hypertension |
| Triglycerides | ≥1.1 mmol/L (≥100 mg/dL) | ≥1.7 mmol/L (≥150 mg/dL) | ≥1.7 mmol/L (≥150 mg/dL) | |
| HDL-C | boys 15–19: <1.17 mmol/L (<45 mg/dL) | <1.03 mmol/L (<40 mg/dL) | Males: <1.03 mmol/L (<40 mg/dL) | |
| all others: <1.3 mmol/L (<50 mg/dl) | Females: <1.29 mmol/L (<50 mg/dL) Or treatment for dyslipidemia | |||
| Fasting Glucose | ≥6.1 mmol/L (≥110 mg/dL) | ≥5.6 mmol/L (≥100 mg/dL) If elevated FG, recommend OGTT | ≥5.6 mmol/L (≥100 mg/dL) Or diagnosis of T2DM | |