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. Author manuscript; available in PMC: 2019 May 1.
Published in final edited form as: J Am Coll Cardiol. 2018 May 1;71(17):1857–1865. doi: 10.1016/j.jacc.2018.02.055

Table 1. Definition of metabolic syndrome and metabolically healthy obesity.

Harmonized International Diabetes Federation criteria for metabolic syndrome (MetS): ≥3 of the following components:
  • Triglyceride level ≥150mg/dL

  • HDL cholesterol <40mg/dL in men and <50mg/dL in women

  • Systolic blood pressure ≥130mmHG or diastolic blood pressure ≥85mmHG or blood pressure medications

  • Fasting glucose ≥100mg/dL or medications for diabetes

  • Waist circumference of >102 cm in men and >88 cm in women

Metabolic Status Groups:
  1. Metabolically healthy normal weight (MHN): BMI<30kg/m2 without MetS.

  2. Metabolically unhealthy normal weight (MUN): BMI<30kg/m2 with MetS.

  3. Metabolically healthy obesity (MHO): BMI ≥30kg/m2 without MetS.

  4. Metabolically unhealthy obesity (MUO): BMI ≥30kg/m2 with MetS.