Table 1.
Diagnostic criteria for metabolic syndrome (adapted from UpToDate’s definition of metabolic syndrome)
| Parameters | NCEP ATP III 2005 | IDF 2005 | AACE 2003 |
|---|---|---|---|
| Required | Waist ≥94 cm (men) or ≥80 cm (women) | High risk of insulin resistance or BMI ≥25 kg/m2 or waist≥102 cm (men) or ≥88 cm (women) | |
| Number of abnormalities | ≥3 of below items | And ≥2 of below items | And ≥2 of below items |
| Glucose | ≥5.6 mmol/L (100 mg/dL) or drug treatment for elevated blood glucose | ≥5.6 mmol/L (100 mg/dL) or diagnosed diabetes | ≥6.1 mmol/L (110 mg/dL) or ≥2 h glucose 7.8 mmol/L (140 mg/dL) |
| HDL cholesterol | <1.0 mmol/L (40 mg/dL) (men); <1.3 mmol/L (50 mg/dL) (women) or drug treatment for low HDL-C | <1.0 mmol/L (40 mg/dL) (men); <1.3 mmol/L (50 mg/dL) (women) or drug treatment for low HDL-C | <1.0 mmol/L (40 mg/dL) (men); <1.3 mmol/L (50 mg/dL) (women) |
| TGs | ≥1.7 mmol/L (150 mg/dL) or drug treatment for elevated TGs | ≥1.7 mmol/L (150 mg/dL) or drug treatment for high TGs | ≥1.7 mmol/L (150 mg/dL) |
| Obesity | Waist ≥102 cm (men) or ≥88 cm (women) | ||
| HTN | ≥130/85 mmHg or drug treatment for HTN | ≥130/85 mmHg or drug treatment for HTN | ≥130/85 mmHg |
NCEP ATP III=The National Cholesterol Education Program-Adult Treatment Panel III; IDF=International Diabetes Federation; AACE=American Association of Clinical Endocrinologist; HDL-C=High-density lipoprotein-cholesterol; BMI=Body mass index; TGs=Triglycerides; HTN=Hypertension