Table 1.
Definition of metabolic syndrome in children.
| Cook et al., 2003 (NCEP) |
Weiss et al., 2004 (NCEP) |
Zimmet et al., 2007 (IDF) |
Ahrens et al., 2014 (IDEFICS) |
|
|---|---|---|---|---|
| WC | ≥90° ptc | ≥90° ptc | ≥90°(95°) ptc | |
| SBP | ≥90° ptc | ≥95° ptc | ≥130 mmHg | ≥90°(95°) ptc |
| DBP | ≥90° ptc | ≥95° ptc | ≥85 mmHg | ≥90°(95°) ptc |
| TG | ≥1.24 mmol/L | ≥95° ptc | ≥1.7 mmol/L | ≥90°(95°) ptc |
| HDL-C | ≤1.03 mmol/L | ≤5° ptc | ≤1.03 mmol/L | ≤10°(5°) ptc |
| Glucose homeostasis | IFG ≥ 6.11 mmol/L | IGT (ADA criteria) | IFG ≥ 5.6 mmol/L | HOMA-IR or IFG ≥90° (95°) ptc |
| BMI | Z score ≥ 2 |
ptc: percentile; WC: waist circumference; SBP: systolic blood pressure; DBP: diastolic blood pressure; TG triglycerides, HDL-C: high-density lipoprotein cholesterol; BMI: body mass index; IFG: fasting glucose; IGT: impaired glucose tolerance; HOMA-IR: Homeostatic Model Assessment of Insulin Resistance; NCEP: National Cholesterol Education Program; IDF: International Diabetes Federation; IDEFICS: Identification and prevention of Dietary and lifestyle-induced health Effects In Children and infantS.