TABLE 1.
Characteristics | WHO 1999 | EGIR 1999 | NCEP: ATP III 2001 | IDF 2006 |
Basic elements | Glucose intolerance, IGT or diabetes mellitus and/or insulin resistance plus 2 or more of the following: | Plasma insulin concentration >75th percentile of non-diabetic patients plus 2 or more of the following: | 3 or more of the following: | Central obesity plus any 2 of the following: |
Obesity | Waist-to-hip ratio of 0.90 (men) or 0.85 (women) and/or BMI > 30 kg/m2 | Waist circumference > 94 cm (men) or 80 cm (women) | Waist circumference > 102 cm (men) or 88 cm (women) | Waist circumference* (ethnicity specific) or BMI > 30 kg/m2 |
Fasting plasma glucose | Impaired fasting glucose | ≥6.1 mmol/l (110 mg/dl) but non-diabetic | ≥5.6 mmol/l (100 mg/dl) | ≥5.6 mmol/l (100 mg/dl) or previously diagnosed T2DM |
Dyslipidemia | TG ≥ 1.7 mmol/l (150 mg/dl); HDL-C < 0.9 mmol/l (35 mg/dl) (men) or <1.0 mmol/l (39 mg/dl) (women) | TG ≥ 1.7 mmol/l (150 mg/dl) or on treatment; HDL-C < 1.0 mmol/l (39 mg/dl) (men and women) | TG ≥ 1.7 mmol/l (150 mg/dl) HDL-C < 1.7 mmol/l (40 mg/dl) (men); <1.29 mmol/l (50 mg/dl) (women) | TG ≥ 1.7 mmol/l (150 mg/dl) or on treatment HDL-C < 1.03 mmol/l (40 mg/dl) (men) of <1.29 mmol/l (50 mg/dl) (women) or on treatment |
Hypertension | ≥140/90 mmHg | ≥140/90 mmHg | Systolic ≥ 130 mmHg or diastolic ≥ 85 mmHg | Systolic ≥ 130 mmHg or diastolic ≥ 85 mmHg or on treatment |
Others | Urinary albumin excretion rate ≥ 20 μg/min or albumin/creatinine ≥ 20 mg/g |
*Waist circumference: for European populations, >94 cm (men) and >80 cm (women); for South Asian, Chinese and Japanese populations, >90 cm (men) and >80 cm (women); for ethnic South and Central American populations, use the South Asian data; and for sub-Saharan African, Eastern Mediterranean and Middle Eastern (Arab) populations, use the European data.