Table II.
Clinical Identification of the Metabolic Syndrome Using NCEP ATP III Criteria 4
| A diagnosis of the metabolic syndrome is made when ≥3 of the risk determinants are present. | |
| Risk Factor | Defining Level |
| Fasting glucose | ≥110 mg/dL |
| Blood pressure | ≥130/85 mm Hg |
| Triglycerides | ≥150 mg/dL |
| High‐density lipoprotein cholesterol | <40 mg/dL (men) |
| <50 mg/dL (women) | |
| Abdominal obesity | Waist circumferencea |
| >102 cm (>40 in) (men) | |
| >88 cm (>35 in) (women) | |
| aSome males can develop multiple risk factors when the waist circumference is only marginally increased (eg, 94–102 cm, 37–39 in). Such persons may have a strong genetic contribution to insulin resistance. Abbreviation: NCEP ATP III, Third Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. Reprinted with permission from Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III), 2002. 5 | |