Table 3.

Proposal to replace high WC by high ABSI as the criterion of abdominal obesity in the diagnosis of MetS

	Japanese criteria	IDF criteria for Asians	NCEP-ATPIII criteria
Definition of MetS	(1) + any 2 or more of (2) to (4)	(1) + any 2 or more of (2) to (5)	3 or more of (1) to (5)
Components
Abdominal obesity	(1) WC ≥85 cm (males), ≥90 cm (females)	(1) WC ≥90 cm (males), ≥80 cm (females)	(1) WC ≥102 cm (males), ≥88 cm
			(females)
	Proposal to replace high WC by high ABSI (≥ 0.080, both sexes) as the criteria of abdominal obesity
Hypertension	(2) SBP ≥130 mm Hg and/or DBP	(2) SBP ≥130 mm Hg and/or DBP	(2) SBP ≥130 mm Hg and/or DBP
	≥85 mm Hg	≥85 mm Hg	≥85 mm Hg
Hyperglycemia	(3) FPG ≥110 mg/dL	(3) FPG ≥100 mmol/L	(3) FPG ≥100 mg/dL
Dyslipidemia	(4) TG ≥150 mg/dL and/or HDL-C	(4) TG ≥150 mg/dL	(4) TG ≥150 mg/dL
	<40 mg/dL
		(5) HDL-C <40 mg/dL (males), <50 mg/dL (females)	(5) HDL-C <40 mg/dL (males), <50 mg/dL (females)

WC, weight circumference; ABSI, a body shape index; SBP, systolic blood pressure; DBP, diastolic blood pressure; FPG, fasting plasma glucose; LDL-C, low-density lipoprotein-cholesterol; HDL-C, high-density lipoprotein-cholesterol; TG, triglyceride; MetS, metabolic syndrome; IDF, International Diabetes Federation; NCEP-ATPIII, National Cholesterol Education Program-Adult Treatment Panel III.