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. 2022 Oct 17;63(2 Suppl 3):E56–E64. doi: 10.15167/2421-4248/jpmh2022.63.2S3.2747

Tab. I.

Diagnostic criteria for metabolic syndrome according to various health organizations.

Organization Visceral obesity TAG HDL Blood pressure (BP) Fasting plasma glucose Other Reference
• World Health Organization (WHO)

• Diabetes, IR or impaired glucose tolerance PLUS two or more other criteria.
Body mass index
> 30 kg/m2

Waist hip ratio

For males
> 0.9

For females
> 0.85
≥ 150 mg/dL For males
< 35 mg/dL

For females
< 39 mg/dL
≥ 140/90 mmHg Impaired glucose tolerance or diabetes

and/or

IR
Microalbuminuria

Urinary albumin excretion rate
≥ 20 μg/min

Albumin creatine ratio
≥ 30 μg/mg
WHO [18]
– International Diabetes Federation (IDF)

– Visceral obesity PLUS two or more other criteria.
Waist circumference

Defined with ethnic-specific values
≥ 150 mg/dL
(1.7 mmol/L)
or
specific treatment for this abnormality
For males
< 40 mg/dL
(1.03 mmol/L)

For females
< 50 mg/dL
(1.29 mmol/L)
or
specific treatment for this abnormality
Systolic BP
≥ 130 mmHg
or
Diastolic BP
≥ 85 mmHg
or
treatment of previously diagnosed hypertension
≥ 100 mg/dL
(5.6 mmol/L)
or
previously diagnosed with type II diabetes
- IDF [19]
- American Heart Association (AHA)

- At least three criteria.
Waist circumference

For males
≥ 102 cm
(≥40 inches)

For females
≥ 88 cm
(≥ 35 inches)
≥ 150 mg/dL
(1.7 mmol/L)
or
specific treatment for this abnormality
For males
< 40 mg/dL
(1.03 mmol/L)

For females
< 50 mg/dL
(1.29 mmol/L)
or
specific treatment for this abnormality
Systolic BP
≥ 130 mm Hg
or
Diastolic BP
≥ 85 mmHg
or
treatment of previously diagnosed hypertension
≥ 100 mg/dL
or
specific treatment for this abnormality
- Grundy
et al. [20]

Alberti
et al. [21]

AHA [22]