20
Table 8. International Diabetes Federation's Definition of the
At Risk Group and Metabolic Syndrome in Children
and Adolescents
Age
group
(years)
Obesity
(WC) Triglycerides HDL-C
Blood
pressure Glucose
6 –<10
a
≥90th
percentile
>1.7 mmol/L
(≥150 mg/dL)
<1.03
mmol/L
(<40 mg/dL)
Systolic BP
>130 or
diastolic BP
>85 mm Hg
FPG ≥
5.6 mmol/L
(100 mg/dL)
b
or known
T2DM
10–<16 ≥90th
percentile or
adult cut-off
if lower
16+
(Adult
criteria)
WC ≥94 cm
for Europoid
males and
>80 cm for
Europid
females, with
ethnic-
specific
values
for other
groups
c
)
>1.7 mmol/L
(≥150 mg/dL)
or specific
treatment
for high
triglycerides
<1.03
mmol/L
(<40 mg/dL)
in males and
<1.29
mmol/L
(<50 mg/dL)
in females
or specific
treatment for
low HDL
Systolic BP
≥130 or
diastolic BP
>85 mm Hg
or treatment
of previously
diagnosed
hypertension
FPG ≥
5.6 mmol/L
(100 mg/dL)
b
or known
T2DM
a
Metabolic syndrome cannot be diagnosed, but further measurements should be made if there is a
family history of metabolic syndrome, T2DM, dyslipidemia, cardiovascular disease. hypertension
and/or obesity.
b
For clinical purposes, but not for diagnosing the metabolic syndrome, if FPG 5.6–6.9 mmol/L
(100–125 mg/dL) and not known to have diabetes, an oral glucose tolerance test should be
performed.
c
For those of South and South-East Asian, Japanese, and ethnic South and Central American
origin, the cutoffs should be ≥90 cm for men and ≥80 cm for women. e IDF Consensus group
recognize that there are ethnic, gender and age differences, but research is still needed on outcomes
to establish risk.
Diagnosing the metabolic syndrome requires the presence of central obesity plus any two of the
other four factors.
Taken from: Zimmet P, et al.; IDF Consensus Group. Pediatr Diabetes. 2007;8:299-306.284.
Permission to reprint was obtained.
Children and Adolescents
