Diagnosis
4
Table 1. Criteria Proposed for Clinical Diagnosis of the
Metabolic Syndrome or Metabolic Risk
Clinical measure
AHA/NHLBI
a
Revised
NCEP-ATPIII
Original International
Diabetes Federation
b
Age Range None None
Selection criteria 3 of the 5 below Start with elevated waist
circumference as below
Body weight/waist
circumference (WC)
WC ≥102 cm in men or
≥88 cm in women (non-
Asian origin)
WC ≥90 cm in men or
≥80 cm in women (both
East Asians and South
Asians)
WC ≥94 cm in men or
≥80 cm in women
(Europids, Sub-Saharan
Africans, and Middle
Eastern)
WC ≥90 cm in men or
≥80 cm in women (both
East Asians and South
Asians; South and Central
Americans)
WC ≥85 cm in men or
≥90 cm in women
( Japanese)
plus any 2 of the following
Triglycerides (TGL)
(fasting )
TGL ≥150 mg/dL
(≥1.7mmol/L)
or on TGL Rx
TGL ≥150 mg/dL
(≥1.7 mmol/L)
or on TGL Rx
HDL cholesterol HDL-C <40 mg/dL
(<1.0 mmol/L) in men or
<50 mg/dL (<1.3 mmol/L)
in women or on HDL-C
Rx
HDL-C <40 mg/dL
(<1.0 mmol/L) in men or
<50 mg/dL (<1.3 mmol/L)
in women or on HDL-C
Rx
Blood pressure ≥130 mmHg systolic
or ≥85 diastolic or on
hypertension Rx
≥130 mmHg systolic
or ≥85 diastolic or on
hypertension Rx
Glycemia Fasting glucose ≥100 mg/dL
(5.6 mmol/L) or drug
treatment for elevated
glucose
Fasting glucose ≥100 mg/dL
(5.6 mmol/L) (includes
diabetes)
a
Grundy SM, Cleeman JI, Daniels SR, et al. Diagnosis and management of the metabolic
syndrome: an American Heart Association/National Heart, Lung, and Blood Institute Scientific
Statement. Circulation. 2005;112(17):2735-2752.
b
Alberti KG, Zimmet P, Shaw J, International Diabetes Federation Epidemiolog y Task Force
Consensus Group. e metabolic syndrome–a new worldwide definition. Lancet.
2005;366(9491):1059-1062.
