Table 2

IDF proposal for metabolic syndrome definition in children and adolescents

Criteria/components

Age


6 to <10 years-old

10 to 16 years-old

>16 years-old


Adiposity definition

WC ≥ 90th percentile

WC ≥ 90th percentile

WC ≥ 90 cm (boys) or ≥ 80 cm (girls)

Glucose metabolism

Without cut-off definition for MS diagnosis

Fasting blood glucose ≥ 100 mg/dl

Fasting blood glucose ≥ 100 mg/dl

Dyslipidemia

Without cut-off definition for MS diagnosis

Tg ≥ 150 mg/dl or HDL-ch ≥ 40 mg/dl or taking LLD

Tg ≥ 150 mg/dl or HDL-ch ≥ 40 (boys) or ≥ 50 mg/dl (girls) or taking LLD

Arterial hypertension

Without cut-off definition for MS diagnosis

DBP ≥ 130 or SBP ≥ 85 mmHg or taking AHD

DBP ≥ 130 or SBP ≥ 85 mmHg or taking AHD


WC: waist circumference; MS: metabolic syndrome; Tg: triglyceride levels; HDL-ch: HDL-cholesterol levels; LLD: lipid-lowering drug; DBP: diastolic blood pressure; SBP: systolic blood pressure; AHD: antihypertensive drug.

Mancini Diabetology & Metabolic Syndrome 2009 1:20   doi:10.1186/1758-5996-1-20

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