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Table 5 The International Diabetes Federation (IDF) and updated National Cholesterol Education Panel (NCEP) definitions of metabolic syndrome.

From: The Reversal Intervention for Metabolic Syndrome (TRIMS) study: rationale, design, and baseline data

NCEP (2005)[37]

IDF (2005)[6]

ESSENTIAL REQUIREMENT

Central obesity

Waist circumference

>94 cm† (males)

>80 cm† (females)

ANY 3 out of the following 5

↓

+ ANY 2 out of the following 4

↓

1) Raised fasting plasma glucose:

≥ 5.6 mmol/l*

1) Raised fasting plasma glucose:

≥ 5.6 mmol/l

2) Raised triglycerides:**

≥ 1.7 mmol/l

and/or

3) Low HDL cholesterol:**

< 1.03 (males)

< 1.29 (females)

2) Raised triglycerides:

≥ 1.7 mmol/l

(or specific treatment for)

and/or

3) Reduced HDL cholesterol

< 1.03 (males)

< 1.29 (females),

(or specific treatment for)

4) Hypertension:**

Blood pressure ≥ 130/85 mmHg

4) Raised blood pressure:

Blood pressure ≥ 130/85 mmHg

(or treatment for previously

diagnosed hypertension)

5) Central obesity:

Waist circumference

> 102 cm (males)

> 88 cm (females)

 

Updated from the original NCEP 2001 definition [5]:

*previous fasting plasma glucose value (≥6.1 mmol/l) was updated to include a lower value;

** was updated to include drug treatment .

† Waist circumference ethnic-specific for Europid men & women; Waist circumference for South Asians (Chinese, Malay, & Asian Indian): ≥90 cm (males), & ≥80 cm (females).