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Table 1 A summary of the definitions of the metabolic syndrome

From: Methotrexate therapy associates with reduced prevalence of the metabolic syndrome in rheumatoid arthritis patients over the age of 60- more than just an anti-inflammatory effect? A cross sectional study

  NCEP 2004 [18] NCEP 2001 [19] WHO [20] EGIR [22] IDF [21]
Number of criteria Three or more of: Three or more of: And two or more of: And two or more of: And two or more of:
Obesity WC ≥ 102 cm (men), WC ≥ 88 cm (women) WC ≥ 102 cm (men), WC ≥ 88 cm (women) BMI > 30 and/or WHR > 0.9 (men), WHR > 0.85 (women) WC ≥ 94 cm (men, WC ≥ 80 cm (women) WC ≥ 94 cm men, WC ≥ 80 cm women*
Hypertension (mmHg) ≥ 130/85** ≥ 130/85** ≥ 140/90 ≥ 140/90** ≥ 130/85**
Dyslipidaemia:
HDL-C (mmol/L)
< 1.0 (men),
< 1.3 (women)**
< 1.0 (men),
< 1.3 (women)**
< 0.9 (men)
< 1.0 (women) or
< 1.0** < 1.0 (men)
< 1.3 (women)**
TG (mmol/L) ≥ 1.7** ≥ 1.7** ≥ 1.7 > 2.0** > 1.7**
Glucose intolerance or fasting plasma glucose (mmol/L) ≥ 5.6** ≥ 6.1** ≥ 6.1, DM, IGT, IR ≥ 6.1 (excludes diabetics)
Insulin in top 25%
≥ 5.6**
Albumin/creatinine ratio (mg/L) N/A N/A ≥ 30 N/A N/A
  1. Text in bold italics: prerequisite for diagnosis, in addition to the number of other criteria needed to be met. ** or treated for abnormality, * cut-off values differ according to ethnic origin.
  2. BMI = body mass index; DM = diabetes mellitus; EGIR = European Group against Insulin Resistance; HDL-C = high-density lipoprotein-cholesterol; IDF = International Diabetes Federation; IGT = impaired glucose tolerance; IR = insulin resistance; N/A = not applicable;NCEP = National Cholesterol Education Programme; TG = triglyceride; WC = waist circumference; WHO = World Health Organization; WHR = waist hip ratio.