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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.