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Definitions of metabolic syndrome in children and adolescents

Definitions of metabolic syndrome in children and adolescents
Parameters Modified ATP III IDF (10 to 16 years) NHANES III
Required
Waist circumference   ≥90th percentile* ≥90th percentile
Number of abnormalities ≥3 ≥2 All
Triglyceride >95th percentile ≥150 mg/dL (1.7 mmol/L) ≥110 mg/dL (1.24 mmol/L)
HDL <5th percentile <40 mg/dL (1.03 mmol/L) ≤40 mg/dL (1.03 mmol/L)
BP Either Either ≥90th percentile
Systolic >95th percentile >130 mmHg
Diastolic >95th percentile ≥85 mmHg
Glucose Impaired glucose tolerance ≥100 mg/dL (5.6 mmol/L) Fasting ≥110 mg/dL (6.1 mmol/L)
Defn_metab_s_children.htm
ATP III: Adult Treatment Panel; IDF: International Diabetes Federation; NHANES: National Health and Nutrition Examination Survey; HDL: high-density lipoprotein; BP: blood pressure.
* Ethnic-specific waist circumference (see Fernandez JR, Redden DT, Pietrobelli A, et al. Waist circumference percentiles in nationally representative samples of African-American, European-American, and Mexican-American children and adolescents. J Pediatr 2004; 145:439).
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