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Table 1 Diagnostic criteria for metabolic syndrome in children and adolescents

From: Metabolic syndrome: new therapeutic approaches

  IDF criteria
Age (years) 6-9 10-15 >15 (adult criteria)
Waist circumference ≥90th percentile for age (MS as entity is not diagnosed) ≥90th percentile or adult cut-off if lower ≥94 cm for males,
≥80 cm for females
Blood pressure   Systolic ≥130 or diastolic ≥85 mmHg Systolic ≥130 or diastolic ≥85 mmHg or treatment of previously diagnosed hypertension
Triglycerides   ≥1.7mmol/L (≥150 mg/dL) ≥1.7mmol/l (≥150 mg/dL)or specific treatment for high triglycerides
HDL-C   < 1.03 mmol/L (<40 mg/dL) < 1.03 mmol/L (<40 mg/dL) in male and 1.29 mmol/L (<50 mg/dL) in females or specific treatment for low HDL-C
Fasting glucose   5.6 mmol/l (100 mg/dL) 5.6 mmol/l (100 mg/dL) or known T2DM
  1. IDF: International Diabetes Federation
  2. HDL Cholesterol: High-density lipoprotein cholesterol