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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