Table 1
Criteria for
Clinical Diagnosis of Metabolic Syndrome
Clinical
Measure WHO (1998) ATP III (2001) AACE (2003) IDF (2005) AHA/NHLBI (2005)
Insulin
resistance IGT, IFG, T2DM, None IGT or IFG None None
or
lowered insulin
Sensitivity
plus any 2 of but any 3 of plus any of the but any 3 of the
the following the
following following based following
5 features
5
features on clinical
judgment
Body
Weight Men: Men: BMI
> 25 kg/m2 Increased >
102 cm in men
W-H
ratio >.90 WC >
102 cm WC
(pop. >
88 cm in women
Women: Women specific)
W-H
ratio >.85 WC >88
cm plus
any 2
and/or
BMI > of
the
30 kg/m2 following
Lipids TG > 150 mg/dl TG > 150 mg/dl TG > 150 mg/dl TG > 150 mg/dl TG > 150 mg/dl or
and/or
HDL-C HDL-C<40 mg/dl and HDL-C < 40 or on TG Rx on TG Rx
< 35
mg/dl in in men or <50 mg/dl
in men or HDL-C < 40 HDL-C<40
mg/dl in men
men or
< 39 mg/dl in women <50
mg/dl in mg/dl in men HDL-C<50mg/dl in women
mg/dl in
women women or
< 50 mg/dl or on HDL-C Rx
in women or
or HDL-C Rx
Blood
Pressure > 140/90 mm Hg >
130/85 mm Hg > 130/85 mm
Hg > 130/85 mm Hg > 130/85 mm Hg
or on BP Rx or on BP Rx
Glucose IGT, IFT, or T2DM > 110 mg/dl IGT
or IFT > 100 mg/dl > 100 mg/dl
or BG Rx
Other Microalbuminuria Other features
of
insulin resistance
Adapted
from reference 7, Grundy et al, Circulation 2005.
Table 2
Nutrition
Recommendations for the Risk Factors of Metabolic Syndrome
ADA NCEP JNC-7
Total
Fat Individualize 25-35% Reduced
content;
Low
fat dairy; DASH eating plan
Saturated
Fat <
10% < 7% Reduced content; DASH eating plan
< 7% if LDL>100
Trans
Fat Low intake Low
intake Not specified
Cholesterol <
300 mg/dl < 200 mg/dl Not
specified
< 200 if LDL>100 mg/dl
Monounsaturated
Fat (MUFA) 60-70% (MUFA + CHO) up to 20% Not
specified
Polyunsaturated
Fat (PUFA) ~ 10% up to 10% Not
specified
Omega-3
Fatty Acids 2-3
servings of increased intake Not specified
fish/week if
at risk
Carbohydrate
(CHO) 60-70% (CHO + MUFA) 50-60% DASH
eating plan
Fiber no
specific recommend. 20-30 grams adopt
diet rich in
Increased use fruits and vegetables
encouraged
Protein 15-20% ~15% Not specified
Sodium reduce
salt (NaCl Not specified reduce
salt (NaCl
To 6000 mg/day to 6000 mg/day
Alcohol 1
drink/day – women Not specified 1 drink/day - women