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Table 2 Prevalences of the metabolic syndrome and the frequencies of its criteria according to the different proposed definitions for childhood and adolescence in 1205 overweight Caucasian children and adolescents
Cook et al13(%)De Ferranti et al15(%)Viner et al14(%)Weiss et al12(%)
⩾3 of the 5 criteria below:21⩾3 of the 5 criteria below:39⩾3 of the 4 criteria below:18⩾3 of the 5 criteria below:29
WC ⩾90th percentile78WC ⩾75th percentile for80BMI ⩾95th percentile for89BMI >97th percentile for80
for age and genderage and genderage and genderage and gender
BP ⩾90th percentile32BP ⩾90th percentile32Systolic BP ⩾95th percentile22BP ⩾95th percentile22
Triglycerides ⩾110 mg/dl43Triglycerides ⩾100 mg/dl521 of the 3 criteria below:36Triglycerides >110 mg/dl43
HDL‐chol ⩽40 mg/dl17HDL‐chol54 Triglycerides ⩾150 mg/dl21HDL‐chol <40 mg/dl17
Impaired fasting glucose1 ⩽50 mg/dl (female) or HDL‐chol <35 mg/dl6Impaired glucose tolerance*14
 ⩽45 mg/dl (male) Total chol ⩾95th percentile18
Impaired fasting glucose11 of the 3 criteria below:27
 Impaired fasting glucose1
 Impaired glucose tolerance*14
 Fasting insulin:26
  ⩾15 mU/l prepubertal
  ⩾30 mU/l pubertal
  ⩾20 mU/l late/postpubertal

*Oral glucose tolerance test was performed in 194 children; disturbed glucose metabolism was defined in the other children by impaired fasting glucose or hyperinsulinaemia (⩾15 mU/l for prepubertal children, ⩾30 mU/l for pubertal children, ⩾20 mU/l for postpubertal children).

BP, blood pressure; chol, cholesterol; WC, waist circumference.

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