Grundy et al reported criteria for the metabolic syndrome. The report is a statement of the American Heart Association and the National Heart, Lung and Blood Institute.
Patient selection: adult
(1) elevated waist circumference
(2) elevated serum triglycerides
(3) reduced serum HDL cholesterol
(4) elevated blood pressure
(5) elevated fasting glucose
A clinical diagnosis of the metabolic syndrome is made if >= 3 of the parameters are present.
Elevated waist circumference - one of the following:
(1) >= 102 cm in non-Asian American male
(2) >= 88 cm in non-Asian American female
(3) >= 90 cm in Asian American male
(4) >= 80 cm in Asian American female
Elevated serum triglycerides - one of the following:
(1) >= 150 mg/dL
(2) on drug therapy for elevated triglycerides
Reduced serum HDL cholesterol - one of the following:
(1) < 40 mg/dL in male
(2) < 50 mg/dL in female
(3) on drug therapy for reduced HDL cholesterol
Elevated blood pressure - one of the following:
(1) systolic blood pressure >= 130 mm Hg
(2) diastolic blood pressure >= 85 mm Hg
(3) on drug therapy for hypertension
Elevated fasting glucose - one of the following:
(1) >= 100 mg/dL
(2) on drug therapy for elevated glucose
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Purpose: To evaluate an adult for the metabolic syndrome using the criteria of Grundy et al.
Objective: criteria for diagnosis