Yukovic et al used the Pediatric siMS (PsiMS) score evaluate an obese pediatric patient for the risk of the metabolic syndrome. The authors are from Mother and Child Health Care Institute of Serbia, Harvard Medical School, and the University of Belgrade.
Patient selection: obese child or adolescent
Parameters:
(1) waist circumference in cm
(2) height in cm
(3) blood glucose in mmol/L
(4) serum triglycerides in mmol/L
(5) systolic blood pressure in mm Hg
(6) serum HDL cholesterol in mmol/L
waist to height ratio =
= (waist) / (height)
Parameter
Points
waist/height ratio
2 * (ratio)
glucose
(glucose) / 5.6
triglycerides
(triglycerides) / 1.7
systolic BP
(systolic) / 130
HDL cholesterol
-1 * (HDL) / 1.02
score =
= SUM(points for all of the parameters)
Interpretation:
• The mean score for the study population was 2.78.
• The higher the score the greater the risk for the metabolic syndrome.
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