siMS = simple method for quantifying the metabolic syndrome
Patient selection: age from 7 to 77 years
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
(7) sex
(8) age in years
(9) family history of cardiovascular or cerebrovascular disease
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 if male
|
-1 * (HDL) / 1.02
|
|
HDL cholesterol if female
|
-1 * (HDL) / 1.28
|
siMS score =
= SUM(points for all of the parameters)
|
Parameter
|
Finding
|
Points
|
|
age
|
male
|
(age) / 45
|
|
|
female
|
(age) / 50
|
|
family history
|
no
|
1
|
|
|
yes
|
1.2
|
risk score =
= (siMS score) * (age factor) * (family history of cardio or cerebrovascular events)
Interpretation:
• The higher the siMS score the greater the risk for the metabolic syndrome.
• The higher the risk score the greater the risk tor the patient.
