ATP III: The Metabolic Syndrome
{"Image DocumentName": "ATP III: The Metabolic Syndrome", "Image ImageDescription": "ATP III: The Metabolic Syndrome   Diagnosis is established when >3 of these risk factors are present. Risk Factor. Defining Level. Abdominal obesity\u2020 (Waist circumference\u2021) Men. >102 cm (>40 in) Women. >88 cm (>35 in) TG. >150 mg/dL. HDL-C. <40 mg/dL. <50 mg/dL. Blood Pressure. >130/>85 mm Hg. Fasting glucose. >110 (>100)  mg/dL. ATP III: the metabolic syndrome. The NCEP ATP III guidelines define 5 components of the metabolic syndrome; at least 3 of the 5 criteria are required for the diagnosis of the metabolic syndrome. Note that the NCEP metabolic syndrome has different criteria for triglycerides and HDL-C, unlike the WHO definition, which lists high triglycerides and/or low HDL-C as a single factor. Almost all individuals in North America who have the metabolic syndrome have a high waist circumference as one of the criteria. Note also that the NCEP definition of the metabolic syndrome is more liberal than the NCEP major risk factors for blood pressure (\uf0b3140/90 mm Hg) and HDL-C (<40 mg/dl in both men and women). In 2003, the American Diabetes Association recommended lowering the limit for impaired fasting glucose from 110 mg/dL to 100 mg/dlL. It seems likely that the NCEP criteria will eventually accept this new criteria for fasting glucose levels. In 2004 a report from the series of workshops sponsored by the NIH, ADA and AHA reported the new ADA IFG criteria in a footnote to a table on the NCEP metabolic syndrome. References: Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. Executive summary of the third report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). JAMA 2001;285: The Expert Committee on the Diagnosis and Classification of Diabetes Mellitus: Follow-up report on the diagnosis of diabetes mellitus. Diabetes Care 26: ,2003. Grundy SM, Brewer HB, Cleeman JI, Smith SC, Lenfant D, for the Conference Participants. Definition of metabolic syndrome: report of the National, Heart, Lung, and Blood Institute/American Heart Association conference on scientific issues related to definition.Circulation. 2004;109:    2003 New ADA IFG criteria (Expert Panel\u2026,Diabetes Care 26: , 2003)   The Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. JAMA. 2001;285:   The Expert Committee on the Diagnosis and Classification of Diabetes Mellitus: Follow-up report on the diagnosis of diabetes mellitus. Diabetes Care 26: , 2003.", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}