Metabolic Syndrome
Insulin Resistance Syndrome
According to the Adult Treatment Panel (ATP) guidelines, the metabolic syndrome is identified by the presence of 3 or more of the following criteria:
| Central obesity as measured by waist circumference (in men, >40 inches; in women, > 35 inches. * |
| Atherogenic dyslipidemia (elevated triglycerides (fasting triglyceride >150 mg/dL; low HDL (in men <40 mg/dL; in women <50 mg/dL); small, dense LDL particles |
| Hypertension >130/85 mm Hg |
| Insulin resistance (hyperinsulinemia) with or without glucose intolerace |
| Prothrombotic or proinflammatory states |
Consider cultural differences in waist circumference. Asians may
have a small baseline waistline, and may qualify for waist circumference
criteria with 27 to 30 inches, African-Americans may be overweight
with no correlating waist circumference because of of small waists
and large hips.
