Table Atp Iii Criteria

Natural Cholesterol Guide

Lower Your Cholesterol Guide

Get Instant Access

Risk Factor

Defining Level

Metabolic syndrome is diagnosed when three or more of the following are present. Waist circumference

Women Triglycerides HDL cholesterol

Women Blood pressure Fasting glucose

diagnostic purposes, it is not clear that it has much predictive capacity, thus limiting its clinical utility. Most consider metabolic syndrome to be a prediabetic state, as the various components of the condition are invariably associated with some degree of insulin resistance. However, there are relatively little to no definitive data on the conversion rate of individuals with metabolic syndrome to frank diabetes. Also, although the ATP III guidelines provide a useful working definition, it is clear that the five diagnostic criteria are not independent. For example, low-serum HDL cholesterol and high-serum triglycerides tend to track together in individuals. This makes the current scoring mechanism (i.e., the need to have three of the five diagnostic criteria) seem somewhat artificial and negatively impacts its predictive utility.

Thus, there is room for further refining the clinical definition of metabolic syndrome. One potential improvement would be to provide differential weighting of the individual diagnostic conditions by providing a scoring system that incorporates the relative predictive capacity for future events or conversion to diabetes of the various components. Another would be to refine the predictive capacity through inclusion of additional diagnostic criteria, such as elevated high-sensitivity C-reac-tive protein (hsCRP), or, as we argue further on, through an assessment of cardiorespiratory fitness.

There are other, less obvious issues with the current definition. The ATP III and WHO (Tables 4.1 and 4.2) include elevated blood pressure as part of the diagnostic criteria. Although most would agree that elevated waist circumference, fasting serum glucose, low-serum HDL cholesterol, and high-serum triglycerides tend to all be a

Was this article helpful?

0 0
Midsection Meltdown

Midsection Meltdown

Attention, Want 6 Pack Abs? Then Read Every Word On This Page... Revealed! Follow A Proven Plan To Unveil Your Six Pack Abs Today. Download today To Discover The Simple But Sure Way To 6 Pack Abs. This powerful tool will provide you with everything you need to finally achieve your dream of shedding the tummy fat for good and revealing your six pack abs. You can make weight loss promises to yourself all day and night, but actually sticking to your goals is the hard part.

Get My Free Ebook

Post a comment