JIS Definition Identified More Malaysian Adults with Metabolic Syndrome Compared to the NCEP-ATP III and IDF Criteria

Table 1

Diagnostic criteria for metabolic syndrome.

Risk factors (RF)	NCEP-ATP III (2001)	IDF (2005)	Modified NCEP-ATP III (2005)	JIS (2009)
Waist circumference (WC)	M ≥ 102 cm F ≥ 88 cm; (Caucasian cut-points)	M ≥ 90 cm F ≥ 80 cm; (South Asian cut-points)	M ≥ 90 cm F ≥ 80 cm; (Asian cut-points)	M ≥ 90 cm F ≥ 80 cm; (South Asian cut-points)
Blood pressure (BP)	Systolic BP ≥ 130 and/or diastolic BP ≥ 85 mmHg	Systolic BP ≥ 130 and/or diastolic BP ≥ 85 mmHg or on treatment for HPT	Systolic BP ≥ 130 and/or diastolic BP ≥ 85 mmHg or on treatment for HPT	Systolic BP ≥ 130 and/or diastolic BP ≥ 85 mmHg or on treatment for HPT
Fasting plasma glucose (FPG)	≥6.1 mmol/L	≥5.6 mmol/L or previously diagnosed T2DM	≥5.6 mmol/L or on treatment for elevated glucose	≥5.6 mmol/L or on treatment for elevated glucose
Triglycerides (TG)	≥1.7 mmol/L	≥1.7 mmol/L or on treatment for TG	≥1.7 mmol/L or on treatment for TG	≥1.7 mmol/L or on treatment for TG
HDL-C	M < 1.03 mmol/L; F < 1.29 mmol/L	M < 1.03 mmol/L; F < 1.29 mmol/L or on treatment; for HDL-C	M < 1.03 mmol/L; F < 1.29 mmol/L or on treatment for HDL-C	M < 1.0 mmol/L; F < 1.3 mmol/L or on treatment for HDL-C
Metabolic syndrome definitions	At least 3 RF	WC + 2 or more RF	At least 3 RF	At least 3 RF

RF: risk factors.