Review Article

The Association of Metabolic Syndrome and Urolithiasis

Table 1

Definition of metabolic syndrome.

MetS componentGenderIDF (2006)AHA (2004)NCEP ATP III (2001)WHO (1999)EGIR (1999)

Central obesityMalesBMI > 30 kg/m2 and WC as per Table 2WC > 102 cmWC > 102 cmWHR > 0.9 or BMI > 30 kg/m2WC > 94 cm
FemalesBMI > 30 kg/m2 and WC as per Table 2WC > 88 cmWC > 88 cmWHR > 0.85 or BMI > 30 kg/m2WC > 80 cm

Raised triglycerides (TG)Both>150 mg/dL (1.7 mmol/L)>150 mg/dL (1.7 mmol/L)>150 mg/dL (1.7 mmol/L)>1.695 mmol/L>2.0 mmol/L

Reduced HDL cholesterol (HDL-C)Males<40 mg/dL (1.03 mmol/L)<40 mg/dL (1.03 mmol/L)<40 mg/dL<0.9 mmol/L<1.0 mmol/L
Females<50 mg/dL (1.29 mmol/L)<50 mg/dL (1.29 mmol/L)<50 mg/dL<1.0 mmol/L<1.0 mmol/L

Raised blood pressure (BP)BothSys. > 130 mmHg or dia. > 85 mmHg or in treatment for HT>130/85 mmHg or in treatment for HT>130/85 mmHg or in treatment for HT>140/90 mmHg>140/90 mmHg or in treatment for HT

Raised fasting plasma glucose (FPG)Both>100 mg/dL (5.6 mmol/L)>100 mg/dL (5.6 mmol/L)>110 mg/dL (6.1 mmol/L)>6.1 mmol/dL

OtherBothMicroalbuminuria (UAER > 20 g/min or ACR > 30 mg/g)

BMI: body mass index; WC: waist circumference; WHR: waist to hip ratio; HT: hypertension; UAER: urinary albumin excretion rate; ACR: albumin to creatinine ratio.