Harmonizing the metabolic syndrome: A joint interim statement of the international diabetes federation task force on epidemiology and prevention; National heart, lung, and blood institute; American heart association; World heart federation; International atherosclerosis society; And international association for the study of obesity

K. G M M Alberti, Robert H. Eckel, Scott M. Grundy, Paul Z. Zimmet, James I. Cleeman, Karen A. Donato, Jean Charles Fruchart, W. Philip T James, Catherine M. Loria, Sidney C. Smith

Research output: Contribution to journalReview article

6621 Citations (Scopus)

Abstract

A cluster of risk factors for cardiovascular disease and type 2 diabetes mellitus, which occur together more often than by chance alone, have become known as the metabolic syndrome. The risk factors include raised blood pressure, dyslipidemia (raised triglycerides and lowered high-density lipoprotein cholesterol), raised fasting glucose, and central obesity. Various diagnostic criteria have been proposed by different organizations over the past decade. Most recently, these have come from the International Diabetes Federation and the American Heart Association/National Heart, Lung, and Blood Institute. The main difference concerns the measure for central obesity, with this being an obligatory component in the International Diabetes Federation definition, lower than in the American Heart Association/National Heart, Lung, and Blood Institute criteria, and ethnic specific. The present article represents the outcome of a meeting between several major organizations in an attempt to unify criteria. It was agreed that there should not be an obligatory component, but that waist measurement would continue to be a useful preliminary screening tool. Three abnormal findings out of 5 would qualify a person for the metabolic syndrome. A single set of cut points would be used for all components except waist circumference, for which further work is required. In the interim, national or regional cut points for waist circumference can be used.

LanguageEnglish
Pages1640-1645
Number of pages6
JournalCirculation
Volume120
Issue number16
DOIs
Publication statusPublished - 1 Oct 2009
Externally publishedYes

Keywords

  • AHA Scientific Statements
  • Diabetes mellitus
  • Metabolic syndrome
  • Risk factors

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

Cite this

Alberti, K. G M M ; Eckel, Robert H. ; Grundy, Scott M. ; Zimmet, Paul Z. ; Cleeman, James I. ; Donato, Karen A. ; Fruchart, Jean Charles ; James, W. Philip T ; Loria, Catherine M. ; Smith, Sidney C. / Harmonizing the metabolic syndrome : A joint interim statement of the international diabetes federation task force on epidemiology and prevention; National heart, lung, and blood institute; American heart association; World heart federation; International atherosclerosis society; And international association for the study of obesity. In: Circulation. 2009 ; Vol. 120, No. 16. pp. 1640-1645.
@article{66747bd4813f49e3becb234b3c979d67,
title = "Harmonizing the metabolic syndrome: A joint interim statement of the international diabetes federation task force on epidemiology and prevention; National heart, lung, and blood institute; American heart association; World heart federation; International atherosclerosis society; And international association for the study of obesity",
abstract = "A cluster of risk factors for cardiovascular disease and type 2 diabetes mellitus, which occur together more often than by chance alone, have become known as the metabolic syndrome. The risk factors include raised blood pressure, dyslipidemia (raised triglycerides and lowered high-density lipoprotein cholesterol), raised fasting glucose, and central obesity. Various diagnostic criteria have been proposed by different organizations over the past decade. Most recently, these have come from the International Diabetes Federation and the American Heart Association/National Heart, Lung, and Blood Institute. The main difference concerns the measure for central obesity, with this being an obligatory component in the International Diabetes Federation definition, lower than in the American Heart Association/National Heart, Lung, and Blood Institute criteria, and ethnic specific. The present article represents the outcome of a meeting between several major organizations in an attempt to unify criteria. It was agreed that there should not be an obligatory component, but that waist measurement would continue to be a useful preliminary screening tool. Three abnormal findings out of 5 would qualify a person for the metabolic syndrome. A single set of cut points would be used for all components except waist circumference, for which further work is required. In the interim, national or regional cut points for waist circumference can be used.",
keywords = "AHA Scientific Statements, Diabetes mellitus, Metabolic syndrome, Risk factors",
author = "Alberti, {K. G M M} and Eckel, {Robert H.} and Grundy, {Scott M.} and Zimmet, {Paul Z.} and Cleeman, {James I.} and Donato, {Karen A.} and Fruchart, {Jean Charles} and James, {W. Philip T} and Loria, {Catherine M.} and Smith, {Sidney C.}",
year = "2009",
month = "10",
day = "1",
doi = "10.1161/CIRCULATIONAHA.109.192644",
language = "English",
volume = "120",
pages = "1640--1645",
journal = "Circulation",
issn = "0009-7322",
publisher = "Lippincott Williams and Wilkins",
number = "16",

}

Harmonizing the metabolic syndrome : A joint interim statement of the international diabetes federation task force on epidemiology and prevention; National heart, lung, and blood institute; American heart association; World heart federation; International atherosclerosis society; And international association for the study of obesity. / Alberti, K. G M M; Eckel, Robert H.; Grundy, Scott M.; Zimmet, Paul Z.; Cleeman, James I.; Donato, Karen A.; Fruchart, Jean Charles; James, W. Philip T; Loria, Catherine M.; Smith, Sidney C.

In: Circulation, Vol. 120, No. 16, 01.10.2009, p. 1640-1645.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Harmonizing the metabolic syndrome

T2 - Circulation

AU - Alberti, K. G M M

AU - Eckel, Robert H.

AU - Grundy, Scott M.

AU - Zimmet, Paul Z.

AU - Cleeman, James I.

AU - Donato, Karen A.

AU - Fruchart, Jean Charles

AU - James, W. Philip T

AU - Loria, Catherine M.

AU - Smith, Sidney C.

PY - 2009/10/1

Y1 - 2009/10/1

N2 - A cluster of risk factors for cardiovascular disease and type 2 diabetes mellitus, which occur together more often than by chance alone, have become known as the metabolic syndrome. The risk factors include raised blood pressure, dyslipidemia (raised triglycerides and lowered high-density lipoprotein cholesterol), raised fasting glucose, and central obesity. Various diagnostic criteria have been proposed by different organizations over the past decade. Most recently, these have come from the International Diabetes Federation and the American Heart Association/National Heart, Lung, and Blood Institute. The main difference concerns the measure for central obesity, with this being an obligatory component in the International Diabetes Federation definition, lower than in the American Heart Association/National Heart, Lung, and Blood Institute criteria, and ethnic specific. The present article represents the outcome of a meeting between several major organizations in an attempt to unify criteria. It was agreed that there should not be an obligatory component, but that waist measurement would continue to be a useful preliminary screening tool. Three abnormal findings out of 5 would qualify a person for the metabolic syndrome. A single set of cut points would be used for all components except waist circumference, for which further work is required. In the interim, national or regional cut points for waist circumference can be used.

AB - A cluster of risk factors for cardiovascular disease and type 2 diabetes mellitus, which occur together more often than by chance alone, have become known as the metabolic syndrome. The risk factors include raised blood pressure, dyslipidemia (raised triglycerides and lowered high-density lipoprotein cholesterol), raised fasting glucose, and central obesity. Various diagnostic criteria have been proposed by different organizations over the past decade. Most recently, these have come from the International Diabetes Federation and the American Heart Association/National Heart, Lung, and Blood Institute. The main difference concerns the measure for central obesity, with this being an obligatory component in the International Diabetes Federation definition, lower than in the American Heart Association/National Heart, Lung, and Blood Institute criteria, and ethnic specific. The present article represents the outcome of a meeting between several major organizations in an attempt to unify criteria. It was agreed that there should not be an obligatory component, but that waist measurement would continue to be a useful preliminary screening tool. Three abnormal findings out of 5 would qualify a person for the metabolic syndrome. A single set of cut points would be used for all components except waist circumference, for which further work is required. In the interim, national or regional cut points for waist circumference can be used.

KW - AHA Scientific Statements

KW - Diabetes mellitus

KW - Metabolic syndrome

KW - Risk factors

UR - http://www.scopus.com/inward/record.url?scp=70350245011&partnerID=8YFLogxK

U2 - 10.1161/CIRCULATIONAHA.109.192644

DO - 10.1161/CIRCULATIONAHA.109.192644

M3 - Review article

VL - 120

SP - 1640

EP - 1645

JO - Circulation

JF - Circulation

SN - 0009-7322

IS - 16

ER -