Review Article

The Metabolic Syndrome and Risk of Chronic Kidney Disease: Pathophysiology and Intervention Strategies

Table 1


ParametersWHO (1998)NCEP ATP3 (2001)IDF (2005)

RequiredInsulin resistance in the top 25%; glucoseWaist >94 cm (men) or 80 cm (women)

Number of abnormalities>2>3>2

Glucose>6.1 mmol/L (110 mg/dL); 2-hour glucose >7.8 mmol/L (140 mg/dL)>5.6 mmol/L (100 mg/dL) or drug treatment for elevated blood glucose>5.6 mmol/L or diagnosed diabetes

HDL cholesterol<0.9 mmol/L (35 mg/dL) (men); <1.0 mmol/L (40 mg/dL) (women)<1.0 mmol/L men (40 mg/dL) (men); <1.3 mmol/L (50 mg/dL) (women) or drug treatment for low HDL-C<1.0 mmol/L (40 mg/dL) (men); <1.3 mmol/L (50 mg/dL) (women) or drug treatment for low HDL-C

Triglycerides≥1.7 mmol/L (150 mg/dL)≥1.7 mmol/L (150 mg/dL) or drug treatment for elevated triglycerides≥1.7 mmol/L (150 mg/dL) or drug treatment for elevated triglycerides

ObesityWaist/hip ratio >0.9 (men) or >0.85 (women) or BMI ≥30 kg/m2Waist ≥102 cm (men) or ≥88 cm (women)Waist ≥94 cm (men) or ≥80 cm (women)

Hypertension≥140/90 mmHg≥130/85 mmHg or drug treatment for HTN≥130/85 mmHg or drug treatment for HTN