Metabolic syndrome and the skin: a more than superficial association. Reviewing the association between skin diseases and metabolic syndrome and a clinical decision algorithm for high risk patients

Table 1 Metabolic syndrome definition

	WHO	EGIR 1999	NCEP ATPIII	IDF 2005	Harmonized criteria
Criteria	Insulin resistance IGF, OFG, TDM 2, evidence of IR plus two of the five	Hyperinsulinemia plus two of four	None absolute three of five	Central obesity obligatory	Three or more
Obesity	Waist/hip ratio > 0.90 M > 0.85 F or BMI > 30 kg/m²	Waist circumference > 94 cm M > 80 cm F	Waist circumference > 40 in. M > 35 in. F	Waist circumference > 94 cm M > 80 cm F	Waist circumference > 90 cm M > 80 cm F
Hyperglycemia	Insulin resistance	Insulin resistance	Fasting glucose > 100 mg	Fasting glucose > 100 mg	Fasting glucose > 5.6 mmol/l or T2DM
Dyslipidemia	Triglycerides > 150 mg/dl HDL < 35 mg/dl M < 39 mg/dl F	TG > 177 mg/dl HDL < 39 mg/dl	TG > 150 mg/dl	TG > 150 mg/dl	TG > 1.69 mmol/l or on previous antilipidemic treatment
Dyslipidemia seperate			HDL < 40 mg/dl M < 50 mg/dl	HDL < 40 mg/dl M <50 mg/dl	HDL < 1.03 mmol/l M < 1.29 mmol/l F
Hypertension	> 140/90 mmHg	> 140/90 mmHg	> 130/85 mmHg	> 130/85 mmHg	> 130/85 mmHg or known hypertension
Other	Microalbuminemia

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