title: How to Simplify the Diagnostic Criteria of Metabolic Syndrome in Adolescents.
abstract: This study evaluated the feasibility and accuracy of the height-corrected definition for identifying metabolic syndrome (MS).
  
  
  
  In 2006, anthropometric and biochemical measurements were assessed in a cross-sectional population-based study of 3136 Han adolescents, aged 13-17 years. MS was defined according to the definitions of Cook et al, International Diabetes Federation, and the Society of Pediatrics, Chinese Medical Association. Waist-to-height and blood pressure-to-height ratios were alternatives to waist circumference and blood pressure in the height-corrected definition.
  
  
  
  According to the MS definition and the height-corrected MS definition, this agreement would be classified as "very good" (National Cholesterol Education Program kappa coefficients: 0.850 in boys and 0.816 in girls; International Diabetes Federation kappa coefficients: 0.953 in boys and 0.807 in girls; Society of Pediatrics, Chinese Medical Association kappa coefficients: 0.932 in boys; p < 0.001) and "good" (Society of Pediatrics, Chinese Medical Association kappa coefficients: 0.737 in girls; p < 0.001).
  
  
  
  The present study demonstrates that the height-corrected definition of MS is a simple, inexpensive, and accurate tool for identifying MS in Han adolescents.
authors.affiliation: Department of Endocrinology, The First Hospital of Qinhuangdao, Qinhuangdao, Hebei Province, China.
authors.forename: Chun-Ming
authors.initials: CM
authors.lastname: Ma
authors.affiliation: Department of Endocrinology, The First Hospital of Qinhuangdao, Qinhuangdao, Hebei Province, China.
authors.forename: Fu-Zai
authors.initials: FZ
authors.lastname: Yin
authors.affiliation: Department of Endocrinology, The First Hospital of Qinhuangdao, Qinhuangdao, Hebei Province, China.
authors.forename: Xiao-Li
authors.initials: XL
authors.lastname: Liu
authors.affiliation: Department of Endocrinology, The First Hospital of Qinhuangdao, Qinhuangdao, Hebei Province, China.
authors.forename: Rui
authors.initials: R
authors.lastname: Wang
authors.affiliation: Department of Endocrinology, The First Hospital of Qinhuangdao, Qinhuangdao, Hebei Province, China.
authors.forename: Dong-Hui
authors.initials: DH
authors.lastname: Lou
authors.affiliation: Department of Endocrinology, The First Hospital of Qinhuangdao, Qinhuangdao, Hebei Province, China. Electronic address: luqiangtg@163.com.
authors.forename: Qiang
authors.initials: Q
authors.lastname: Lu
mesh_terms: D000293:Adolescent; D044466:Asian People; D001794:Blood Pressure; D001827:Body Height; D002681:China; D005260:Female; D006801:Humans; D008297:Male; D024821:Metabolic Syndrome / Q000175:diagnosis*; D012955:Societies, Medical; D055105:Waist Circumference
keywords: adolescents; blood pressure-to-height ratio; diagnosis; metabolic syndrome; waist-to-height ratio