Metabolic Syndrome in American Indians

The National Cholesterol Education Program Expert Panel on Detection, Evaluation and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III [ATP III]) recently proposed a formal definition of the metabolic (insulin resistance) syndrome (1). For the purposes of ATP III, metabolic syndrome is present when ≥3 of the following determinations are present: waist circumference >102 or >88 cm in men and women, respectively; triglycerides ≥150 mg/dl; HDL cholesterol <40 or <50 mg/dl in men and women, respectively; blood pressure ≥130/≥85 mmHg; and fasting glucose ≥110 mg/dl. Data from the Third National Health and Nutrition Examination Survey (NHANES III) show that among U.S. adults ≥20 years of age, metabolic …