1. Organizational criteria for Metabolic Syndrome National Cholesterol Education Program Adult Treatment Panel III World Health OrganizationAmerican Association of Clinical Endocrinologists European Group for the Study of Insulin Resistance Criteria Three of five (including both lipid markers) Insulin resistance + two of others Clinical Judgment Hyperinsulinemia in top 25% of fasting values for non-diabetic population + >2 of the rest Insulin/ Glucose Fasting Glucose >110 mg/dL  Type 2 diabetes  Impaired fasting glucose  Impaired glucose tolerance or  Fasting glucose <110 mg/dL in special pops Fasting Glucose >140 mg/dLFasting Glucose >6mM/L Body Fat Waist Circumference  Men >102 cm (>40 in)  Women >88 cm (>35 in) BMI >30 kg/m 2 or Waist:Hip Ratio  Men > 0.90  Women > 0.85 BMI >25 kg/m 2 Waist Circumference  Men >94 cm (>37 in)  Women >80 cm (>31.5 in) Lipids Triglycerides >150 mg/dL HDL Cholesterol  Men <40 mg/dL  Women <50 mg/dL HDL Cholesterol  Men <35 mg/dL  Women <39 mg/dL Triglycerides >150 mg/dL HDL Cholesterol  Men <40 mg/dL  Women <50 mg/dL Triglycerides >2.0 mM/L or HDL <1.0 mM/L Blood Pressure >130/>85 mm Hg  Anitihypertensive meds and  >140 systolic or  >90 diastolic >130/85 mm Hg  Anitihypertensive meds and/or  >140 systolic  >90 diastolic Other -  Urinary albumin excretion rate >20 µg/min or  Albumin:creatinint ratio >30 mg/g  Family History o Type 2 diabetes o Hypertension o Coronary artery disease  Polycystic ovary syndrome  Sedentary life style  Advancing age  Ethnic groups with high risk of type 2 diabetes -

3. Rennie, K.L., et al. International Journal of Epidemiology 32:600-606, 2003. Physical Activity and Metabolic Syndrome

4. Katzmarzyk, P.T., et al Archives of Internal Medicine 164:1092-1097, 2004 Fitness & Metabolic Syndrome

5. Katzmarzyk PT, et al MSSE 35:1703, 2003. Exercise Training in Metabolic Syndrome