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Table 1 Criteria and thresholds for defining metabolically unhealthy status

From: Independent and joint effects of body mass index and metabolic health in mid- and late-life on all-cause mortality: a cohort study from the Swedish Twin Registry with a mean follow-up of 13 Years

Metabolic components Criteria and Thresholds
Hypertension • Systolic BP ≥ 135 mmHg, or
• Diastolic BP ≥ 85 mmHg
Hyperglycaemia • Fasting BG ≥ 6.1 mmol/L, or
• Non-fasting BG ≥ 7.0 mmol/L, or
• HbA1c ≥ 5.7%, or
• Self-reported use of diabetic medications, or
• Self-reported diagnosis of diabetes
Hypertriglyceridemia • Fasting TG ≥ 1.70 mmol/L, or
• Non-fasting TG ≥ 2.1 mmol/L, or
• Self-reported use of lipid-lowering medications
Decreased HDL-C • < 1.03 mmol/L in males, and
• < 1.30 mmol/L in females, or
• Self-reported use of lipid-lowering medications
  1. The presence of ≥ 2 metabolic components determines metabolically unhealthy status. The presence of a metabolic component is defined by meeting any one threshold or criteria. Abbreviations—BP blood pressure, BG blood glucose, HbA1c haemoglobin A1C, TG triglyceride level, HDL-C high-density lipoproteins cholesterol