Free malaysian adult
In contrast to the previous definitions, IDF made abdominal obesity a mandatory criterion using waist circumference (WC) cut-points based on gender and ethnicity .
In the same year, the NCEP-ATP III was modified to incorporate a lower fasting glucose threshold of ≥5.6 mmol/L and the same WC criteria as proposed by the IDF for Asians living in the United States .
JIS definition gave the highest overall prevalence (43.4%) compared to NCEP-ATP III (26.5%) and IDF (37.4%), .
Indians had significantly higher age-adjusted prevalence compared to other ethnic groups across all Met S definitions (30.1% by NCEP-ATP III, 50.8% by IDF, and 56.5% by JIS).
The JIS committee agreed that the presence of any 3 out of 5 risk factors constitutes a diagnosis of Met S.The first definition was introduced by the World Health Organization (WHO) in 1998  followed by the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (NCEP-ATP III) in 2001 .Subsequently, the International Diabetes Federation (IDF) established a new worldwide definition for Met S in 2005 .However, the modified NCEP-ATP III maintained that the diagnosis of Met S should be made based on the presence of any 3 out of 5 risk factors.After several years of continuing debate and discussion, the various stakeholders finally agreed to harmonize the definition.