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Adult metabolic syndrome is defined as high waist circumference, abnormal fasting glucose, hyperlipidemia, and hypertension. In adults, these factors have high long-term stability (75% during 3 years) and are associated with excess risk for cardiovascular disease and type 2 diabetes. In children, however, metabolic syndrome is not well defined, and some longitudinal studies show poor stability of metabolic syndrome characteristics over time. These investigators examined both short-term and long-term stability of metabolic syndrome in children. The authors defined pediatric metabolic syndrome as three or more of the following: waist circumference, systolic or diastolic blood pressure, and fasting triglycerides ≥90th percentile; high-density …