Question:medium

According to NCEP-ATP III criteria, which of the following is NOT included in the diagnosis of metabolic syndrome?

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The metabolic syndrome lipid criteria are about triglycerides and HDL, not this one.
Updated On: Jun 23, 2026
  • High LDL
  • Hypertriglyceridemia
  • Central obesity
  • Hypertension
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The Correct Option is A

Solution and Explanation

Recall the five-part checklist for metabolic syndrome and the odd one out becomes obvious. The components are big waist (central obesity), high triglycerides, low HDL, high blood pressure and high fasting glucose, and you need any three to label the syndrome.
Run the options through that list: hypertriglyceridemia, central obesity and hypertension all sit squarely inside the criteria. The lipid abnormalities counted are specifically a high triglyceride level and a low HDL level. LDL cholesterol never appears in the NCEP-ATP III definition. So high LDL is the one that is not included, making option 1 correct. A handy way to remember it: metabolic syndrome cares about triglycerides up and HDL down, not LDL.
Ref: DM Vasudevan, Textbook of Biochemistry, 6th edn.
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