What about non-alcoholic fatty liver disease as a new criterion to define metabolic syndrome?

Table 3 Central obesity defined according to the International Diabetes Federation

Country/ethnic group	WC
Europids (In the United States, the NCEP-ATP III values1 are likely to continue to be used for clinical purposes)
Male	≥ 94 cm (37 in)
Female	≥ 80 cm (32 in)
South Asians (based on a Chinese, Malay, and Asian-Indian population)
Male	≥ 90 cm (35 in)
Female	≥ 80 cm (32 in)
Chinese
Male	≥ 90 cm (35 in)
Female	≥ 80 cm (32 in)
Japanese
Male	≥ 85 cm (34 in)
Female	≥ 90 cm (32 in)

¹102 cm, 40 in, male; 88 cm, 35 in, female. NCEP: National Cholesterol Education Programme; WC: Waist circumference; ATP: Adult Treatment Panel.