“…However, since 2015 there has been an increase in the use of more specific criteria for children, such as Cook et al 's criteria, the most used by researchers in this review present in 11 studies 18,19,[23][24][25][26][27][28][29][30][31] representing 42.31%; and de Ferranti's criteria in six investigations 18,19,24,25,32,33 representing 23.08%. 50% of the included studies were conducted in Latin American countries such as Brazil, 13,24,31,32,35 Colombia, 17,33 Chile 26,27 and Mexico; 18,21,28,30 the remaining included studies were located in Asia in countries like Iran, 14,19,29 United Arab Emirates, 15 China, 16,23 Japan, 20 Kuwait 34 and India 37 and finally in Europe; Italy, 36,38 Poland 22 and Turkey. 25 There is also the appearance of new diagnostic criteria for MetS in children such as the study by Shi et al; 34 who evaluated MetS through a proposal of composite and continuous MetS scores to represent a general measure of MetS in a large cohort of metabolically at-risk children focusing on the use of clinical parameters such as waist circumference (WC) and systolic blood pressure (SBP), complemented with two salivary variables glucose and HDL; and where each risk component had the same weighting in the final score.…”