 Metabolic syndrome, METs, is a combination of medical conditions that increases the risk of developing cardiovascular disease and type 2 diabetes mellitus. It is characterized by a cluster of five risk factors including high blood pressure, elevated fasting glucose levels, excess body fat around the waist, abnormal cholesterol levels, and insulin resistance. There are multiple definitions of METs which can lead to confusion about who is actually affected. Additionally, new risk factors such as inflammation and oxidative stress have been identified as being associated with METs. To address these issues, it is important to develop a standard definition for METs that can be applied across all populations. Furthermore, more research needs to be done to determine how best to treat and manage METs in children and adolescents. This article was authored by courts as Gregory, Pavanadu Panadiota, Cassie Eva, and others.