Abstract
Metabolic syndrome is increasing in the United States, likely in concert with obesity. Controversy has existed about the definition and value of the concept since its inception. The report by Carlson and colleagues ( 1 Carlson J.J. Eisenmann J.C. Norman G.J. Ortiz K.A. Young P.C. Dietary fiber and nutrient density are inversely associated with the metabolic syndrome in US adolescents. J Am Diet Assoc. 2011; 111: 1688-1695 Google Scholar ) in this issue evaluates the relationship between prevalence of metabolic syndrome in adolescence and its relationship to dietary intake. A discussion follows of how metabolic syndrome developed; whether it is of value in disease prediction, prevention, and treatment in adults, children, and adolescents; and why diet and nutrition may be keys to its control. K. S. Kubena is a professor, Department of Nutrition and Food Science, Texas A&M University, College Station.
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