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Which of the following patients meets the criteria for metabolic syndrome?

  1. A 35-year-old man with a waist circumference of 108 cm

  2. A 40-year-old woman with a body mass index of 35

  3. A 45-year-old man with a waist circumference of 110 cm

  4. A 50-year-old man with a waist circumference of 110 cm

The correct answer is: A 45-year-old man with a waist circumference of 110 cm

To determine if a patient meets the criteria for metabolic syndrome, multiple factors must be considered, particularly abdominal obesity and associated risk factors such as hypertension, dyslipidemia, and hyperglycemia. In this scenario, the waist circumference is a key indicator. The patient described as having a waist circumference of 110 cm meets the abdominal obesity criterion for metabolic syndrome in men, which is defined as a waist circumference greater than 102 cm. This measurement indicates a higher risk for cardiovascular issues and type 2 diabetes, which are associated with metabolic syndrome. While the other patients have significant risk factors, such as high waist circumference or a high body mass index, the particular emphasis on those specific measurements in relation to the criteria for metabolic syndrome inclines the focus on the patient with a waist circumference of 110 cm. This underscores the importance of abdominal obesity in the assessment of metabolic syndrome criteria.