 - BMI 35 kgm2 associated with metabolic syndrome define by three or more of the following: waistline that measures at least 80 centimeters for european women and 94 centimeters for european men; High triglyceride level less than 1.5 gl or specific medications; Reduced high-density lipoprotein HDL cholesterol less than 1.04 mmolL in men or less than 1.3 mmolL in women; Increased blood pressure 13085 millimeters of mercury mm Hg or higher or specific medications; Elevated fasting blood sugar 100 mgdL 5.6 mmolL or higher or specific médications. 