Medical clinics at a university teaching hospital, Shatin, Hong Kong. Body mass index, waist circumference, plasma insulin, insulin resistance index, fasting plasma glucose and lipid levels, blood pressure, and 24-hour urinary albumin excretion. Pathophysiological abnormalities and risk factors are frequently clustered to varying degrees. Obesity, hyperinsulinaemia, and insulin resistance are characteristic features of Hong Kong Chinese patients who have various components of the metabolic syndrome.
Obesity has a greater effect than plasma insulin on various pathophysiologies.