Obesity and Metabolic Syndrome Recommendations

1. The assessment of central distribution of fat is reasonable in CABG patients by measuring waist and hip circumference and calculating waist-to-hip ratio, even if the BMI is within normal limits (Class IIa; Level of Evidence C).
2. Bariatric surgery may be considered for CABG patients with a BMI >35 kg/m2 if lifestyle interventions have already been attempted without meaningful weight loss (Class IIb; Level of Evidence C).