Submit Manuscript | http://medcraveonline.com Introduction Currently obesity is a pandemic begins in early childhood and becomes more prevalent in adulthood, consequently resulting in increased risk of metabolic diseases and increased cardiovascular morbidity and mortality. 1 2014 the World Health Organization (WHO) reported that 39% of those over 18 years in the world were overweight and 13% were obese. 2 In Peru, according Demographic and Health Survey (DHS 2014), in patients over 15 years of age, the prevalence of overweight and obesity 34.7% 17.5% reported. These alterations of overweight and obesity are higher in Lima (40.2%) and urban (21.3%) compared to rural areas (6.6%). 3 WHO defnes obesity as abnormal or excessive fat accumulation that can be harmful to health, since the 80s, the use of BMI (Body Mass Index) was introduced to defne overweight (BMI≥25 kg/m 2 ) and obesity (IMC≥ 30kg/m 2 ). Also it determined to be important to consider two subtypes of obesity: the central, visceral or android obesity (waist circumference in men and women≥90cm≥80cm for people of Central and South America) and peripheral gynoid obesity or (abdominal girth in men<90 cm and in women<80 cm). 4 From this defnition, studies have been showing that the amount of visceral adipose tissue is directly correlated with abnormal metabolic profle and increased cardiovascular risk. The components of central obesity and metabolic alterations are part of the so-called Metabolic Syndrome (MS), 2005 the International Diabetes Federation (IDF), proposed as a prerequisite for this syndrome increased abdominal girth (values according to ethnicity) to which you add one or more of the following criteria: increased triglycerides with low HDL, hypertension, associated with insulin resistance and/or reduced glucose metabolism, thus giving the great importance of central obesity risk of metabolic and cardiovascular diseases. 5 Since 2000 the concept of “Waist hypertriglyceridemic” is released as a single phenotype to detect patients with cardiometabolic risk; hypertriglyceridemia (≥177mg/dl) and the increase in abdominal circumference (males ≥90cm) is associated with a metabolic triad unconventional risk variables as hyperinsulinemia, hiperapolipoproteína B and small, dense LDL. This atherogenic metabolic triad is associated with an increase of over 20 times of risk of ischemic heart disease in middle-aged men - Cardiovascular Quebec study - beyond the presence of traditional risk factors. 6 For this increasing prevalence of obesity in our country and the world, must be sought an affordable cost and simple clinical tool to identify cardiometabolic risk for developing cardiovascular disease and type 2 diabetes mellitus in our population, ideally this identifcation must be made from the frst level of care. Hypertriglyceridemic waist phenotype is described in many populations as an ideal and inexpensive tool to identify those patients at risk; in Peru there are few studies regarding the phenotype hypertriglyceridemic waist. The aim of this work is to determine the clinical - laboratorial hypertriglyceridemic waist phenotype in military personnel, it is important for early detection of patients at risk for cardio metabolic diseases. Materials and methods Observational, descriptive, retrospective cross-sectional study. No experimental. Medical records of patients treated at the Endocrinology Service of Military Hospital between January 2016 and March 2017. Patients were reviewed over 18 years, with the presence of hypertriglyceridemia, elevated waist circumference are included according to sex and have clinical and laboratory data complete; pregnant patients were excluded, diagnosed Diabetes Mellitus, decompensated and lipid-lowering therapy at the time of the frst evaluation Hypothyroidism. The research included the variables age, sex, weight, height, BMI, waist circumference, blood pressure, presence of acanthosis, basal glycemia, basal insulin, HOMA IR calculation, cholesterol and fractions and TGP, The data are presented using descriptive statistics, software used in Statistical Package for Social Sciences (SPSS) version 24. The Endocrinol Metab Int J. 2019;7(4):86‒89. 86 © 2019 Navarrete-Mejía et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and build upon your work non-commercially. Phenotype hypertriglyceridemic waist in personal and military family, 2016-2017. Lima - Peru Volume 7 Issue 4 - 2019 Pedro J Navarrete-Mejía, 1 Cecilia Núñez- Calderón 2 1 Public Health Research Center, Investigation Institute, Faculty of Human Medicine, University of San Martín de Porres, Peru 2 Medical endocrinologist, Master of Medicine with mention in Endocrinology, Central Military Hospital, Lima Peru Correspondence: Pedro J Navarrete-Mejía, Public Health Research Center, Investigation Institute. Faculty of Human Medicine, Doctor in Public Health, University of San Martín de Porres, Peru, Tel 3(511)365-2300, (511)365-3640, Fax 365-0485, Email Received: June 13, 2019 | Published: July 03, 2019 Abstract Objective: To know the clinical and laboratory Characteristics of the hypertriglyceridemic waist phenotype in the Patients of a military hospital, 2016-2017. Material and methods: Observational, descriptive, retrospective cross-sectional study. Non-experimental design. We reviewed the Clinical Histories of Patients Treated in the endocrinology service of a Military Hospital, from January 2016 to March 2017; 82 Patients With complete clinical and laboratory data were included in the medical records. Results: Mean age 55.4 years (range 22-78 years), higher frequency in evils (59.8%), presence of overweight (46.34%), some degree of obesity (50%), acanthosis nigricans presence of (40.2%) (58.5%), HOMA-IR was 70.7% in ≥2.77, high Total cholesterol (61%) and low HDL (62.2%), high TGP (34.1%). Conclusions: The hypertriglyceridemic waist phenotype is a good marker of multiple metabolic Alterations, Strengthening STI use for early detection of cardiometabolic risk overall. Keywords: Insulin resistance, hypertriglyceridemia, acanthosis Endocrinology & Metabolism International Journal Review Article Open Access