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So says a new UNC study, based on five key factors:

The prevalence of what doctors consider good metabolic health is shockingly low in American adults, a new study finds.

Researchers from the University of North Carolina’s Gillings School of Global Public Health say that just 12 percent of the country’s adult population is considered metabolically healthy. That means a vast portion of the population is at greater risk of developing diabetes, heart disease, or other dangerous health conditions over time.

The five factors identified as indicators of good or bad metabolic health are: blood glucose, triglycerides, high-density lipoprotein cholesterol, blood pressure, and waist circumference. If adults can maintain optimal levels of these indicators without medication, they are deemed metabolically healthy.

Makes the 70+% obesity thing look tame by compaison.