During menopause, metabolic changes occur that promote weight gain and abdominal obesity, facilitating the development of dyslipidemias and increasing cardiovascular risk. The purpose of the study was to compare the lipid profile and the cardiometabolic risk indexes (IRCM) among postmenopausal women from the Naguanagua Municipality, Carabobo State, Venezuela, classified according to their degree of adiposity. It was a cross-sectional, descriptive study in which 205 women with a median age of 56 years participated. Adiposity indicators were evaluated: body mass index (BMI), percentage of body fat (PBF), waist circumference (WC), and waist-to-height ratio (WHtR); as well as the lipid profile and the IRCM. High percentages of excess weight (80%), excess body fat (92%), abdominal obesity (61%) and metabolic risk according to the WHtR (69%) were found. Women with obesity showed the lowest values of HDL-C, and those with very high fat, abdominal obesity, and metabolic risk according to the WHtR, the highest values of the TG/HDL index. Other studies are recommended on this population group to better understand the association found between the degree of adiposity and alterations in lipid metabolism to take preventive actions in these disorders related to the metabolic syndrome.
