The alteration in myocardial strain indices observed in individuals with abdominal obesity was ascribed by previous authors to several cardiometabolic factors, such as visceral fat area accumulation [5], increased blood pressure values [32], elevated waist circumference [33], high serum levels of fasting glucose [34], insulin resistance [35], and a chronic low-grade inflammatory state characterized by increased production of proinflammatory cytokines [36,37]. Here, INS is linked to Abdominal obesity.