Figure 2: Risk of Mortality Associated with Metabolic Health and Body Mass Index (BMI) by Three Definitions. Error bars represent 95% confidence intervals of hazard ratios. ***Significant difference from reference group (lean healthy) at ; **significant difference from reference group (lean healthy) at ; data analyzed using Cox Survival Analysis, adjusting for sex, age, income, education, race/ethnicity, smoking status, alcohol consumption, marital status, leisure time physical activity, and menopausal status. For description of definitions of metabolic health, see Table 1. HOMA-IR, homeostasis model assessment-insulin resistance; ATP-III, Adult Treatment Panel III.