DY: who was your last comment directed at?
Whether one has a pear shaped or apple shaped (fatter midsection) body which I’d assume effects pants size is determined largely by genetics. In any case the latter is at greater risk of getting heart disease and diabetes. Since we can’t manipulate genes to change fat storage placement at this time the “Apple type” that are overweight need to lose the extra weight ASAP to remain healthy bezras Hashem.