Metabolically healthy obesity: different prevalences using different criteria.

作者: S Velho , F Paccaud , G Waeber , P Vollenweider , P Marques-Vidal

DOI: 10.1038/EJCN.2010.114

关键词: WaistInternal medicineObesityCross-sectional studyType 2 diabetesBody mass indexPopulationAbdominal obesityEndocrinologyMetabolically healthy obesityMedicine

摘要: To estimate the prevalence of metabolically healthy obesity (MHO) according to different definitions. Population-based sample 2803 women and 2557 men participated in study. Metabolic abnormalities were defined using six sets criteria, which included combinations following: waist; blood pressure; total, high-density lipoprotein or low-density lipoprotein-cholesterol; triglycerides; fasting glucose; homeostasis model assessment; high-sensitivity C-reactive protein; personal history cardiovascular, respiratory metabolic diseases. For each set, MHO was assessed for body mass index (BMI); waist percent fat. Among obese (BMI ⩾30 kg/m2) participants, ranged between 3.3 32.1% 11.4 43.3% criteria used. Using abdominal obesity, 5.7 36.7% (men) 12.2 57.5% (women). fat led a ranging 6.4 43.1% 12.0 55.5% participants had lower odd presenting family type 2 diabetes. After multivariate adjustment, odds with decreased increasing age, whereas no relationship found gender, alcohol consumption tobacco smoking most criteria. Physical activity positively related, increased negatively related BMI-defined MHO. varies considerably used, underscoring need standard definition this entity. increases likelihood MHO, is associated

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