Metabolically healthy obesity: different prevalences using different criteria.

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State: Public
Version: author
Serval ID
serval:BIB_64B7B1068DB4
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Metabolically healthy obesity: different prevalences using different criteria.
Journal
European journal of clinical nutrition
Author(s)
Velho S., Paccaud F., Waeber G., Vollenweider P., Marques-Vidal P.
ISSN
1476-5640 (Electronic)
ISSN-L
0954-3007
Publication state
Published
Issued date
10/2010
Peer-reviewed
Oui
Volume
64
Number
10
Pages
1043-1051
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
To estimate the prevalence of metabolically healthy obesity (MHO) according to different definitions.
Population-based sample of 2803 women and 2557 men participated in the study. Metabolic abnormalities were defined using six sets of criteria, which included different combinations of the 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 of cardiovascular, respiratory or metabolic diseases. For each set, prevalence of MHO was assessed for body mass index (BMI); waist or percent body fat.
Among obese (BMI 30 kg/m(2)) participants, prevalence of MHO ranged between 3.3 and 32.1% in men and between 11.4 and 43.3% in women according to the criteria used. Using abdominal obesity, prevalence of MHO ranged between 5.7 and 36.7% (men) and 12.2 and 57.5% (women). Using percent body fat led to a prevalence of MHO ranging between 6.4 and 43.1% (men) and 12.0 and 55.5% (women). MHO participants had a lower odd of presenting a family history of type 2 diabetes. After multivariate adjustment, the odds of presenting with MHO decreased with increasing age, whereas no relationship was found with gender, alcohol consumption or tobacco smoking using most sets of criteria. Physical activity was positively related, whereas increased waist was negatively related with BMI-defined MHO.
MHO prevalence varies considerably according to the criteria used, underscoring the need for a standard definition of this metabolic entity. Physical activity increases the likelihood of presenting with MHO, and MHO is associated with a lower prevalence of family history of type 2 diabetes.

Keywords
Adult, Aged, Aging, Body Composition, Body Mass Index, Cross-Sectional Studies, Female, Health Status, Homeostasis, Humans, Insulin Resistance, Male, Metabolic Syndrome X/complications, Metabolic Syndrome X/diagnosis, Metabolic Syndrome X/epidemiology, Metabolic Syndrome X/metabolism, Middle Aged, Motor Activity, Obesity/classification, Obesity/complications, Obesity/diagnosis, Obesity/metabolism, Obesity, Abdominal/complications, Obesity, Abdominal/metabolism, Prevalence, Risk Factors, Switzerland/epidemiology, Waist Circumference, Young Adult
Pubmed
Web of science
Open Access
Yes
Create date
04/11/2010 10:18
Last modification date
20/08/2019 14:20
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