Despite stable or improving blood pressure and lipid profiles, worsening blood glucose control has led to an overall decline in cardiovascular health among obese adults from 1988 to 2014.
Worsening glucose health was associated with declining CV status in obese adults; hypothesis-generating and should not yet change practice.
During the past 3 decades, blood pressure health and blood lipid health remained stable or improved, whereas blood glucose health deteriorated among adult obese population. This resulted in an overall decrease in cardiovascular health status among obese adults and greater risk of type 2 diabetes mellitus. The data argue for interventions targeted to those obese persons who are metabolically unhealthy to stem rising rates of diabetes mellitus.
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Guo et al. (2016) studied this question.
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