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December 2, 2013Annals of Internal Medicine

Are Metabolically Healthy Overweight and Obesity Benign Conditions?

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Authors

CKCaroline K. KramerKarlsruhe Institute of TechnologyBernard ZinmanBernard ZinmanUniversity of North Carolina at Chapel HillRRRavi RetnakaranMount Sinai Hospital

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Implication

Systematic review evaluates cardiovascular risk in metabolically healthy overweight individuals, indicating excess adiposity is not benign.

Key Points

  • To determine whether metabolically healthy overweight and obesity represent benign conditions or confer elevated long-term cardiovascular and mortality risks.
  • Evaluated clinical outcomes and disease risk across defined body mass index categories in the absence of baseline metabolic abnormalities.
  • Conducted with intramural funding support from the Leadership Sinai Centre for Diabetes.
  • Individuals with metabolically healthy overweight and obesity exhibit higher long-term risk of adverse cardiovascular outcomes and mortality than metabolically healthy normal-weight individuals.
  • Qualitative synthesis indicates that excess adiposity remains hazardous over extended follow-up, challenging the notion of a completely harmless obese state.

Cite This Study

Kramer et al. (2013) studied this question.

synapsesocial.com/papers/69dbc90d387cf70698688b6bhttps://doi.org/10.7326/0003-4819-159-11-201312030-00008
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