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September 30, 2020Russian Open Medical JournalOpen Access

Metabolically healthy obesity prevalence varied from 9.6% to 38.6% depending on criteria, and a ≥5% body mass decrease over 6 months significantly improved cardiometabolic risk factors (p<0.05).

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Why the study?

The study aimed to determine the prevalence of metabolically healthy obesity (MHO), characterize its features compared to metabolically unhealthy obesity (MUHO), and evaluate the effect of weight loss on cardiometabolic risk factors in MHO.

Does weight loss of ≥5% improve cardiometabolic risk factors in patients with metabolically healthy obesity?

Population

389 obese patients aged 18-60

Comparison

MHO vs MUHO, and weight loss of ≥5% body mass after 6 months

Follow-up

6 months

Key result

Metabolically healthy obesity prevalence varied from 9.6% to 38.6% depending on criteria, and a ≥5% body mass decrease over 6 months significantly improved cardiometabolic risk factors (p<0.05).

Authors

ЕOЕlena V. OstrovskayaТРТ. И. РоманцоваAGA. N. Gerasimov

Discussion

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Overview

≥5% weight loss was associated with cardiometabolic improvements in metabolically healthy obesity; leaves open optimal definitions and need for randomized confirmation.

Study Design

Type

Observational (n=389)

Structured PICO

Does weight loss of ≥5% improve cardiometabolic risk factors in patients with metabolically healthy obesity?

P
Population
389 obese patients aged 18-60 were analyzed for MHO prevalence, with a 6-month comparative analysis of 44 MHO patients and 33 MUHO women.
E
Exposure
Weight loss (decrease in body mass by ≥5%) over 6 months
C
Comparator
Baseline values (before weight loss) and MUHO patients
O
Outcome
Prevalence of MHO using different criteria, and changes in anthropometry, basic metabolic parameters, and adipocytokine levels after 6 monthssurrogate

Main Result

p-value: p=<0.05

Weight loss in metabolically healthy obesity improves inflammatory and metabolic markers, suggesting that obesity should be treated regardless of metabolic phenotype.

Cite This Study

Ostrovskaya et al. (2020) conducted an observational in Obesity (n=389). Weight loss (≥5% body mass decrease) vs. Baseline / MUHO was evaluated on Prevalence of MHO and changes in cardiometabolic risk factors (p=<0.05). Metabolically healthy obesity prevalence varied from 9.6% to 38.6% depending on criteria, and a ≥5% body mass decrease over 6 months significantly improved cardiometabolic risk factors (p<0.05).

synapsesocial.com/papers/6a227a448a4701dbb7912e76https://doi.org/10.15275/rusomj.2020.0301
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