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August 1, 2023Metabolic Syndrome and Related Disorders

MHO and MUO had a higher risk of CVD (adjusted HR 1.49, 95% CI 1.11–2.02 and HR 1.25, 95% CI 1.00–1.55, respectively) based on the waist circumference criterion.

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Why the study?

Various diseases are associated with obesity and metabolism, prompting investigation into the risk of cardiovascular disease across diverse metabolic obesity phenotypes.

Do metabolically healthy obesity and metabolically unhealthy obesity increase the risk of cardiovascular disease in adults without baseline CVD compared to metabolically healthy normal weight?

Population

1517 participants ≥25 years of age without CVD at baseline

Comparison

Four metabolic obesity phenotypes based on central obesity and metabolic health status

Design

Prospective observational study

Follow-up

14830.49 person-years

Authors

XLXiaowei LiuCYChan YangYDYuanyuan Dang

Discussion

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Member takes

Overview

MHO may confer intermediate CVD risk; leaves open whether phenotype-specific monitoring improves outcomes in larger cohorts.

Structured PICO

Do metabolically healthy obesity and metabolically unhealthy obesity increase the risk of cardiovascular disease in adults without baseline CVD compared to metabolically healthy normal weight?

P
Population
1517 participants ≥25 years of age without cardiovascular disease (CVD) at baseline.
I
Intervention
Metabolically healthy obesity (MHO) and metabolically unhealthy obese (MUO) phenotypes
C
Comparator
Metabolically healthy normal weight
O
Outcome
Incident cardiovascular disease (CVD)hard clinical

Both metabolically healthy obesity and metabolically unhealthy obesity are associated with an increased risk of incident cardiovascular disease, suggesting that obesity even without metabolic abnormalities carries cardiovascular risk.

Cite This Study

Liu et al. (2023) studied this question.

synapsesocial.com/papers/6a7cd0d7e4005ef081adc844https://doi.org/10.1089/met.2022.0100
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Metabolically healthy obesity is independently associated with 20-year incidence of cardiovascular disease: findings from the ATTICA cohort study (2002–2022)2026 · 2 citations
  2. 2Associations between metabolic obesity phenotypes and incident cardiovascular disease in middle-aged and elderly Chinese individuals2026
  3. 3The association between transition from metabolically healthy obesity to metabolic syndrome, and incidence of cardiovascular disease: Tehran lipid and glucose study2020 · 39 citations
  4. 4Association Between Overweight/Obesity Metabolic Phenotypes Defined by Two Criteria of Metabolic Abnormality and Cardiovascular Diseases: A Cross‐Sectional Analysis in a Chinese Population2024 · 2 citations
  5. 5Comparison of cardiovascular disease risk association with metabolic unhealthy obesity identified by body fat percentage and body mass index: Results from the 1999–2020 National Health and Nutrition Examination Survey2024 · 3 citations