Following intervention , there was certain and significant improvement of metabolic state for metabolically abnormal obesity ( MAO ) subjects .
Only diastolic blood pressure had reduced for MHO individuals after intervention .
Conclusions : Almost one-third of the obese individuals are in metabolic health .
However , they are still at higher risk of advancing to unhealthy state .
Background : We conducted a systematic review and meta- analysis to firstly obtain a reliable estimation of the prevalence of metabolically healthy obese ( MHO ) individuals in obesity , then assessed the risk of developing metabolic abnormalities ( MA ) among MHO individuals .
At last , we evaluated the effects of traditional lifestyle interventions on metabolic level for MHO subjects .
Obesity phenotype and incident hypertension: a prospective community-based cohort study
Objective : The relationship betweens the healthy obese phenotype and the risk of cardiovascular events remains unclear . We prospect ively investigated the association between the obesity phenotype and the incidence of hypertension . Methods : We studied 2352 participants , aged 40–69 years at baseline , with normal blood pressure ( BP ) from the Ansan cohort and the Ansung cohort of the Korean Genome Epidemiology Study . Participants were divided into six groups based on BMI and the metabolic syndrome ( MetS ) components : healthy ( none of the five MetS components ) normal weight ( BMI < 23 kg/m2 ) , unhealthy ( one or more MetS component ) normal weight , healthy overweight ( BMI 23–24.9 kg/m2 ) , unhealthy overweight , healthy obesity ( BMI ≥25 kg/m2 ) , and unhealthy obesity .  The incidence of hypertension was identified by biennial health examinations during the 8-year follow-up . Results : After adjusting for age , sex , cohort , physical activity , smoking , alcohol consumption , and family history of hypertension and cardiovascular diseases , an increased risk for hypertension in combined cohort was observed in the healthy obesity [ hazard ratio ( HR ) : 2.20 , 95 % confidence interval (CI):1.34–3.60 ] , unhealthy overweight ( HR : 1.47 , 95 % CI : 1.00–2.14 ) , and unhealthy obesity ( HR : 2.45 , 95 % CI : 1.79–3.37 ) , compared with the healthy normal weight group . In each cohort , the healthy obesity was still associated with a higher incidence of hypertension ( HR 2.20 , 95 % CI 1.11–4.36 for the Ansan cohort and HR 2.21 , 95 % CI 1.01–4.83 for the Ansung cohort ) . Conclusion : These findings provide evidence that the metabolically healthy obese phenotype may not be a benign condition
Following intervention , there was certain and significant improvement of metabolic state for metabolically abnormal obesity ( MAO ) subjects .
Only diastolic blood pressure had reduced for MHO individuals after intervention .
Conclusions : Almost one-third of the obese individuals are in metabolic health .
However , they are still at higher risk of advancing to unhealthy state .
Background : We conducted a systematic review and meta- analysis to firstly obtain a reliable estimation of the prevalence of metabolically healthy obese ( MHO ) individuals in obesity , then assessed the risk of developing metabolic abnormalities ( MA ) among MHO individuals .
At last , we evaluated the effects of traditional lifestyle interventions on metabolic level for MHO subjects .