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Are Metabolically Normal but Obese Individuals at Lower Risk for All-Cause Mortality?
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Journal Article
Are Metabolically Normal but Obese Individuals at Lower Risk for All-Cause Mortality?
2009
Overview
OBJECTIVE: The clinical relevance of the metabolically normal but obese phenotype for mortality risk is unclear. This study examines the risk for all-cause mortality in metabolically normal and abnormal obese (MNOB and MAOB, respectively) individuals. RESEARCH DESIGN AND METHODS: The sample included 6,011 men and women from the Third National Health and Nutrition Examination Survey (NHANES III) with public-access mortality data linkage (follow-up = 8.7 ± 0.2 years; 292 deaths). Metabolically abnormal was defined as insulin resistance (IR) or two or more metabolic syndrome (MetSyn) criteria (excluding waist). RESULTS: A total of 30% of obese subjects had IR, and 38.4% had two or more MetSyn factors, whereas only 6.0% (or 1.6% of the whole population) were free from both IR and all MetSyn factors. By MetSyn factors or IR alone, MNOB subjects (hazard ratio [HR]MetSyn 2.80 [1.18-6.65]; HRIR 2.58 [1.00-6.65]) and MAOB subjects (HRMetSyn 2.74 [1.46-5.15]; HRIR 3.09 [1.55-6.15]) had similar elevations in mortality risk compared with metabolically normal, normal weight subjects. CONCLUSIONS: Although a rare phenotype, obesity, even in the absence of overt metabolic aberrations, is associated with increased all-cause mortality risk.
Publisher
American Diabetes Association
Subject
/ Biological and medical sciences
/ Diabetes
/ Diabetes. Impaired glucose tolerance
/ Endocrine pancreas. Apud cells (diseases)
/ Exercise
/ Female
/ Humans
/ Insulin Resistance - physiology
/ Male
/ men
/ National Health and Nutrition Examination Survey
/ Obesity
/ Public health. Hygiene-occupational medicine
/ risk
/ Surveys
/ United States - epidemiology
/ waist
/ women
