Department of Public Health, Faculty of Medicine, Masaryk University, Brno, Czech Republic.
Cent Eur J Public Health. 2024 Mar;32(1):3-8. doi: 10.21101/cejph.a7806.
This article briefly summarizes the results of existing research on metabolically healthy obesity in the context of health risks.
The PubMed database was searched for relevant meta-analyses addressing metabolically healthy obesity in the context of health risks.
We included a total of 17 relevant meta-analyses in this review. The results of the studied meta-analyses showed that metabolically healthy obesity may be only a transient condition associated with an increased risk of developing metabolic abnormalities in the future. People with obesity without metabolic abnormalities have an increased risk of type 2 diabetes, cardiovascular disease, cancer, chronic kidney disease, and depressive syndrome. In addition, all people with obesity are at risk of pathogenesis resulting from the mechanical stress caused by presence of abnormal adipose tissue, such as sleep apnoea syndrome or skin problems.
Based on the results of meta-analyses, we recommend motivating all obese patients to change their lifestyle regardless of the presence of metabolic defects.
本文简要总结了现有研究中代谢健康型肥胖在健康风险方面的结果。
在 PubMed 数据库中检索了关于代谢健康型肥胖在健康风险方面的相关荟萃分析。
本综述共纳入了 17 项相关的荟萃分析。研究荟萃分析的结果表明,代谢健康型肥胖可能只是一种与未来发生代谢异常风险增加相关的短暂状态。没有代谢异常的肥胖者患 2 型糖尿病、心血管疾病、癌症、慢性肾病和抑郁综合征的风险增加。此外,所有肥胖者都存在由于异常脂肪组织引起的机械应力导致的发病风险,如睡眠呼吸暂停综合征或皮肤问题。
基于荟萃分析的结果,我们建议无论是否存在代谢缺陷,都应激励所有肥胖患者改变生活方式。