Profile of individuals with excessive weight metabolically healthy and metabolically not healthy

• Autor(a) principal: Silva, Bethânia Esmeralda Claudiano da
• Data de Publicação: 2019
• Outros Autores: Caetano, Vanessa Cirilo, Alvim, Bruna de Freitas, Ribeiro, Rayane Silva Martins, Seixas, Thiago Balbi, Luquetti, Sheila Cristina Potente Dutra
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: HU Revista (Online)
• Texto Completo: https://periodicos.ufjf.br/index.php/hurevista/article/view/2860
• topic: Obesity. Metabolic syndrome. Healthy.; Obesidade. Síndrome metabólica. Saudável.

The objective of this study was to characterize a group of overweight adult individuals regarding their metabolic profile, qualifying them as metabolically healthy obese or obese metabolically unhealthy according to different criteria. This cross-sectional study evaluated 63 adult individuals, 69.8% female, overweight (25.0 - 29.9 kg / m²) or obese (≥ 30 kg / m²). For the metabolic characterization, the following criteria were used: "Homeostasis Model Assessment" index (metabolically healthy obese: within the 3 minor quartiles: ≤3.10, obese metabolically unhealthy:> 3,10); (Obese, metabolically unhealthy: 3 or more of the five components) and a combination of the two. The lifestyle, anthropometric, biochemical and food consumption profiles were also evaluated. The results were expressed as percentage or mean ± standard deviation, depending on the type of variable to be described. The frequency of metabolically healthy obese subjects was 73%, by the criterion of "Homeostasis Model Assessment"; and 49.2% for the "Adult Treatment Panel III". Using the two criteria together, we obtained 79.4% of metabolically healthy obese subjects. The qualification of individuals may vary according to the criteria used. In general, the metabolically healthy obese exhibit lower body mass indexes and waist circumference and have fewer biochemical changes. However, these individuals also need nutritional monitoring in order to avoid that these parameters change over time, putting them at risk of developing chronic diseases.