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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

The prevalence of metabolically healthy obesity: a systematic review and critical evaluation of the definitions used

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Author(s):
Rey-Lopez, J. P. [1] ; de Rezende, L. F. [1, 2] ; Pastor-Valero, M. [3, 4] ; Tess, B. H. [1]
Total Authors: 4
Affiliation:
[1] Univ Sao Paulo, Dept Med Prevent, Fac Med, BR-01246903 Sao Paulo - Brazil
[2] Ctr Estudos Lab Aptidao Fis Sao Caetano Sul CELAF, Sao Paulo - Brazil
[3] Univ Miguel Hernandez Elche, Dept Salud Publ Hist Ciencia & Ginecol, Fac Med, Elche - Spain
[4] CIBER Epidemiol & Salud Publ CIBERESP, Madrid - Spain
Total Affiliations: 4
Document type: Journal article
Source: Obesity Reviews; v. 15, n. 10, p. 781-790, OCT 2014.
Web of Science Citations: 80
Abstract

We performed a systematic review of the prevalence of metabolically healthy obesity (MHO). Medline, Web of Science and EMBASE were searched for original articles from inception to November 2013. Only prospective and cross-sectional studies were included. After screening 478 titles, we selected 55 publications, of which 27 were population-based studies and were used in the narrative synthesis. From the 27 studies, we identified 30 definitions of metabolic health, mainly based on four criteria: blood pressure, high-density lipoprotein cholesterol, triglycerides and plasma glucose. Body mass index 30kgm(-2) was the main indicator used to define obesity (74% of the studies). Overall, MHO prevalence ranged between 6% and 75%. In the studies that stratified the analysis by sex, prevalence was higher in women (seven out of nine studies) and in younger ages (all four studies). One-third of the studies (n=9) reported the response rate. Of these, four reported a response rate of 70% and they showed MHO prevalence estimates between 10% and 51%. The heterogeneity of MHO prevalence estimates described in this paper strengthens calls for the urgent need for a commonly established metabolic health definition. (AU)

FAPESP's process: 12/05723-8 - Lifestyle during adolescence (physical activity, sedentary behavior, smoking and eating habits) and their influence on cardiovascular health: study European and Brazilian.
Grantee:Juan Pablo Rey López
Support Opportunities: Scholarships in Brazil - Post-Doctoral