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

Autor(es)

Rey-Lopez, J. P. ^[1] ; de Rezende, L. F. ^{[1, 2]} ; Pastor-Valero, M. ^{[3, 4]} ; Tess, B. H. ^[1]

Afiliação do(s) autor(es)

^[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

• Tipo de documento: Artigo Científico
• Fonte: Obesity Reviews; v. 15, n. 10, p. 781-790, OCT 2014.
• Citações Web of Science: 80

Resumo

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)

• Processo FAPESP: 12/05723-8 - Estilo de vida durante a adolescência (atividade física, comportamentos sedentários, tabagismo e hábitos alimentares) e sua influência na saúde cardiovascular: estudo Europeu e Brasileiro.
• Beneficiário: Juan Pablo Rey López
• Modalidade de apoio: Bolsas no Brasil - Pós-Doutorado