The Obese Without Cardiometabolic Risk Factor Clustering and the Normal Weight With Cardiometabolic Risk Factor Clustering
Authors: Rachel P. Wildman, PhD; Paul Muntner, PhD; Kristi Reynolds, PhD; Aileen P. McGinn, PhD; Swapnil Rajpathak, MD, DrPH; Judith Wylie-Rosett, EdD; MaryFran R. Sowers, PhD
This study was about how some overweight Americans can still be healthy and average Americans can still have cardio problems. The body mass index and cardio metabolic were use to separate the Americans in the study to determine which had the American had the strange metabolic situation. 5440 participants were use to determine if this was just a rare case. The Doctors were looking for any strange metabolic abnormality. Cardio metabolic abnormalities included elevated blood pressure; elevated levels of triglycerides, fasting plasma glucose, and C-reactive protein; elevated homeostasis model assessment of insulin resistance value; and low high-density lipoprotein cholesterol level.
The results of the study were that US adults 20 years and older, 23.5% (approximately 16.3 million adults) of normal-weight adults were metabolically abnormal, whereas 51.3% (approximately 35.9 million adults) of overweight adults and 31.7% (approximately 19.5 million adults) of obese adults were metabolically healthy. The independent correlates of clustering of cardiometabolic abnormalities among normal-weight individuals were older age, lower physical activity levels, and larger waist circumference. The independent correlates of 0 or 1 cardiometabolic abnormalities among overweight and obese individuals were younger age, non-Hispanic black race/ethnicity, higher physical activity levels, and smaller waist circumference. Among US adults, there is a high prevalence of clustering of cardiometabolic abnormalities among normal-weight individuals and a high prevalence of overweight and obese individuals who are metabolically healthy. Further study into the physiologic mechanisms underlying...