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Obese Doesn’t Always Mean Unhealthy


Diabetes and cancer among the growing number of Americans who are overweight. But what if that’s not always correct? Is it possible for some people to be overweight – or even obese – and still be healthy? Researchers think so, and they have some surprising statistics to back that opinion up.

The researchers analyzed the records of 454 individuals who were seen as patients at the medical school. Each of the individuals in the study had a body mass index (BMI) greater than 30, a standard for defining obesity, and the group’s average body fat percentage was over 46 percent. The UMDNJ analysis revealed a distinct sub-group of 135 metabolically healthy obese (MHO) individuals who, despite their high BMIs and body fat percentages, had essentially none of the measureable health risks – high blood pressure or elevated blood sugar or cholesterol levels – normally associated with obesity.

“Our results indicate that metabolically healthy obese individuals may represent as much as 20 to 30 percent of obese population,” said Dr. Adarsh Gupta, who along with Dr. Gwynn Coatney, This highlights the need for clinicians to be cautious when using obesity as a criterion for prescribing treatment. Researchers, too, need to be careful to distinguish between the metabolically healthy and metabolically unhealthy when analyzing data involving a group of obese individuals.”

Overall, the MHO group was younger (average age 37.4 years) than the MUO patients (average age 45.4 years) and more likely to be female. At the time of the study, none of the MHO individuals took medications for treatment of diabetes or high cholesterol. By contrast, 17.4 percent of the MUO individuals were being treated for diabetes and more than 30 percent were prescribed medications to help lower their cholesterol levels. Additionally, the MUO group was three times more likely (22.5 percent vs. 7.4 percent) to have been prescribed medication to control high blood pressure.