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Effect of metabolically healthy obesity on the development of arterial stiffness: a prospective cohort study.

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  • Additional Information
    • Affiliation:
      Department of Cardiovascular Medicine, First Affiliated Hospital of Xi'an Jiaotong University, 277 Yanta West Street, 710061, Xi'an, China
      Key Laboratory of Molecular Cardiology of Shaanxi Province, Xi'an, China
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      Background: Metabolically healthy obesity (MHO) has been reported to be associated with the development of vascular damage by the carotid intima-media thickness, but the relationship between metabolic health and obesity phenotypes and arterial stiffness is still unknown. Our hypothesized that different metabolic health and obesity phenotypes might be associated with the development of arterial stiffness, and that subjects in MHO phenotype might not have increased risks of arterial stiffness compared with those in metabolically healthy nonobesity phenotype (MHNO), while metabolic unhealthy individuals might have increased risks of arterial stiffness. Methods: A prospective cohort of 2076 participants (aged 36–48 years) who were enrolled in the Hanzhong Adolescent Hypertension Cohort Study in 2017 was analyzed in a cross-sectional analysis. A subgroup of 202 participants from 2005 to 2017 was selected by an isometric sampling method and was included in the final longitudinal analysis. Results: We identified four metabolic health and obesity phenotypes for both the cross-sectional and longitudinal analyses as follows: MHNO, metabolically unhealthy nonobesity (MUNO), MHO, and metabolically unhealthy obesity (MUO). In the cross-sectional analysis, individuals with the MHO phenotype had the lowest brachial-ankle pulse wave velocity (baPWV) levels of the four phenotypes (P < 0.001), and participants with the MHO phenotype had a similar risk of arterial stiffness after fully adjustment [odds ratio (OR) = 0.99 (0.61–1.60)] as the MUNO subjects. Subjects with metabolically unhealthy status had a significantly higher risk of arterial stiffness than the MHNO individuals, particularly females (P < 0.005). In the longitudinal analysis, subjects with the MUNO and MUO phenotypes had a significantly higher risk of arterial stiffness than the MHNO individuals after adjustment for age and sex [OR = 5.21 (2.26–12.02), OR = 3.32 (1.18–9.32), respectively]. Conclusions: The MHO phenotype did not significantly increase the progression of arterial stiffness. Metabolically unhealthy individuals (MUNO, MUO), regardless of obesity status, showed a worse effect for the development of arterial stiffness, particularly females. Trial registration: NCT02734472. Registered 12 April 2016 - Retrospectively registered, http:www.clinicaltrials.gov.
    • Journal Subset:
      Biomedical; Europe; UK & Ireland
    • ISSN:
      1743-7075
    • MEDLINE Info:
      NLM UID: 101231644
    • Publication Date:
      20200706
    • Publication Date:
      20200706
    • Accession Number:
      http://dx.doi.org/10.1186/s12986-020-00474-8
    • Accession Number:
      144356557
  • Citations
    • ABNT:
      YUAN, Y. et al. Effect of metabolically healthy obesity on the development of arterial stiffness: a prospective cohort study. Nutrition & Metabolism, [s. l.], v. 17, n. 1, p. 1–10, 2020. DOI 10.1186/s12986-020-00474-8. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=144356557. Acesso em: 23 set. 2020.
    • AMA:
      Yuan Y, Mu J-J, Chu C, et al. Effect of metabolically healthy obesity on the development of arterial stiffness: a prospective cohort study. Nutrition & Metabolism. 2020;17(1):1-10. doi:10.1186/s12986-020-00474-8
    • APA:
      Yuan, Y., Mu, J.-J., Chu, C., Zheng, W.-L., Wang, Y., Hu, J.-W., Ma, Q., Yan, Y., Liao, Y.-Y., & Chen, C. (2020). Effect of metabolically healthy obesity on the development of arterial stiffness: a prospective cohort study. Nutrition & Metabolism, 17(1), 1–10. https://doi.org/10.1186/s12986-020-00474-8
    • Chicago/Turabian: Author-Date:
      Yuan, Yue, Jian-Jun Mu, Chao Chu, Wen-Ling Zheng, Yang Wang, Jia-Wen Hu, Qiong Ma, Yu Yan, Yue-Yuan Liao, and Chen Chen. 2020. “Effect of Metabolically Healthy Obesity on the Development of Arterial Stiffness: A Prospective Cohort Study.” Nutrition & Metabolism 17 (1): 1–10. doi:10.1186/s12986-020-00474-8.
    • Harvard:
      Yuan, Y. et al. (2020) ‘Effect of metabolically healthy obesity on the development of arterial stiffness: a prospective cohort study’, Nutrition & Metabolism, 17(1), pp. 1–10. doi: 10.1186/s12986-020-00474-8.
    • Harvard: Australian:
      Yuan, Y, Mu, J-J, Chu, C, Zheng, W-L, Wang, Y, Hu, J-W, Ma, Q, Yan, Y, Liao, Y-Y & Chen, C 2020, ‘Effect of metabolically healthy obesity on the development of arterial stiffness: a prospective cohort study’, Nutrition & Metabolism, vol. 17, no. 1, pp. 1–10, viewed 23 September 2020, .
    • MLA:
      Yuan, Yue, et al. “Effect of Metabolically Healthy Obesity on the Development of Arterial Stiffness: A Prospective Cohort Study.” Nutrition & Metabolism, vol. 17, no. 1, July 2020, pp. 1–10. EBSCOhost, doi:10.1186/s12986-020-00474-8.
    • Chicago/Turabian: Humanities:
      Yuan, Yue, Jian-Jun Mu, Chao Chu, Wen-Ling Zheng, Yang Wang, Jia-Wen Hu, Qiong Ma, Yu Yan, Yue-Yuan Liao, and Chen Chen. “Effect of Metabolically Healthy Obesity on the Development of Arterial Stiffness: A Prospective Cohort Study.” Nutrition & Metabolism 17, no. 1 (July 2, 2020): 1–10. doi:10.1186/s12986-020-00474-8.
    • Vancouver/ICMJE:
      Yuan Y, Mu J-J, Chu C, Zheng W-L, Wang Y, Hu J-W, et al. Effect of metabolically healthy obesity on the development of arterial stiffness: a prospective cohort study. Nutrition & Metabolism [Internet]. 2020 Jul 2 [cited 2020 Sep 23];17(1):1–10. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=144356557