Emerging concepts in metabolically healthy obesity
Emerging concepts in metabolically healthy obesity
Data
2020
Autores
Duque, Alice P
Rodrigues Junior, Luiz F
Mediano, Mauro F F
Tibiriça, Eduardo
Lorenzo, Andrea De
Journal Title
Journal ISSN
Volume Title
Publisher
American Journal of Cardiovascular Disease
Resumo
Obesity is a major risk factor for noncommunicable diseases that is responsible for more than 70% of early deaths in the world. In the 1980's decade, some studies started to describe a "benign" obesity phenotype, named "metabolically healthy obesity" (MHO), which represents obesity without comorbidities such as hypertension, cardiovascular diseases, insulin resistance, diabetes, dyslipidemia or metabolic syndrome. However, it is still unclear if this "benign" obesity phenotype is really favorable or just a transition status to unhealthy obesity and if these subjects presented subclinical levels of cardiovascular risk that are not commonly detected. To further elucidate these issues, the investigation of pathophysiological mechanisms that can increase cardiovascular risk in MHO individuals, such as hormones and cytokines, may offer some responses. In parallel, the evaluation of subclinical cardiovascular derangement, using the systemic microcirculation as a proxy, may be an alternative to anticipate overt cardiovascular disease. Overall, further studies are needed to better understand the pathophysiology of MHO as well as to identify high-risk individuals who deserve more intensive management.
Description
Palavras-chave
Obesity, Cardiovascular risk, Cytokines, Hormones, Metabolically healthy obesity, Microcirculation
Citação
Duque AP, Rodrigues Junior LF, Mediano MFF, Tibiriça E, De Lorenzo A. Emerging concepts in metabolically healthy obesity. Am J Cardiovasc Dis. 2020 Jun 15;10(2):48-61.