J Korean Diabetes.  2014 Mar;15(1):21-23. 10.4093/jkd.2014.15.1.21.

The Relationship between Diet, Lifestyle and Metabolically Healthy Obeity

Affiliations
  • 1Division of Endocrinology and Metabolism, Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea. mdkmk@dsmc.or.kr

Abstract

Obesity prevalence is increasing worldwide, including in Korea. It is associated with increased risk of metabolic syndrome, type 2 diabetes mellitus and cardiovascular disease. However, certain obese individualsfall into the category of metabolically healthy obesity (MHO) and do not have cardiometabolic risk characteristics such as dyslipidemia, insulin resistance and hypertension. Diet and lifestyle intervention are the main therapeutic strategies for treatment of obesity. However, the effect of diet and lifestyle interventionon MHO is unclear. Therefore, in this report, I will review the relationship between diet,lifestyle and MHO.

Keyword

Diet; Lifestyle; Obesity

MeSH Terms

Cardiovascular Diseases
Diabetes Mellitus, Type 2
Diet*
Dyslipidemias
Hypertension
Insulin Resistance
Korea
Life Style*
Obesity
Prevalence

Reference

References

1. Kelly T, Yang W, Chen CS, Reynolds K, He J. Global burden of obesity in 2005 and projections to 2030. Int J Obes (Lond). 2008; 32:1431–7.
Article
2. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2012: Korea National Health and Nutrition Examination Survey (KNHANES V-3); 2012 [Internet]. Cheongwon: Ministry of Health, Welfare and Family Affairs;c2012. [cited 2013 Dec 24]. Available from:. https://knhanes.cdc.go.kr.
3. Hotamisligil GS. Inflammation and metabolic disorders. Nature. 2006; 444:860–7.
Article
4. Sims EA. Are there persons who are obese, but metabolically healthy? Metabolism. 2001; 50:1499–504.
Article
5. Lee K. Metabolically obese but normal weight (MONW) and metabolically healthy but obese (MHO) phenotypes in Koreans: characteristics and health behaviors. Asia Pac J Clin Nutr. 2009; 18:280–4.
6. Phillips CM. Nutrigenetics and metabolic disease: current status and implications for personalised nutrition. Nutrients. 2013; 5:32–57.
Article
7. Jensen MD, Ryan DH, Apovian CM, Ard JD, Comuzzie AG, Donato KA, Hu FB, Hubbard VS, Jakicic JM, Kushner RF, Loria CM, Millen BE, Nonas CA, Pi-Sunyer FX, Stevens J, Stevens VJ, Wadden TA, Wolfe BM, Yanovski SZ. 2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society. Circulation. 2013 Nov 13. [Epub].http://dx.doi.org/10.1161/01.cir.0000437739.71477.ee.
8. Hankinson AL, Daviglus ML, Van Horn L, Chan Q, Brown I, Holmes E, Elliott P, Stamler J. Diet composition and activity level of at risk and metabolically healthy obese American adults. Obesity (Silver Spring). 2013; 21:637–43.
Article
9. Manu P, Ionescu-Tirgoviste C, Tsang J, Napolitano BA, Lesser ML, Correll CU. Dysmetabolic Signals in "Metabolically Healthy" Obesity. Obes Res Clin Pract. 2012; 6:e9–e20.
Article
10. Phillips CM, Dillon C, Harrington JM, McCarthy VJ, Kearney PM, Fitzgerald AP, Perry IJ. Defining metabolically healthy obesity: role of dietary and lifestyle factors. PLoS One. 2013; 8:e76188.
Article
11. Sattelmair J, Pertman J, Ding EL, Kohl HW 3rd, Haskell W, Lee IM. Dose response between physical activity and risk of coronary heart disease: a metaanalysis. Circulation. 2011; 124:789–95.
12. Tuomilehto J, Lindström J, Eriksson JG, Valle TT, Hämäläinen H, Ilanne-Parikka P, Keinänen-Kiukaanniemi S, Laakso M, Louheranta A, Rastas M, Salminen V, Uusitupa M. Finnish Diabetes Prevention Study Group. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med. 2001; 344:1343–50.
Article
13. Velho S, Paccaud F, Waeber G, Vollenweider P, Marques-Vidal P. Metabolically healthy obesity: different prevalences using different criteria. Eur J Clin Nutr. 2010; 64:1043–51.
Article
14. Yoo HK, Choi EY, Park EW, Cheong YS, Bae RA. Comparison of metabolic characteristics of metabolically healthy but obese (MHO) middle-aged men according to different criteria. Korean J Fam Med. 2013; 34:19–26.
Article
15. Camhi SM, Waring ME, Sisson SB, Hayman LL, Must A. Physical activity and screen time in metabolically healthy obese phenotypes in adolescents and adults. J Obes. 2013; 2013:984613.
Article
16. Karelis AD, Messier V, Brochu M, Rabasa-Lhoret R. Metabolically healthy but obese women: effect of an energy-restricted diet. Diabetologia. 2008; 51:1752–4.
Article
17. Perseghin G. Is a nutritional therapeutic approach unsuitable for metabolically healthy but obese women? Diabetologia. 2008; 51:1567–9.
Article
18. Kantartzis K, Machann J, Schick F, Rittig K, Machicao F, Fritsche A, Häring HU, Stefan N. Effects of a lifestyle intervention in metabolically benign and malign obesity. Diabetologia. 2011; 54:864–8.
Article
19. Janiszewski PM, Ross R. Effects of weight loss among metabolically healthy obese men and women. Diabetes Care. 2010; 33:1957–9.
Article
20. Liu RH, Wharton S, Sharma AM, Ardern CI, Kuk JL. Influence of a clinical lifestyle-based weight loss program on the metabolic risk profile of metabolically normal and abnormal obese adults. Obesity (Silver Spring). 2013; 21:1533–9.
Article
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