Metabolically healthy and unhealthy normal weight and obesity.
    
    
        
    
    
        
        Endocrinol. Metab. 35, 487–493 (2020)
    
    
    
		
		
			
				Increased fat mass is an established risk factor for the cardiometabolic diseases type 2 diabetes and cardiovascular disease (CVD) and is associated with increased risk of all-cause and CVD mortality. However, also very low fat mass associates with such an increased risk. Whether impaired metabolic health, characterized by hypertension, dyslipidemia, hyperglycemia, insulin resistance, and subclinical inflammation, may explain part of the elevated risk of cardiometabolic diseases that is found in many subjects with very low fat mass, as it does in many obese subjects, is unknown. An important pathomechanism of impaired metabolic health is disproportionate fat distribution. In this article the risk of cardiometabolic diseases and mortality in subjects with metabolically healthy and unhealthy normal weight and obesity is summarized. Furthermore, the change of metabolic health during a longer period of follow-up and its impact on cardiometabolic diseases is being discussed. Finally, the implementation of the concept of metabolic health in daily clinical practice is being highlighted.
			
			
				
			
		 
		
			
				
					
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        Publikationstyp
        Artikel: Journalartikel
    
 
    
        Dokumenttyp
        Review
    
 
    
        Typ der Hochschulschrift
        
    
 
    
        Herausgeber
        
    
    
        Schlagwörter
        Fatty Liver ; Insulin Resistance ; Metabolic Health ; Normal Weight ; Obesity ; Obesity, Abdominal ; Subclinical Inflammation; All-cause; Fetuin-a; Disease; Risk; Overweight; Consequences; Association; Phenotypes; Mortality; Genetics
    
 
    
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        Sprache
        englisch
    
 
    
        Veröffentlichungsjahr
        2020
    
 
    
        Prepublished im Jahr 
        
    
 
    
        HGF-Berichtsjahr
        2020
    
 
    
    
        ISSN (print) / ISBN
        2093-596X
    
 
    
        e-ISSN
        2093-5978
    
 
    
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	    Band: 35,  
	    Heft: 3,  
	    Seiten: 487–493 
	    Artikelnummer: ,  
	    Supplement: ,  
	
    
 
  
        
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            Verlag
            Korean Endocrine Society
        
 
        
            Verlagsort
            Seoul
        
 
	
        
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        Begutachtungsstatus
        Peer reviewed
    
 
     
    
        POF Topic(s)
        90000 - German Center for Diabetes Research
    
 
    
        Forschungsfeld(er)
        Helmholtz Diabetes Center
    
 
    
        PSP-Element(e)
        G-502400-001
    
 
    
        Förderungen
        German Federal Ministry of Education and Research to the German Centre of Diabetes Researc
    
 
    
        Copyright
        
    
 	
    
    
    
    
        Erfassungsdatum
        2020-10-20