ArticleThe Journal of nutrition2014
Food intake does not differ between obese women who are metabolically healthy or abnormal.
Article in The Journal of nutrition, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Skeletal Muscle Insulin Resistance and Absence of Inflammation Characterize Insulin-Resistant Grade I Obese Women.PloS one · 2016Trial
- Adherence to diabetes risk reduction diet is associated with metabolic health status in adolescents with overweight or obesity.Nutrition journal · 2025Article
- Inflammatory markers may mediate the relationship between processed meat consumption and metabolic unhealthy obesity in women: a cross sectional study.Scientific reports · 2023Article
- Application of Mediterranean Diet in Cardiovascular Diseases and Type 2 Diabetes Mellitus: Motivations and Challenges.Nutrients · 2022Review
- Adherence to Mediterranean Diet and Its Association with Metabolic Health Status in Overweight and Obese Adolescents.International journal of clinical practice · 2022Article
- Physiological and Lifestyle Traits of Metabolic Dysfunction in the Absence of Obesity.Current diabetes reports · 2020Review
- Dietary patterns and metabolic phenotypes in Brazilian adults: a population-based cross-sectional study.Public health nutrition · 2019Article
- Adherence to the Mediterranean diet in metabolically healthy and unhealthy overweight and obese European adolescents: the HELENA study.European journal of nutrition · 2019Article
- Dietary inflammatory potential and risk of mortality in metabolically healthy and unhealthy phenotypes among overweight and obese adults.Clinical nutrition (Edinburgh, Scotland) · 2019Article
- Dairy product consumption and its association with metabolic disturbance in a prospective study of urban adults.The British journal of nutrition · 2018Article
- Dietary patterns and physical activity in the metabolically (un)healthy obese: the Dutch Lifelines cohort study.Nutrition journal · 2018Article
- Mediterranean diet and mortality risk in metabolically healthy obese and metabolically unhealthy obese phenotypes.International journal of obesity (2005) · 2016Article
- Factors associated with metabolically healthy status in obesity, overweight, and normal weight at baseline of ELSA-Brasil.Medicine · 2016Article
- Metabolically Healthy Obesity Is Not Associated with Food Intake in White or Black Men.The Journal of nutrition · 2015Article
- The Relationship between Dietary Patterns and Metabolic Health in a Representative Sample of Adult Australians.Nutrients · 2015Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundMetabolically healthy obesity may confer lower risk of adverse health outcomes compared with abnormal obesity. Diet and race are postulated to influence the phenotype, but their roles and their interrelations on healthy obesity are unclear.
objectiveWe evaluated food intakes of metabolically healthy obese women in comparison to intakes of their metabolically healthy normal-weight and metabolically abnormal obese counterparts.
methodsThis was a cross-sectional study in 6964 women of the REasons for Geographic And Racial Differences in Stroke (REGARDS) study. Participants were aged 45-98 y with a body mass index (BMI; kg/m(2)) ≥18.5 and free of cardiovascular diseases, diabetes, and cancer. Food intake was collected by using a food-frequency questionnaire. BMI phenotypes were defined by using metabolic syndrome (MetS) and homeostasis model assessment of insulin resistance (HOMA-IR) criteria. Mean differences in food intakes among BMI phenotypes were compared by using ANCOVA.
resultsApproximately one-half of obese women (white: 45%; black: 55%) as defined by MetS criteria and approximately one-quarter of obese women (white: 28%; black: 24%) defined on the basis of HOMA-IR values were metabolically healthy. In age-adjusted analyses, healthy obesity and normal weight as defined by both criteria were associated with lower intakes of sugar-sweetened beverages compared with abnormal obesity among both white and black women (P < 0.05). HOMA-IR-defined healthy obesity and normal weight were also associated with higher fruit and low-fat dairy intakes compared with abnormal obesity in white women (P < 0.05). Results were attenuated and became nonsignificant in multivariable-adjusted models that additionally adjusted for BMI, marital status, residential region, education, annual income, alcohol intake, multivitamin use, cigarette smoking status, physical activity, television viewing, high-sensitivity C-reactive protein, menopausal status, hormone therapy, and food intakes.
conclusionsHealthy obesity was not associated with a healthier diet. Prospective studies on relations of dietary patterns, which may be a better indicator of usual diet, with the phenotype would be beneficial.
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