Evidence map›Paper›PMID 29777229›Full record

ArticleInternational journal of obesity (2005)2019

Fate of the metabolically healthy obese-is this term a misnomer? A study from the Clinical Practice Research Datalink.

Osama Moussa, Chanpreet Arhi, Paul Ziprin, Ara Darzi, Omar Khan, Sanjay Purkayastha

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Article in International journal of obesity (2005), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Obesity and pregnancy, the perfect metabolic storm.European journal of clinical nutrition · 2021
    Review
  10. Article
  11. Metabolically Healthy Obesity.Endocrine reviews · 2020
    Review
  12. Metabolically healthy obesity: facts and fantasies.The Journal of clinical investigation · 2019
    Review
  13. Review
  14. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Osama MoussaSt Mary's Academic Unit, Imperial College, Praed Street, London, W2 1NY, UK. omoussa@ic.ac.uk.
Chanpreet ArhiSt Mary's Academic Unit, Imperial College, Praed Street, London, W2 1NY, UK.
Paul ZiprinSt Mary's Academic Unit, Imperial College, Praed Street, London, W2 1NY, UK.
Ara DarziSt Mary's Academic Unit, Imperial College, Praed Street, London, W2 1NY, UK.
Omar KhanSt George's University Hospital, Blackshaw Rd, London, SW17 0QT, UK.
Sanjay PurkayasthaSt Mary's Academic Unit, Imperial College, Praed Street, London, W2 1NY, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe metabolically healthy obese (MHO) phenotype may express typical characteristics on long-term follow-up. Little is known about the initiation of this phenotypes and its future stability.

aimThe Clinical Practice Research Datalink (CPRD) is a large-scale primary care database. The aim of this study was to assess the stability of, and evaluate the factors associated with a transition into an unhealthy outcome in, a MHO population in the UK.

methodsThe CPRD was interrogated for a diagnosis of 'obesity' and cross-referenced with a body mass index (BMI) ≥35 kg/m

resultsThere were 231,399 patients with a recorded BMI of 35 kg/m

conclusionsFrom this unique large data set, there is a greater prevalence of MHO individuals in the UK population than in published literature elsewhere. Female gender, younger age group, and lower initial weight and BMI were found to be significant predictors of sustained metabolic health in this cohort. However, there remains a steady progressive transition from a healthy baseline over the years.

Indexed as

AdultBody Mass IndexFemaleHealth BehaviorHealth Services ResearchHumansMaleMiddle AgedObesity, Metabolically BenignPhenotypePrevalencePrognosisTerminology as TopicYoung Adult

Identifiers

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.