ArticleJournal of the Academy of Nutrition and Dietetics2020
Physical Fitness but Not Diet Quality Distinguishes Lean and Normal Weight Obese Adults.
Article in Journal of the Academy of Nutrition and Dietetics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of observational studies on the association between diet quality patterns and visceral adipose tissue.The British journal of nutrition · 2024Pooled it
- Cardiorespiratory fitness and submaximal exercise dynamics in normal-weight obesity and metabolically healthy obesity.European journal of applied physiology · 2024Trial
- Article
- High Prevalence of Anthropometric-Only Obesity and Cardiometabolic Risk: Evidence from a Population-Based Study.Nutrients · 2026Article
- Cardiorespiratory fitness in working adults undergoing rehabilitation: the role of lifestyle and body composition- a cross-sectional study.Frontiers in physiology · 2026Article
- Amino Acid Associations in Healthy and Unhealthy Obesity.The Journal of nutrition · 2025Article
- Normal Weight Obesity Overview and Update: A narrative review.Current obesity reports · 2025Review
- Influence of Sex and Body Composition on Aerobic Capacity in Normal Weight Lean, Normal Weight Obese, and Obese Phenotypes.International journal of environmental research and public health · 2025Article
- MAFLD: an ideal framework for understanding disease phenotype in individuals of normal weight.Therapeutic advances in endocrinology and metabolism · 2024Review
- Metabolic (dysfunction)-associated fatty liver disease in individuals of normal weight.Nature reviews. Gastroenterology & hepatology · 2022Review
- Advances in Phenotyping Obesity and in Its Dietary and Pharmacological Treatment: A Narrative Review.Frontiers in nutrition · 2022Review
- Nutritional quality and carbon footprint of university students' diets: results from the EHU12/24 study.Public health nutrition · 2022Article
- Plasma high-resolution metabolomic phenotyping of lean mass in a United States adult cohort.JPEN. Journal of parenteral and enteral nutrition · 2021Article
- Relationships between plasma apelin and adiponectin with normal weight obesity, body composition, and cardiorespiratory fitness in working adults.Journal of clinical & translational endocrinology · 2021Article
- Higher diet quality relates to better cardiac function in cancer survivors: The multi-ethnic study of atherosclerosis.Progress in cardiovascular diseasesArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundIndividuals with normal weight obesity (NWO) have increased cardiometabolic disease and mortality risk, but factors contributing to NWO development are unknown.
objectiveThe objective of this study was to determine whether diet quality scores and physical fitness levels differed between adults classified as lean, NWO, and overweight-obese. Secondary objectives of the study were to compare clinical biomarkers and food groups and macronutrient intakes between the three groups, and to test for associations between body composition components with diet quality scores and physical fitness levels.
designThis is a secondary data analysis from a cross-sectional study that included metropolitan university and health care system employees. Body composition was measured by dual energy x-ray absorptiometry. Individuals with a body mass index <25 kg/m PARTICIPANTS/
settingThis study included 693 adults (65% women, mean age 48.9 ± 11.5 years) enrolled between 2007 and 2013 in Atlanta, GA.
main outcome measuresThe main outcome measures were Alternate Healthy Eating Index, Dietary Approaches to Stop Hypertension, and Mediterranean Diet Score diet quality scores and maximal oxygen uptake. STATISTICAL ANALYSES: Multiple linear regression analyses with post hoc comparisons were used to investigate group differences in fitness, diet quality, and biomarkers. Regression analyses were also used to examine relationships between diet quality scores and fitness with body composition.
resultsVO
conclusionsPhysical fitness was significantly decreased in individuals with NWO compared with lean individuals. Higher diet quality was associated with decreased total and visceral fat but did not distinguish individuals with NWO from lean individuals.
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