[Can an obese patient be metabolically normal?].
Obesity is well recognized as a cardiovascular risk factor and being associated with cardio-metabolic diseases. However, certain authors describe the existence of metabolically benign obesity or not-complicated obesity. By examining various studies, one of the encountered difficulties is the criteria of normality among obese patients and the evaluated metabolic parameters. Even if traditional cardio-metabolic parameters such as the lipid profile, glycemia or blood pressure can be in normal ranges, the subjects in overweight or obesity are different from the subjects of normal body weight in terms of these parameters which are at the limit of normality. The purpose of this article is to summarize the current concepts of metabolic normality in obese subjects. We conclude that the body weight is the most important factor in the development of the cardio-metabolic consequences of obesity.
Pataky
Z
Z
Service d'enseignement thérapeutique pour maladies chroniques, Centre collaborateur de l'OMS, Département de médecine communautaire, HUG, Genève 14. zoltan.pataky@hcuge.ch
Bobbioni-Harsch
E
E
Makoundou
V
V
Golay
A
A
D006304:Health Status; D006801:Humans; D009765:Obesity / Q000378:metabolism*