title: Metabolic Health in Relation to Body Size: Changes in Prevalence over Time between 1997-99 and 2008-11 in Germany.
abstract: OBJECTIVE
  The study examined potential changes in the proportion of metabolic health according to body size categories over time and across strata of sex and age, varying definitions of metabolic health.
  
  
  METHODS
  We analysed data from national health interview and examination surveys 1997-99 and 2008-11 for adults aged 18-79 years (GNHIES98: N = 6,565; DEGS1: 6,860). Metabolic health as defined by ATPIII criteria was examined across body mass index categories. The Plourde and Karelis criteria were applied in relation to abdominal obesity.
  
  
  RESULTS
  Proportions of adults with metabolic health by body size categories were largely stable over time, except for an increasing proportion of metabolically healthy persons with pre-obesity and metabolically healthy women without abdominal obesity. In both surveys proportions of adults meeting ATPIII criteria ranged from approximately 30% among men and women with obesity, to about two thirds of those with pre-obesity to about 93% among those with normal weight. According to Plourde and Karelis criteria proportions ranged from almost 30% among men and women without abdominal obesity to less than 10% among those with abdominal obesity. Proportions were consistently higher among younger than older age groups and less consistently higher among women than men.
  
  
  CONCLUSIONS
  Proportions of adults with metabolic health by body size categories were largely stable over time, except for an increasing proportion of metabolically healthy women without abdominal obesity. There is no evidence that metabolic health among adults with obesity increased in Germany over a period of ten years.
authors.affiliation: Department of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany.|DZHK (German Centre for Cardiovascular Research), partner site Berlin, Germany.
authors.forename: Julia
authors.initials: J
authors.lastname: Truthmann
authors.affiliation: Department of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany.|DZHK (German Centre for Cardiovascular Research), partner site Berlin, Germany.
authors.forename: Gert B M
authors.initials: GB
authors.lastname: Mensink
authors.affiliation: Institute of Nutritional Medicine, University of Hohenheim, Stuttgart, Germany.
authors.forename: Anja
authors.initials: A
authors.lastname: Bosy-Westphal
authors.affiliation: Department of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany.|DZHK (German Centre for Cardiovascular Research), partner site Berlin, Germany.
authors.forename: Christa
authors.initials: C
authors.lastname: Scheidt-Nave
authors.affiliation: Department of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany.|DZHK (German Centre for Cardiovascular Research), partner site Berlin, Germany.
authors.forename: Anja
authors.initials: A
authors.lastname: Schienkiewitz
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D049628:Body Size; D005260:Female; D005500:Follow-Up Studies; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology / Q000473:pathology* / Q000503:physiopathology*; D012189:Retrospective Studies; D012737:Sex Factors