Differences in the vascular and metabolic profiles between metabolically healthy and unhealthy obesity

Autor: Eleonora Candi, Michela Campanelli, Giuseppe Sica, Francesca Schinzari, Valentina Rovella, Nicola Di Daniele, Jerry Melino, Manfredi Tesauro
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Endocrine and Metabolic Science, Vol 2, Iss , Pp 100077- (2021)
Druh dokumentu: article
ISSN: 2666-3961
DOI: 10.1016/j.endmts.2020.100077
Popis: Individuals suffering from severe obesity but not presenting the typical metabolic alterations, are included in a subclass of obesity defined Metabolically Healthy Obesity (MHO). The physiological factors underlying what seems a protective and favourable metabolic profile remain unclear. MHO individuals are more insulin-sensitive, have relatively lower visceral/ectopic fat accumulation and reduced levels of chronic low-grade inflammation, compared to obese subjects with co-morbidities. The study of MHO subjects represents a great opportunity for the recognition of the mechanisms that lead to the vascular and metabolic complications in obesity. Finding the differences among the metabolic profile of visceral adipose tissue between metabolically healthy and unhealthy obesity may lead to future personalized and stratified therapies.This review article summarizes the pathomechanisms and metabolic changes in MHO and metabolically unhealthy obesity (MUO), reviews clinical studies on the subject, and discusses preventive and therapeutic options.
Databáze: Directory of Open Access Journals