'Healthy Obese' Have More Arterial Plaque
Written by Editor   
Tuesday, May 06, 2014 04:27 PM

The notion that people can be "fat but fit" is being challenged by a study showing a high prevalence of subclinical coronary atherosclerosis -- as measured by CT coronary artery calcium (CAC) scores -- in obese subjects with no evidence of metabolic syndrome.

Compared with metabolically healthy people whose weight was normal, metabolically healthy obese (MHO) people had a higher prevalence of coronary calcification.  The two studies "cast serious doubt" on the claim that obese people without metabolic risk factors have no increased risk for cardiovascular disease, and they challenge the idea of "healthy obesity."

Authors claim obesity should be considered a disease and that no level of obesity can be dismissed as "healthy." 

"If we were to find a means of labeling a subset of obese individuals as 'metabolically healthy,' of what benefit would this be to society?" the report states, adding that scarce health resources would be better utilized in the search for ways to prevent or treat obesity.

"Labeling a subset of obese individuals as 'metabolically healthy' would undermine the ultimate task that physicians and health organization face, to curb the current obesity epidemic and prevent the next generation of individuals from becoming obese," authors wrote.

Source:  http://www.medpagetoday.com/Cardiology/MetabolicSyndrome/45529