Obesity

Metabolically healthy obesity is independently associated with 20-year incidence of cardiovascular disease: findings from the ATTICA cohort study (2002–2022)

Int J Obes (Lond)Published Prospective cohort study

Authors' conclusion

Individuals with MUO exhibit the highest risk, but individuals with MHO also have an independently increased CVD risk, emphasizing the significant impact of both obesity and metabolic health status on long-term CVD incidence.

Study context

Population
Adults from the Attica region, Greece, categorised by obesity and metabolic health status
Participants
3,042 adults
Exposure
Obesity/metabolic health phenotypes
Outcome
CVD incidence
Follow-up
20 years

Main finding

As reported in the abstract

Incident CVD · 20-year follow-up

Metabolically unhealthy obesity (MUO)

61.1%

Each group vs MHWOHazard ratio (95% CI)
MUO85% higher risk
1.85(1.02–3.58)
MHO39% elevated risk
1.39(1.06–3.42)
Participants with a cardiovascular disease (CVD) event
718

Observational data: associations, not effects.

Original publication

Metabolically healthy obesity is independently associated with 20-year incidence of cardiovascular disease: findings from the ATTICA cohort study (2002–2022). Int J Obes (Lond). Published 18 April 2026. doi:10.1038/s41366-026-02056-9

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