Obesity

The MetaboHealth Score Enhances Insulin Resistance Metabotyping for Targeted Fat Loss: The PERSON Study

Obesity (Silver Spring)Published Secondary analysis of the PERSON randomised trial

Authors' conclusion

Combining metabotype with MetaboHealth may enhance personalized dietary strategies for fat loss in insulin-resistant adults.

Study context

Population
Adults aged 40–75 with insulin resistance (IR) (muscle or liver IR metabotypes), grouped into MetaboHealth tertiles (higher = poorer health)184 with complete data
Participants
242 adults
Comparison
Low-fat, high-protein, high-fiber diet vs high-monounsaturated fatty acid diet, by IR metabotype and MetaboHealth tertile
Methodological detailsisocaloric diets, four-way interaction analysis (linear mixed models)
  • Isocaloric diets
  • Four-way interaction analysis (linear mixed models)

Primary result

As reported in the abstract

Interaction of MetaboHealth with IR metabotype and diet on cardiometabolic and body composition outcomes · 12 weeks
  • No interaction was observed for cardiometabolic outcomes
  • Significant interactions for android, gynoid, total fat percentage and fat mass index
  • Healthiest tertile: matched diets led to greater fat loss
  • Poorest tertile: both diets similarly effective

Further findings

MetaboHealth score · 12 weeks

MetaboHealth remained unchanged

Original publication

The MetaboHealth Score Enhances Insulin Resistance Metabotyping for Targeted Fat Loss: The PERSON Study. Obesity (Silver Spring). Published 14 January 2026. doi:10.1002/oby.70116

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