Obesity

Physical activity in relation to metabolic health and obesity: The Feel4Diabetes study

Diabetes Obes MetabPublished Cohort study

Authors' conclusion

A universally accepted definition for MHO is needed. Being physically active can contribute to a metabolically healthy profile even in the presence of obesity; still, MHO is a transient condition and physical activity alone may not be an adequate factor for its maintenance.

Study context

Population
Men and women from families at risk of developing diabetes (Feel4Diabetes); classified as obese or non-obese, metabolic health by five existing definitions; physical activity by International Physical Activity Questionnaire and pedometers
Participants
2,848 men
Exposure
Metabolically healthy obese (MHO) vs metabolically unhealthy obese (MUO); physical activity as predictor of metabolic health
Outcome
Physical activity levels in association with metabolic health; stability of MHO phenotypes
Follow-up
2 years
Methodological details2-year follow-up
  • 2-year follow-up

Main finding

As reported in the abstract

Predictors of metabolic health in individuals with obesity

Prevalence of MHO phenotype across definitions

0% to 20.2%

Daily sitting hours, OR

1.055

95% CI 1.009–1.104

Daily steps (per 500), OR

0.934

95% CI 0.896–0.973

Observational data: associations, not effects.

Further findings

Phenotype transition · 2 years

Baseline MHO transitioned to MUO
44.1%
Baseline MUO remained MUO
84.0%
Physical activity not a major determinant of transitioning; daily steps associated with maintenance of metabolic health in non-obese

Original publication

Physical activity in relation to metabolic health and obesity: The Feel4Diabetes study. Diabetes Obes Metab. Published 19 June 2024. doi:10.1111/dom.15713

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