Obesity

Prevalence, incidence, and 6-years stability of metabolically unhealthy normal weight́s phenotype in u.s. hispanic/latino adults

Diabetes Res Clin PractPublished Prospective cohort study

Authors' conclusion

MUNW predicts progression to MUO and is associated with worsening cardiometabolic profiles.

Study context

Population
Normal-weight adults (BMI ≥ 18.5, <25 kg/m²; 18–74 years) from the Hispanic Community Health Study/Study of Latinos, free of cardiometabolic disease at baseline
Participants
2,357 adults
Outcome
Prevalent and incident MUNW (normal weight with ≥ 1 cardiometabolic risk factor, harmonized metabolic syndrome criteria) and its stability
Follow-up
6 years
Methodological details6-year follow-up, multivariable models
  • 6-year follow-up
  • Multivariable models

Main finding

As reported in the abstract

MUNW prevalence at baseline

43.9%

Initially metabolically healthy normal-weight participants who developed MUNW at follow-up (main predictor: age)

22.9%

Remained MUNW after 6 years

44.2 %

Observational data: associations, not effects.

Further findings

Progression to metabolically unhealthy overweight/obesity (MUO) by baseline MUNW · 6 years

Risk ratios, adjusted for baseline BMI and waist circumference (WC) (p < 0.0001)
1.85-2.37

Cardiometabolic risk factor (CMRF) accumulation in those who remained MUNW · 6 years

Those remaining MUNW accumulated more CMRFs (p < 0.05)

Original publication

Prevalence, incidence, and 6-years stability of metabolically unhealthy normal weight́s phenotype in u.s. hispanic/latino adults. Diabetes Res Clin Pract. Published 2 July 2026. doi:10.1016/j.diabres.2026.113410

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