Obesity

Relationship between metabolic status, physical activity and cardiovascular disease in participants with obesity

Int J Obes (Lond)Published Prospective cohort study

Main finding · CVDResult — go to the resultHazard ratio 0.58 95% CI 0.53–0.63

Authors' conclusion

Both MHO and any MVPA were associated with reduced risk of CVD in adults with obesity, while PA could modify the relationship between metabolic status and CVD risk.

Study context

Population
Adults with obesity free of baseline CVD, enrolled 2006–2010 in the UK Biobank cohort (aged 56 ± 7.9 years)
Participants
109,301 adults
Exposure
Metabolically healthy obesity (MHO) vs metabolically unhealthy obesity (MUO), and PA categories
  • MHOn = 26,989
  • MUOn = 82,312reference
Outcome
CVD
Follow-up
Median 8.1 years
Methodological detailsUK Biobank, multivariable Cox regression
  • UK Biobank
  • Multivariable Cox regression

Main finding

As reported in the abstract

Hazard ratio

0.58

95% CI 0.53–0.63

MHOvs MUO
HR 0.58 (95% CI 0.53–0.63)
CVD events
8,059

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
CVD by PA among MUO participantsLow PAvs No MVPA0.87 (0.81–0.94)
CVD by PA among MUO participantsMedium PAvs No MVPA0.85 (0.78–0.93)
CVD by PA among MUO participantsHigh PAvs No MVPA0.86 (0.80–0.92)
CVD, joint categoriesMHO & medium PAvs MUO & no MVPALowest CVD risk0.45 (0.37–0.56)

Original publication

Relationship between metabolic status, physical activity and cardiovascular disease in participants with obesity. Int J Obes (Lond). Published 22 January 2024. doi:10.1038/s41366-024-01469-8

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