RT Generic T1 Does Metabolically Healthy Obesity Exist? A1 Munoz-Garach, Araceli A1 Cornejo-Pareja, Isabel A1 Tinahones, Francisco J. K1 metabolically healthy obesity K1 metabolic syndrome K1 adipose tissue K1 inflammation K1 Body-mass index K1 Fat-cell turnover K1 Cardiovascular-disease K1 Adipose-tissue K1 Insulin-resistance K1 Normal-weight K1 Risk-factors K1 All-cause K1 Inflammation K1 Prevalence AB The relationship between obesity and other metabolic diseases have been deeply studied. However, there are clinical inconsistencies, exceptions to the paradigm of "more fat means more metabolic disease", and the subjects in this condition are referred to as metabolically healthy obese (MHO).They have long-standing obesity and morbid obesity but can be considered healthy despite their high degree of obesity. We describe the variable definitions of MHO, the underlying mechanisms that can explain the existence of this phenotype caused by greater adipose tissue inflammation or the different capacity for adipose tissue expansion and functionality apart from other unknown mechanisms. We analyze whether these subjects improve after an intervention (traditional lifestyle recommendations or bariatric surgery) or if they stay healthy as the years pass. MHO is common among the obese population and constitutes a unique subset of characteristics that reduce metabolic and cardiovascular risk factors despite the presence of excessive fat mass. The protective factors that grant a healthier profile to individuals with MHO are being elucidated. PB Mdpi YR 2016 FD 2016-06-01 LK http://hdl.handle.net/10668/19307 UL http://hdl.handle.net/10668/19307 LA en DS RISalud RD May 11, 2025