RT Journal Article T1 Evolution of Metabolic Phenotypes of Obesity in Coronary Patients after 5 Years of Dietary Intervention: From the CORDIOPREV Study A1 Martin-Piedra, Laura A1 Alcala-Diaz, Juan F. A1 Gutierrez-Mariscal, Francisco M. A1 Arenas de Larriva, Antonio P. A1 Romero-Cabrera, Juan L. A1 Torres-Pena, Jose D. A1 Caballero-Villarraso, Javier A1 Luque, Raul M. A1 Perez-Martinez, Pablo A1 Lopez-Miranda, Jose A1 Delgado-Lista, Javier K1 obesity metabolic phenotypes K1 metabolically healthy obese K1 metabolically unhealthy obese K1 fatty liver index K1 diet intervention K1 Mediterranean diet K1 low-fat diet K1 coronary patients K1 Body-fat distribution K1 Healthy obesity K1 Adipose-tissue K1 Cardiovascular-disease K1 European-society K1 Task-force K1 Inflammation K1 Association K1 Prevention K1 Mass AB Background: Obesity phenotypes with different metabolic status have been described previously. We analyzed metabolic phenotypes in obese coronary patients during a 5-year follow-up, and examined the factors influencing this evolution. Methods: The CORDIOPREV study is a randomized, long-term secondary prevention study with two healthy diets: Mediterranean and low-fat. All obese patients were classified as either metabolically healthy obese (MHO) or metabolically unhealthy obese (MUO). We evaluated the changes in the metabolic phenotypes and related variables after 5 years of dietary intervention. Results: Initially, 562 out of the 1002 CORDIOPREV patients were obese. After 5 years, 476 obese patients maintained their clinical and dietary visits; 71.8% of MHO patients changed to unhealthy phenotypes (MHO-Progressors), whereas the MHO patients who maintained healthy phenotypes (MHO-Non-Progressors) lost more in terms of their body mass index (BMI) and had a lower fatty liver index (FLI-score) (p PB Mdpi YR 2021 FD 2021-11-01 LK https://hdl.handle.net/10668/25863 UL https://hdl.handle.net/10668/25863 LA en DS RISalud RD Apr 11, 2025