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Published VersionCC BY V4.0, Open Access
Journal article
Metabolically Healthy and Unhealthy Obese Phenotypes among Arabs and South Asians: Prevalence and Relationship with Cardiometabolic Indicators
Nutrients, Vol.14(5), pp.1-13
2022
PMID: 35267891
Abstract
Obesity is a public health crisis in Kuwait. However, not all obese individuals are metabolically unhealthy (MuHO) given the link between obesity and future cardiovascular events. We assessed the prevalence of the metabolically healthy obese (MHO) phenotype and its relationship with high sensitivity C-reactive protein (hs-CRP), serum alanine aminotransferase (ALT), and insulin resistance (HOMA-IR) in Arab and South Asian ethnic groups in Kuwait. The national cross-sectional survey of diabetes and obesity in Kuwait adults aged 18–60 years were analysed. The harmonised definition of metabolic syndrome was used to classify metabolic health. Multinomial logistic regression analysis was used to model the relationship between the MHO and MuHO phenotypes and hs-CRP, ALT and HOMA-IR levels. Overall, the prevalence of MHO for body mass index (BMI)- and waist circumference (WC)-defined obesity was 30.8% and 56.0%, respectively; it was greater in women (60.4% and 61.8%, respectively) than men (39.6% and 38.2%, respectively). Prevalence rates were also lower for South Asians than for Arabs. The MHO phenotype had hs-CRP values above 3 µg/mL for each age group category. Men compared to women, and South Asians compared to Arabs had a lower relative risk for the MHO group relative to the MuHO group. This study shows there is high prevalence of MHO in Kuwait.
Details
- Title
- Metabolically Healthy and Unhealthy Obese Phenotypes among Arabs and South Asians: Prevalence and Relationship with Cardiometabolic Indicators
- Authors
- Victor M Oguoma (Corresponding Author) - University of CanberraMohamed Abu-Farha - Dasman Diabetes InstituteNeil T. Coffee - University of CanberraSaad Alsharrah - University of CanberraFaisal H. Al-Refaei - Dasman Diabetes InstituteJehad Abubaker - Dasman Diabetes InstituteMark Daniel - University of CanberraFahd Al-Mulla - Dasman Diabetes Institute
- Publication details
- Nutrients, Vol.14(5), pp.1-13
- Publisher
- MDPI AG
- Date published
- 2022
- DOI
- 10.3390/nu14050915
- ISSN
- 2072-6643
- PMID
- 35267891
- Copyright note
- © 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/)
- Data Availability
- The raw dataset analysed in this study is not publicly available. It can be provided on reasonable request to the Dasman Diabetes Institute through the corresponding author (V.M.O) and in line with the provisions of the ethics committee.
- Grant note
- We thank the Kuwait Foundation for the Advancement of Sciences for providing funding to support this study.
- Organisation Unit
- Thompson Institute
- Language
- English
- Record Identifier
- 991120252202621
- Output Type
- Journal article
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