Has the prevalence of metabolically healthy obesity changed among US adults in the past 20 years?In this survey study of 20 430 adults using data from the 1999-2018 National Health and Nutrition Examination Survey cycles, the age-standardized prevalence of MHO increased significantly from 3% in 1999-2002 to 7% in 2015-2018; the proportion of MHO among adults with obesity also increased significantly from 11% to 15%. Disparities existed in trends across sociodemographic subgroups.
Metabolically healthy obesity was defined as a body mass index of 30.0 without any metabolic disorders in blood pressure, fasting plasma glucose , high-density lipoprotein cholesterol , or triglycerides based on established cutoffs. Trends in the age-standardized prevalence of MHO were estimated using logistic regression analysis.This study included 20 430 participants. Their weighted mean age was 47.1 years; 50.8% were women, and 68.
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