We live in a world filled with paradox. Ours is a world in which some persons have famine while others deal with obesity—an epidemic that threatens their health. Obesity is increasing worldwide; currently, more than 2 billion persons worldwide are now overweight or obese (1).
The terms underweight, normal weight, overweight, obesity, and severe obesity refer to a clinical continuum. The Metropolitan Life Insurance Company tables were once used to characterize obesity. Now there are several anthropometric measures to assess adiposity. Presently, body mass index (BMI) and waist circumference (WC) are 2 recommended clinical measures to evaluate patients' obesity-related health ...
Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384:766-81. [PMID: 24880830] CrossrefMedlineGoogle Scholar
Cornier MA, Després JP, Davis N, Grossniklaus DA, Klein S, Lamarche B, et al; American Heart Association Obesity Committee of the Council on Nutrition. Assessing adiposity: a scientific statement from the American Heart Association. Circulation. 2011;124:1996-2019. [PMID: 21947291] CrossrefMedlineGoogle Scholar
Després JP. Body fat distribution and risk of cardiovascular disease: an update. Circulation. 2012;126:1301-13. [PMID: 22949540] CrossrefMedlineGoogle Scholar
Bastien M, Poirier P, Lemieux I, Després JP. Overview of epidemiology and contribution of obesity to cardiovascular disease. Prog Cardiovasc Dis. 2014;56:369-81. [PMID: 24438728] CrossrefMedlineGoogle Scholar
Mottillo S, Filion KB, Genest J, Joseph L, Pilote L, Poirier P, et al. The metabolic syndrome and cardiovascular risk a systematic review and meta-analysis. J Am Coll Cardiol. 2010;56:1113-32. [PMID: 20863953] CrossrefMedlineGoogle Scholar
Sahakyan KR, Somers VK, Rodriguez-Escudero JP, Hodge DO, Carter RE, Sochor O, et al. Normal-weight central obesity: implications for total and cardiovascular mortality. Ann Intern Med. 2015;163:827-35. doi:10.7326/M14-2525 LinkGoogle Scholar
Wahi G, Anand SS. Race/ethnicity, obesity, and related cardio-metabolic risk factors: a life-course perspective. Curr Cardiovasc Risk Rep. 2013;7:326-335. [PMID: 24672590] CrossrefMedlineGoogle Scholar
van der A DL, Nooyens AC, van Duijnhoven FJ, Verschuren MM, Boer JM. All-cause mortality risk of metabolically healthy abdominal obese individuals: the EPIC-MORGEN study. Obesity (Silver Spring). 2014;22:557-64. [PMID: 23595997] CrossrefMedlineGoogle Scholar
Wormser D, Kaptoge S, DiAngelantonio E, Wood AM, Pennells L, Thompson A, et al; Emerging Risk Factors Collaboration. Separate and combined associations of body-mass index and abdominal adiposity with cardiovascular disease: collaborative analysis of 58 prospective studies. Lancet. 2011;377:1085-95. [PMID: 21397319] CrossrefMedlineGoogle Scholar
Jensen MD, Ryan DH, Apovian CM, Ard JD, Comuzzie AG, Donato KA, et al; American College of Cardiology/American Heart Association Task Force on Practice Guidelines. 2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society. Circulation. 2014;129:S102-38. [PMID: 24222017] doi:10.1161/01.cir.0000437739.71477.ee CrossrefMedlineGoogle Scholar
Author, Article, and Disclosure Information
From Institut Universitaire de Cardiologie et de Pneumologie de Québec, Université Laval, Québec, Canada.
Disclosures: The author has disclosed no conflicts of interest. Form can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M15-2435.
Corresponding Author: Paul Poirier, MD, PhD, Institut Universitaire de Cardiologie et Pneumologie de Québec, Université Laval, 2725 Chemin Ste-Foy, Québec G1V 4G5, Canada; e-mail, paul.
This article was published online first at www.annals.org on 10 November 2015.