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Cited by 215Diabetes, Cardiovascular Risks, and LipoproteinsObesity, Physical Activity, DietAdipokines, Inflammation, and Metabolic Diseases

The DOI matches its Crossref record; 57 of the 57 references it cites were found in a registry or an index.

Metabolic and Behavioral Characteristics of Metabolically Obese but Normal-Weight Women

Conus, Florence, Allison, David B., Rabasa-Lhoret, Rémi, St-Onge, Maxime, St-Pierre, David H., Tremblay-Lebeau, Andréanne, Poehlman, Eric T.·2004·The Journal of Clinical Endocrinology & Metabolism
DOI 10.1210/jc.2004-0265
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Abstract

A unique subset of individuals termed metabolically obese but normal weight (MONW) has been identified. These young women are potentially at increased risk for development of the metabolic syndrome despite their young age and normal body mass index. We seek to determine metabolic and behavioral factors that could potentially distinguish MONW women from young women with a normal metabolic profile.Ninety-six women were classified as MONW (n = 12) or non-MONW (n = 84) based on a cut point of insulin sensitivity (as estimated by the homeostasis model assessment). Potentially distinguishing phenotypes between groups measured included serum lipids, ghrelin, leptin, adiponectin, body composition and body fat distribution, resting and physical activity energy expenditure, peak oxygen uptake, dietary intake, dietary behavior, and family history and lifestyle variables. Despite a similar body mass index between groups, MONW women showed higher percent body fat, lower fat-free mass, lower physical activity energy expenditure, and lower peak oxygen uptake than non-MONW women. Plasma cholesterol level was higher in MONW women, whereas no differences were noted for other blood lipids, ghrelin, leptin, adiponectin, and resting energy expenditure. MONW women had lower dietary restraint scores than non-MONW women, but no differences were noted in disinhibition, hunger, and dietary intake. Stepwise regression analysis performed on all subjects showed that 33.5% of the unique variance of the homeostasis model assessment was explained with the variables of percentage of body fat (17.1%), level of dietary restraint (10.4%), and age (6%). Both metabolic and dietary behavioral variables contribute to the deleterious metabolic profile of MONW women. They display lower insulin sensitivity due potentially to a cluster of sedentary behavior patterns that contribute to their higher adiposity. Furthermore, cognitive attitudes toward food (i.e. dietary restraint) and concomitant lifestyle behaviors may play a role in regulating insulin sensitivity in MONW women.

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  1. Ancelle, 2002, Statistique—épidémiologie, collection sciences fondamentales, Paris,, France, Maloine

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Metadata

Authors
Conus, F., Allison, D. B., Rabasa-Lhoret, R., St-Onge, M., St-Pierre, D. H., Tremblay-Lebeau, A., & Poehlman, E. T.
Affiliations
  • Université de Montréal (CA)
  • University of Alabama at Birmingham (US)
  • Unité Metabolique (F.C., R.R.-L., M.S.-O., D.H.S.-P., A.T.-L.), Département de Nutrition, Faculté de Médecine, Université de Montréal, Montréal, Québec H3T 1A8, Canada
  • Scriptus Medicus (E.T.P.), Montréal, Québec H2L 3R8, Canada
Corresponding author
Conus, Florence
ORCID
Allison, David B.
Venue
The Journal of Clinical Endocrinology & Metabolism
Publisher
The Endocrine Society
Published
2004-10-01
Volume
89
Issue
10
Pages
5013-5020
ISSN
  • 0021-972X (ISSN-L)
  • 1945-7197
DOI
10.1210/jc.2004-0265
OpenAlex
W2164648624
Cited by
215
References
57
Citations by year
2026: 3 · 2025: 3 · 2024: 5 · 2023: 10 · 2022: 12 · 2021: 10 · 2020: 10 · 2019: 10 · 2018: 7 · 2017: 8 · 2016: 14 · 2015: 18 · 2014: 18 · 2013: 11 · 2012: 19
FWCI
2.69
Type
journal article
Language
en
Open access
closed
Locations
  • The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adipokines, Inflammation, and Metabolic Diseases
Keywords
insulin sensitivity, metabolic syndrome, young women, body fat percentage, fat-free mass, physical activity energy expenditure, peak oxygen uptake, dietary restraint, ghrelin, leptin, adiponectin, serum cholesterol, sedentary behavior, dietary behavior, HOMA
MeSH terms
Adolescent, Adult, Body Weight, Energy Intake, Cholesterol, Energy Metabolism, Female, Humans, Obesity, Risk Factors, Cohort Studies, Health Behavior, Body Mass Index, Multivariate Analysis, Leptin, Intercellular Signaling Peptides and Proteins, Peptide Hormones, Risk Reduction Behavior, Adiponectin, Ghrelin

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