The concept of normal weight obesity

Estefania Oliveros, Virend K. Somers, Ondrej Sochor, Kashish Goel, Francisco Lopez-Jimenez

Research output: Contribution to journalArticlepeer-review

219 Scopus citations


Individuals with normal body weight by body mass index (BMI) and high body fat percentage show a high degree of metabolic dysregulation. This phenomenon, defined as normal weight obesity, is associated with a significantly higher risk of developing metabolic syndrome, cardiometabolic dysfunction and with higher mortality. Recently, we have also shown that coronary artery disease patients with normal BMI and central obesity have the highest mortality risk as compared to other adiposity patterns. Therefore, it is important to recognize these high-risk groups for better adiposity-based risk stratification. There is a need for an updated definition of obesity based on adiposity, not on body weight.

Original languageEnglish (US)
Pages (from-to)426-433
Number of pages8
JournalProgress in Cardiovascular Diseases
Issue number4
StatePublished - Jan 2014


  • Body fat percentage
  • Central obesity
  • Metabolically obese normal weight
  • Normal weight obesity
  • Obesity

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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