Deve o obeso metabolicamente normal ser tratado?

  • Raquel Cristina Lopes Assis Universidade Federal de Viçosa (UFV), Viçosa-MG, Brasil.
  • Saulo Moreira Coelho Instituto Nacional do Seguro Social
Palavras-chave: Obesidade, Obeso metabolicamente normal, Risco cardiovascular, Risco de mortalidade

Resumo

A presença de distúrbios metabólicos varia largamente entre indivíduos obesos. Um subgrupo da população obesa aparenta ser protegido ou mais resistente ao desenvolvimento de anormalidades metabólicas associadas à obesidade. Estes indivíduos, apesar do excesso de gordura corporal, apresentam um perfil metabólico caracterizado por melhor sensibilidade à insulina, ausência de hipertensão e perfil lipídico e hormonal favorável. Entretanto, estudos recentes indicam que este perfil metabólico mais saudável não se traduz em menor risco de mortalidade. O risco cardiovascular dos indivíduos obesos metabolicamente normais é superior ao de indivíduos eutróficos, e ainda estão sujeitos às complicações não metabólicas da obesidade. Conclui-se que intervenções no sentido de controle do peso corporal estão indicadas em todos os indivíduos obesos.

Biografia do Autor

Raquel Cristina Lopes Assis, Universidade Federal de Viçosa (UFV), Viçosa-MG, Brasil.

Médica graduada pela Universidade Federal de Minas Gerais, pós-graduanda em Endocrinologia e Metabologia, mestranda em Ciência da Nutrição na Universidade Federal de Viçosa.

Saulo Moreira Coelho, Instituto Nacional do Seguro Social

Médico perito do Instituto Nacional do Seguro Social, tí­tulo de especialista em Medicina do Trabalho, graduação em Medicina na Universidade Federal de Minas Gerais

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Publicado
2012-05-03
Como Citar
Lopes Assis, R. C., & Coelho, S. M. (2012). Deve o obeso metabolicamente normal ser tratado?. RBONE - Revista Brasileira De Obesidade, Nutrição E Emagrecimento, 6(31). Recuperado de https://www.rbone.com.br/index.php/rbone/article/view/12
Seção
Artigos Cientí­ficos - Original