Lidia S. Szczepaniak1, Jaime L. Legendre2, Edward W. Szczepaniak1, Angela L. Price2, Ildiko Lingvay2
1The Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA, United States; 2Endocrinology, UT Southwestern Medical Center, Dallas, TX, United States
There is no doubt that obesity is associated with diabetes, increased cardiovascular risk factors, not to mention arthritis and cancers. Sixty to 90% of patients with diabetes are obese but not all obese individuals present metabolic and cardiovascular diseases. This leads to a notion that certain individuals tolerate obesity well and without metabolic consequences. We present clinical evidence that given enough time the so called "healthy obesity" eventually becomes harmful with full spectrum of metabolic consequences.