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. 2020 Mar 4;41(3):bnaa004. doi: 10.1210/endrev/bnaa004

Table 1.

Proposed criteria for harmonized definitions of metabolically healthy obesity in adults.

BioSHaRE-EU Healthy Obese Project (31) Lavie et al (35)
Obesity Classification BMI ≥ 30kg/m  2  Plus All of the Criteria BMI ≥ 30kg/m  2  Plus 1 to 4 of the Criteria
Less Strict Criteria Strict Criteria -
Blood pressure ≤ 140 mmHg ≤ 130 mmHg ≤ 130 mmHg
Systolic blood pressure - ≤ 85 mmHg ≤ 85 mmHg
Diastolic blood pressure ≤ 90 mmHg - -
No antihypertensive drug treatment
Blood glucose ≤ 7.0 mmol/l ≤ 6.1 mmol/l ≤ 5.6 mmol/l
No blood glucose-lowering medication or diagnosis of type 2 diabetes
Fasting triglycerides ≤ 1.7mmol/l ≤ 1.7mmol/l ≤ 1.7mmol/l
Non-fasted state ≤ 2.1mmol/l ≤ 2.1mmol/l -
No drug treatment for elevated triglycerides
HDL-cholesterol >1.03 mmol/l (men) >1.3 mmol/l (women) >1.03 mmol/l (men) >1.3 mmol/l (women) >1.0 mmol/l (men) >1.3 mmol/l (women)
No drug treatment for reduced HDL-cholesterol
Diagnosis of CVD No No -

Adapted from references (31, 35).