A Metabolic health status of MHNW and MHO patients at follow-up examination and B Comparison of the prevalence of multiple metabolic diseases between MHNW → MHNW and MHNW → MUNW (left), MHNW → MHNW and MHO → MHO (middle), and MHNW → MHNW and MHO → MUO (right) participants, repectively. *P < 0.05 compared with MHNW → MHNW group. MHNW, metabolically healthy normal weight; MUNW, metabolically unhealthy normal weight; MHO, metabolically healthy overweight/obesity; MUO, metabolically unhealthy overweight/obesity; MHNW→MHNW, remaining in MHNW; MHNW→MHO, MHNW transition to MHO; MHNW→MUNW, MHNW transition to MUNW; MHNW→MUO, MHNW transition to MUO; MHO→MHNW, MHO transition to MHNW; MHO→MHO, remaining in MHO; MHO→MUNW, MHO transition to MUNW; MHO→MUO, MHO transition to MUO