Metabolically Healthy Obesity and Bariatric Surgery

  • Adriana Florinela CătoiEmail author
  • Luca Busetto
Review Article


A peculiar category of persons with obesity lacking common metabolic disturbances has been depicted and termed as metabolically healthy obesity (MHO). Yet, although MHO patients are free of obesity-associated complications, they might not be entirely precluded from developing cardio-metabolic disorders. Among patients with morbid obesity (MO) who are referred to bariatric surgery, a subset of metabolically healthy MO (MHMO) has been identified and the question arises if these patients would benefit from surgery in terms of mitigating the peril of cardio-metabolic complications. We revisited the pathophysiological mechanisms that define MHO, the currently available data on the cardio-metabolic risk of these patients and finally we reviewed the benefits of bariatric surgery and the urge to better characterize MHMO before submission to surgery.


Metabolically healthy obesity Morbid obesity Bariatric surgery 


Compliance with Ethical Standards

Ethical Approval Statement

This article does not contain any studies with human participants or animals performed by any of the authors.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Pathophysiology Department, Faculty of Medicine, ‘Iuliu Hațieganu’University of Medicine and Pharmacy Cluj-Napoca RomaniaCluj-NapocaRomania
  2. 2.Department of MedicineUniversity of PadovaPaduaItaly

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