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The Metabolic Equivalent BMI in Patients with Familial Partial Lipodystrophy (FPLD) Compared with Those with Severe Obesity
Author(s) -
Koo Eden,
FossFreitas Maria C.,
Meral Rasimcan,
Ozer Muhammet,
Eldin Abdelwahab J.,
Akinci Baris,
Miller Nicole,
Rothberg Amy E.,
Oral Elif A.
Publication year - 2021
Publication title -
obesity
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.438
H-Index - 199
eISSN - 1930-739X
pISSN - 1930-7381
DOI - 10.1002/oby.23049
Subject(s) - medicine , body mass index , diabetes mellitus , glycemic , overweight , obesity , comorbidity , hypertriglyceridemia , gastroenterology , endocrinology , insulin , triglyceride , cholesterol
Objective This study aimed to investigate the shortcoming of BMI as a measurement of adiposity in patients with familial partial lipodystrophy (FPLD). Methods Two different matching procedures were used to compare 55 FPLD versus control patients with severe obesity ( N = 548 patients) to study the relationship between body weight, fat distribution, and metabolic diseases, such as diabetes mellitus, hypertriglyceridemia, and nonalcoholic steatohepatitis. In MATCH1, the patients with FPLD were matched to controls with obesity (OCs) by truncal mass, and in MATCH2, the patients with FPLD were matched to OCs with respect to glucose control. Results With MATCH1, the FPLD group had worse glycemic control (hemoglobin A1c 8.2% ± 1.6% vs. 5.9% ± 0.9%), higher triglycerides (884 ± 1,190 mg/dL vs. 139 ± 79 mg/dL), and lower leptin (20.5 ± 15.8 ng/mL vs. 41.9 ± 29.4 ng/mL, P < 0.001 for all comparisons). In MATCH2, metabolic comorbidity–matched FPLD patients had significantly lower BMI compared with OCs (29.5 ± 5.7 kg/m 2 vs. 38.6 ± 5.2 kg/m 2 , P < 0.001). Conclusions Patients with FPLD with similar truncal mass have worse metabolic profiles than non‐FPLD OCs. The differential BMI between the FPLD and OCs, when matched for their metabolic comorbidities, approximates 8.6 BMI units.