It is very well known that some obese per sons display a favorable metabolic profile de spite having higher body mass and excessive body fat ness. Data on prevalence and characteristics of this type of obesity are very heterogeneous, and the aim of this study was to analyze its prevalence in our population and to identify anthropometric characteristics of metabolically healthy obese persons. Study group consisted of 230 over weight or obese (BMI: 31.35±4.73 kg/m2) aged 51,90±11,45 years. According to values of to tal-, HDL- and LDL-cholesterol, tryglicerides and homeostasis model assessment-estimated insulin resistance, we defined metabolic profile of our subjects and analyzed differences in anthropometric characteristics (body mass, body height, total body fat and parameters of abdominal fat mass size) between metabolically healthy and metabolically obese women. We registered 14.35% metabolically healthy over weight or obese women. Comparing to metabolically obese women they were younger (44.77±14.49 vs. 53.01±10.52y) and higher (165.91±8.08 vs. 161.40±6.61 cm), with significantly higher values of sagittal abdominal diameter (25.10±5.39 vs. 23.01±4.76 cm) and lower values of WHR index (0.839±0.083 vs. 0.870±0.077). At the same time, metabolically healthy subjects had higher hip circumference, but the difference was not statistically significant. Body fat mass didn't differ significantly between these two groups. Our results point to some morphophenotypic differences between obese per sons with favor able and abnormal metabolic profile and confirmed age related in creasing of the metabolic risk. Identification of specific anthropometric profile could be important in understanding of factors that are involved or have protective role in the development of obesity-related complications.
