{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T20:06:20Z","timestamp":1791317180968,"version":"4.3.1"},"reference-count":31,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2017,3,1]],"date-time":"2017-03-01T00:00:00Z","timestamp":1488326400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","atherosclerosis-journal.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Atherosclerosis"],"published-print":{"date-parts":[[2017,3]]},"DOI":"10.1016\/j.atherosclerosis.2017.02.002","type":"journal-article","created":{"date-parts":[[2017,2,4]],"date-time":"2017-02-04T03:17:47Z","timestamp":1486178267000},"page":"65-71","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":52,"special_numbering":"C","title":["Cardiovascular risk in different obesity phenotypes over a decade follow-up: Tehran Lipid and Glucose Study"],"prefix":"10.1016","volume":"258","author":[{"given":"Bita","family":"Mirzaei","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hengameh","family":"Abdi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Serahati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Barzin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahtab","family":"Niroomand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fereidoun","family":"Azizi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farhad","family":"Hosseinpanah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.atherosclerosis.2017.02.002_bib1","doi-asserted-by":"crossref","first-page":"1367","DOI":"10.2337\/dc07-2413","article-title":"Burden and rates of treatment and control of cardiovascular disease risk factors in obesity the Framingham Heart Study","volume":"31","author":"Molenaar","year":"2008","journal-title":"Diabetes Care"},{"key":"10.1016\/j.atherosclerosis.2017.02.002_bib2","doi-asserted-by":"crossref","first-page":"1083","DOI":"10.1016\/S0140-6736(09)60318-4","article-title":"Body-mass index and cause-specific mortality in 900 000 adults: collaborative analyses of 57 prospective studies","volume":"373","year":"2009","journal-title":"Lancet"},{"key":"10.1016\/j.atherosclerosis.2017.02.002_bib3","unstructured":"N. Eckel, K. Meidtner, T. Kalle-Uhlmann, N. Stefan, M.B. Schulze, Metabolically healthy obesity and cardiovascular events: A systematic review and meta-analysis, European Journal of Preventive Cardiology 2047487315623884."},{"key":"10.1016\/j.atherosclerosis.2017.02.002_bib4","doi-asserted-by":"crossref","first-page":"758","DOI":"10.7326\/0003-4819-159-11-201312030-00008","article-title":"Are metabolically healthy overweight and obesity benign conditions?: A systematic review and meta-analysis","volume":"159","author":"Kramer","year":"2013","journal-title":"Ann. Intern. Med."},{"issue":"9","key":"10.1016\/j.atherosclerosis.2017.02.002_bib5","doi-asserted-by":"crossref","first-page":"956","DOI":"10.1177\/2047487315623884","article-title":"Metabolically healthy obesity and cardiovascular events: a systematic review and meta-analysis","volume":"23","author":"Eckel","year":"2015","journal-title":"Eur. J. Prev. Cardiol."},{"key":"10.1016\/j.atherosclerosis.2017.02.002_bib6","doi-asserted-by":"crossref","first-page":"699","DOI":"10.2337\/diabetes.47.5.699","article-title":"The metabolically obese, normal-weight individual revisited","volume":"47","author":"Ruderman","year":"1998","journal-title":"Diabetes"},{"key":"10.1016\/j.atherosclerosis.2017.02.002_bib7","doi-asserted-by":"crossref","first-page":"839","DOI":"10.1055\/s-0035-1559767","article-title":"Prevalence of metabolically healthy obese and metabolically obese but normal weight in adults worldwide: A meta-analysis","volume":"47","author":"Wang","year":"2015","journal-title":"Horm. Metab. Res."},{"key":"10.1016\/j.atherosclerosis.2017.02.002_bib8","doi-asserted-by":"crossref","first-page":"1343","DOI":"10.1016\/j.jacc.2011.04.047","article-title":"Increased heart failure risk in normal-weight people with metabolic syndrome compared with metabolically healthy obese individuals","volume":"58","author":"Voulgari","year":"2011","journal-title":"J.\u00a0Am. Coll. Cardiol."},{"key":"10.1016\/j.atherosclerosis.2017.02.002_bib9","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1016\/j.amjcard.2010.09.034","article-title":"Effect of different obesity phenotypes on cardiovascular events in Tehran Lipid and Glucose Study (TLGS)","volume":"107","author":"Hosseinpanah","year":"2011","journal-title":"Am. J. Cardiol."},{"key":"10.1016\/j.atherosclerosis.2017.02.002_bib10","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1161\/CIRCULATIONAHA.109.887521","article-title":"Impact of body mass index and the metabolic syndrome on the risk of cardiovascular disease and death in middle-aged men","volume":"121","author":"\u00c4rnl\u00f6v","year":"2010","journal-title":"Circulation"},{"key":"10.1016\/j.atherosclerosis.2017.02.002_bib11","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1038\/oby.2011.243","article-title":"Incident cardiovascular disease events in metabolically benign obese individuals","volume":"20","author":"Ogorodnikova","year":"2012","journal-title":"Obesity"},{"key":"10.1016\/j.atherosclerosis.2017.02.002_bib12","first-page":"1","article-title":"Which one is more important, obesity or cardio metabolic risk factors?","volume":"11","author":"Hosseinpanah","year":"2013","journal-title":"Int. J. Endocrinol. Metab."},{"key":"10.1016\/j.atherosclerosis.2017.02.002_bib13","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1186\/1745-6215-10-5","article-title":"Prevention of non-communicable disease in a population in nutrition transition: Tehran Lipid and Glucose Study phase II","volume":"10","author":"Azizi","year":"2009","journal-title":"Trials"},{"key":"10.1016\/j.atherosclerosis.2017.02.002_bib14","doi-asserted-by":"crossref","first-page":"1640","DOI":"10.1161\/CIRCULATIONAHA.109.192644","volume":"120","author":"Alberti","year":"2009","journal-title":"Circulation"},{"key":"10.1016\/j.atherosclerosis.2017.02.002_bib15","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.2337\/dc08-1800","article-title":"First nationwide study of the prevalence of the metabolic syndrome and optimal cutoff points of waist circumference in the Middle East the national survey of risk factors for noncommunicable diseases of Iran","volume":"32","author":"Delavari","year":"2009","journal-title":"Diabetes Care"},{"key":"10.1016\/j.atherosclerosis.2017.02.002_bib16","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1016\/j.clinbiochem.2014.02.007","article-title":"Age-and sex-specific reference values for fasting serum insulin levels and insulin resistance\/sensitivity indices in healthy Iranian adults: Tehran Lipid and Glucose Study","volume":"47","author":"Tohidi","year":"2014","journal-title":"Clin. Biochem."},{"key":"10.1016\/j.atherosclerosis.2017.02.002_bib17","doi-asserted-by":"crossref","first-page":"e31427","DOI":"10.1371\/journal.pone.0031427","article-title":"Evaluation of cause of deaths' validity using outcome measures from a prospective, population based cohort study in Tehran, Iran","volume":"7","author":"Khalili","year":"2012","journal-title":"PloS One"},{"key":"10.1016\/j.atherosclerosis.2017.02.002_bib18","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1249\/00005768-199301000-00013","article-title":"Validity and reliability of self-reported physical activity status: the Lipid Research Clinics questionnaire","volume":"25","author":"Ainsworth","year":"1993","journal-title":"Med. Sci. Sports Exerc."},{"key":"10.1016\/j.atherosclerosis.2017.02.002_bib19","doi-asserted-by":"crossref","first-page":"401","DOI":"10.2337\/diacare.13.4.401","article-title":"Development of questionnaire to examine relationship of physical activity and diabetes in Pima Indians","volume":"13","author":"Kriska","year":"1990","journal-title":"Diabetes Care"},{"key":"10.1016\/j.atherosclerosis.2017.02.002_bib20","first-page":"2010","volume":"vol. 15","author":"Committee IPAQR","year":"2005"},{"key":"10.1016\/j.atherosclerosis.2017.02.002_bib21","doi-asserted-by":"crossref","first-page":"2906","DOI":"10.1210\/jc.2006-0594","article-title":"Body mass index, metabolic syndrome, and risk of type 2 diabetes or cardiovascular disease","volume":"91","author":"Meigs","year":"2006","journal-title":"J.\u00a0Clin. Endocrinol. Metabol."},{"key":"10.1016\/j.atherosclerosis.2017.02.002_bib22","doi-asserted-by":"crossref","first-page":"2145","DOI":"10.2337\/dc07-0419","article-title":"Metabolically healthy but obese women have an intermediate cardiovascular risk profile between healthy nonobese women and obese insulin-resistant women","volume":"30","author":"Marini","year":"2007","journal-title":"Diabetes care"},{"key":"10.1016\/j.atherosclerosis.2017.02.002_bib23","doi-asserted-by":"crossref","first-page":"1208","DOI":"10.1038\/ijo.2010.264","article-title":"Metabolic normality in overweight and obese subjects. Which parameters? Which risks&quest","volume":"35","author":"Pataky","year":"2011","journal-title":"Int. J. Obes."},{"key":"10.1016\/j.atherosclerosis.2017.02.002_bib24","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/j.atherosclerosis.2011.01.007","article-title":"Burden of subclinical cardiovascular disease in \u201cmetabolically benign\u201d and \u201cat-risk\u201d overweight and obese women: the Study of Women's Health Across the Nation (SWAN)","volume":"217","author":"Khan","year":"2011","journal-title":"Atherosclerosis"},{"key":"10.1016\/j.atherosclerosis.2017.02.002_bib25","doi-asserted-by":"crossref","first-page":"2318","DOI":"10.1210\/jc.2012-4253","article-title":"Metabolically healthy but obese, a matter of time? Findings from the prospective Pizarra study","volume":"98","author":"Soriguer","year":"2013","journal-title":"J.\u00a0Clin. Endocrinol. Metabol."},{"key":"10.1016\/j.atherosclerosis.2017.02.002_bib26","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1038\/ijo.2014.176","article-title":"Natural course of metabolically healthy abdominal obese adults after 10 years of follow-up: the Tehran Lipid and Glucose Study","volume":"39","author":"Eshtiaghi","year":"2015","journal-title":"Int. J. Obes."},{"key":"10.1016\/j.atherosclerosis.2017.02.002_bib27","doi-asserted-by":"crossref","first-page":"1437","DOI":"10.1038\/ijo.2009.180","article-title":"Appropriate cutoff values of anthropometric variables to predict cardiovascular outcomes: 7.6 years follow-up in an Iranian population","volume":"33","author":"Hadaegh","year":"2009","journal-title":"Int. J. Obes."},{"key":"10.1016\/j.atherosclerosis.2017.02.002_bib28","doi-asserted-by":"crossref","first-page":"962","DOI":"10.3945\/ajcn.112.040006","article-title":"Prognostic implications for insulin-sensitive and insulin-resistant normal-weight and obese individuals from a population-based cohort","volume":"96","author":"Bo","year":"2012","journal-title":"Am. J. Clin. Nutr."},{"key":"10.1016\/j.atherosclerosis.2017.02.002_bib29","doi-asserted-by":"crossref","first-page":"E15","DOI":"10.1152\/ajpendo.00645.2007","article-title":"Current approaches for assessing insulin sensitivity and resistance in\u00a0vivo: advantages, limitations, and appropriate usage","volume":"294","author":"Muniyappa","year":"2008","journal-title":"Am. J. Physiol.-Endocrinol. Metabol."},{"key":"10.1016\/j.atherosclerosis.2017.02.002_bib30","doi-asserted-by":"crossref","first-page":"1061","DOI":"10.1038\/oby.2007.632","volume":"15","author":"Klein","year":"2007","journal-title":"Obesity"},{"key":"10.1016\/j.atherosclerosis.2017.02.002_bib31","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1016\/j.atherosclerosis.2014.12.008","article-title":"Abdominal obesity phenotypes and risk of cardiovascular disease in a decade of follow-up: the Tehran Lipid and Glucose Study","volume":"238","author":"Keihani","year":"2015","journal-title":"Atherosclerosis"}],"container-title":["Atherosclerosis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0021915017300527?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0021915017300527?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2018,7,6]],"date-time":"2018-07-06T20:14:06Z","timestamp":1530908046000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0021915017300527"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3]]},"references-count":31,"alternative-id":["S0021915017300527"],"URL":"https:\/\/doi.org\/10.1016\/j.atherosclerosis.2017.02.002","relation":{},"ISSN":["0021-9150"],"issn-type":[{"value":"0021-9150","type":"print"}],"subject":[],"published":{"date-parts":[[2017,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Cardiovascular risk in different obesity phenotypes over a decade follow-up: Tehran Lipid and Glucose Study","name":"articletitle","label":"Article Title"},{"value":"Atherosclerosis","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.atherosclerosis.2017.02.002","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2017 Elsevier B.V. All rights reserved.","name":"copyright","label":"Copyright"}]}}