Point Scale for Metabolic Obesity in People with Normal Body Weight (MONW)

Disorders of metabolic obesity with normal body weight (MONW) are widely recognized risk factors for the development of cardiovascular diseases and type 2 diabetes. Despite this, MONW is not diagnosed in clinical practice.

Point Scale for Metabolic Obesity in People with Normal Body Weight (MONW)

Points	Symptoms
1	triglycerides level > 100–150 mg/dL blood presure 125–140/85–90 mmHg weight gain: >4 after 18 years for women and 21 years for men BMI: 23–25 kg/m2 waist: 71.1–76.2 for women and 86.3–91.4 for men ethnicity: black women, Japanese-Americans, Latinos, Melanesians, Polynesians, New Zealand Maoris
2	impaired fasting glucose (110–125 mg/dL) triglycerides level > 150 mg/dL blood presure > 140/90 mmHg essential hypertension (under age 60 years) premature coronary heart disease (under age 60 years) low birth weight (<2.5 kg) inactivity (<90 min aerobic exercise/week) weight gain: >8 after 18 years for women and 21 years for men BMI: 25–27 kg/m2 waist: >76.2 for women and >91.4 for men uric acid (>8 mg/dL) ethnicity: Indians, Australian aborigines, Micronesians, Naruans
3	gestational diabetes triglycerides level > 150 mg/dL and HDL cholesterol < 35 mg/dL type 2 diabetes mellitus or impaired glucose tolerance hypertriglyceridemia weight gain: >12 after 18 years for women and 21 years for men premature coronary heart disease (under age 60 years) ethnicity: some American Indian tribes
4	type 2 diabetes mellitus impaired glucose tolerance polycystic ovaries

The scoring system evaluates 22 characteristics that are assigned a specific number of points. Obtaining at least 7 points is equivalent to a diagnosis of MONW.

 

References:

1. Pluta W, Dudzińska W, Lubkowska A. Metabolic Obesity in People with Normal Body Weight (MONW)-Review of Diagnostic Criteria. Int J Environ Res Public Health. 2022 Jan 6;19(2):624. [Medline]
2. Conus F, Rabasa-Lhoret R, Péronnet F. Characteristics of metabolically obese normal-weight (MONW) subjects. Appl Physiol Nutr Metab. 2007 Feb;32(1):4-12. [Medline]

 

Created Apr 28, 2022.