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January 9, 2026The Korean Journal of Internal MedicineOpen Access

Individuals with metabolic syndrome have higher risks for all-cause and cardiovascular mortality compared to those without metabolic syndrome.

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Key result

Individuals with metabolic syndrome have higher risks for all-cause and cardiovascular mortality compared to those without metabolic syndrome.

Authors

MSMihye SeoKSKyoil SuhHPHyeong Kyu Park

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Overview

This review highlights adipose tissue fibrosis' role in obesity prognosis and therapy effectiveness, suggesting a need for targeted strategies.

Key Points

  • This review explores the role of adipose tissue fibrosis in obesity and its implications for treatment efficacy and metabolic health.
  • Comprehensive literature review of recent research findings
  • Analysis of longitudinal studies spanning over 24 years
  • Examination of anti-diabetic therapies and their effects on adipose tissue
  • Incorporation of advancements in spatial transcriptomics and single-cell omics
  • Weight loss correlates with reduced metabolic complications in obese individuals
  • Adipose tissue dysfunction and fibrosis contribute to weight regain
  • Anti-diabetic therapies improve tissue remodeling and reduce fibrosis
  • Adipose tissue fibrosis is identified as a potential predictive and therapeutic target for obesity management

Study Design

Type

Cohort (n=240,000)

Multicenter

No

PICO

P
Population
Obesity and its relation to metabolic diseases and cardiovascular health (n=240,000)
I
Intervention / Comparator
Metabolically healthy obesity (MHO)
O
Primary Outcome
All-cause and cardiovascular disease mortality — HR 1.50 (1.30-1.70), p=<0.001

Main Result

Effect estimate: HR 1.50 (95% CI 1.30-1.70)

p-value: p=<0.001

Cite This Study

Seo et al. (2025) conducted a cohort in Obesity and its relation to metabolic diseases and cardiovascular health (n=240,000). Metabolically healthy obesity (MHO) was evaluated on All-cause and cardiovascular disease mortality (HR 1.50, 95% CI 1.30-1.70, p=<0.001). Individuals with metabolic syndrome have higher risks for all-cause and cardiovascular mortality compared to those without metabolic syndrome.

synapsesocial.com/papers/69612fe730ef6c21f6853f82https://doi.org/10.3904/kjim.2025.363
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  1. 1Obesity and Its Comorbidities: Current Treatment Options, Emerging Biological Mechanisms, Future Perspectives and Challenges2025 · 29 citations
  2. 2Targeting visceral and ectopic adiposity: Pharmacological and surgical interventions beyond global weight loss.2025 · 3 citations
  3. 3Adipose Tissue, at the Core of the Action of Incretin and Glucagon-Based Anti-Obesity Drugs2025
  4. 4Cellular Immunity in Obesity: Pathophysiological Insights and the Impact of Bariatric Surgery2025
  5. 5Advances in Adipose Tissue Biology2025