Obesity in individuals who appear to be metabolically healthy is a transient state during which clinically silent diseases such as hypertension and diabetes may be progressing. Psychological problems may also be developing, and social stigma may be present. Therefore, obesity should be treated as soon as it is identified.
Kevin Blake Metcalf, MS, RD, LD, CDE, BC-ADM, is a clinical nutrition manager and diabetes program manager for Morrison Healthcare, Fort Smith, Arkansas. He is also on the Expert Committee for outpatient diabetes for Morrison Healthcare.
The authors have no conflicts of interest to disclose.
Correspondence: Kevin Blake Metcalf, MS, RD, LD, CDE, BC-ADM, Morrison Healthcare (email@example.com).