First this week, Staff Writer Jennifer Couzin-Frankel joins host Sarah Crespi to discuss the paradox of metabolically healthy obesity. They chat about the latest research into the relationships between markers of metabolic health—such as glucose or cholesterol levels in the blood—and obesity. They aren’t as tied as you might think.
Next, Colin Dayan, professor of clinical diabetes and metabolism at Cardiff University and senior clinical researcher at the Wellcome Centre for Human Genetics at the University of Oxford, joins Sarah to discuss his contribution to a special issue on type 1 diabetes. In his review, Colin and colleagues lay out research into how type 1 diabetes can be detected early, delayed, and maybe even one day prevented. Finally, in the first of a six-patrt series of book interviews on race and science, guest host Angela Saini talks with author and professor of history at the University of Massachusetts, Amherst, Samuel Redman, about his book Bone Rooms: From Scientific Racism to Human Prehistory in Museums. The two discuss the legacy of human bone collecting and racism in museums today.
In this cross-sectional study of 5364 couples consisting of employees and spouses (or domestic partners) undergoing an annual employer-sponsored health assessment, 79% of the couples were in the nonideal category of a CV health score. This within-couple concordance of nonideal CV health scores was associated mostly with unhealthy diet and inadequate physical activity.
The study included 10 728 participants (5364 couples): 7% were African American, 11% Hispanic, 21% Asian, and 54% White (median [interquartile range] age, 50 [41-57] years for men and 47 [39-55] for women). For most couples, both members were in the ideal category or both were in a nonideal category.
Concordance ranged from 53% (95% CI, 52%-54%) for cholesterol to 95% (95% CI, 94%-95%) for diet. For the CV health score, in 79% (95% CI, 78%-80%) of couples both members were in a nonideal category, which was associated mainly with unhealthy diet (94% [95% CI, 93%-94%] of couples) and inadequate exercise (53% [95% CI, 52%-55%] of couples). However, in most couples, both members were in the ideal category for smoking status (60% [95% CI, 59%-61%] of couples) and glucose (56% [95% CI, 55%-58%]).
Except for total cholesterol, when 1 member of a couple was in the ideal category, the other member was likely also to be in the ideal category: the adjusted odds ratios for also being in the ideal category ranged from 1.3 (95% CI, 1.1-1.5; P ≤ .001) for blood pressure to 10.6 (95% CI, 7.4-15.3; P ≤ .001) for diet. Concordance differed by ethnicity, socioeconomic status, and geographic location.