Metabolic syndrome and metabolically health appear to worse in those without motivation to lose weight.

The researchers used the National Health and Nutrition Examination Survey (2011–2016) to conduct a cross-sectional analysis of 4509 adults with excess weight. The prevalence of metabolic syndrome and a metabolically healthy status was estimated by a no desire to lose weight status. The prevalence ratios were estimated, adjusting for demographic characteristics, to compare the prevalence of metabolic syndrome and a metabolically healthy status between those with and without a desire to lose weight​[1]​.

Among adults who were overweight, the crude prevalence of metabolic syndrome was 28.9% in the group that wanted to lose weight versus 36.0% in the no desire group. Among adults with obesity, the crude prevalence of metabolic syndrome was in the group with a desire to lose weight versus 63.2% in that that lacked the desire. Nearly all adults with obesity had at least one component of Metabolic syndrome regardless of DSW status.

The bottom line: Nearly two-thirds of obese adults and one-quarter of overweight adults with no desire to lose weight have metabolic syndrome. It is of dire importance for the fure of America and the world that we develop a plan to attack metabolic syndrome before it bankrupts the world. A majority of adults who were overweight or obese without a desire to lose weight have at least one component of MetS. We truly need to make inroads into making in motivation to lose weight. More research is needed.