Review studies on normal-weight obesity repeatedly describe an association with a less favorable metabolic profile in a portion of the people studied — compared with people of the same BMI but healthier body composition, they more often show a less favorable blood lipid profile, higher blood pressure, or less well-regulated blood sugar. This is a statistical association across large groups of people, not a certainty for any one individual.
Skinny fat on its own isn't a diagnosis, and a single measurement doesn't prove anything. Its real value is as a reason to pay attention to the trend — to track whether your fat-to-muscle balance improves, worsens, or stays the same over time, and to read it alongside other context like waist circumference, blood pressure, or activity level.
If your numbers fall well outside the reference ranges, or if cardiovascular or metabolic disease runs in your family, it's worth discussing the result with a doctor. An InBody report is an orientation tool for tracking trends, not a tool for making a diagnosis.