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Cited by 248

The DOI matches its Crossref record; 12 of the 12 references it cites were found in a registry or an index.

Body Fat Distribution and Inflammation Among Obese Older Adults With and Without Metabolic Syndrome

Open access
Koster, Annemarie, Stenholm, Sari, Alley, Dawn E., Kim, Lauren J., Simonsick, Eleanor M., Kanaya, Alka M., Visser, Marjolein, Houston, Denise K., Nicklas, Barbara J., Tylavsky, Frances A., Satterfield, Suzanne, Goodpaster, Bret H., Ferrucci, Luigi, Harris, Tamara B., For the Health ABC Study·2010·Obesity
DOI 10.1038/oby.2010.86
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Abstract

The protective mechanisms by which some obese individuals escape the detrimental metabolic consequences of obesity are not understood. This study examined differences in body fat distribution and adipocytokines in obese older persons with and without metabolic syndrome. Additionally, we examined whether adipocytokines mediate the association between body fat distribution and metabolic syndrome. Data were from 729 obese men and women (BMI ≥30 kg/m 2), aged 70–79 participating in the Health, Aging and Body Composition (Health ABC) study. Thirty‐one percent of these obese men and women did not have metabolic syndrome. Obese persons with metabolic syndrome had significantly more abdominal visceral fat (men: P = 0.04; women: P < 0.01) and less thigh subcutaneous fat (men: P = 0.09; women: P < 0.01) than those without metabolic syndrome. Additionally, those with metabolic syndrome had significantly higher levels of interleukin‐6 (IL‐6), tumor necrosis factor‐α (TNF‐α), and plasminogen activator inhibitor‐1 (PAI‐1) than individuals without metabolic syndrome. Per standard deviation higher in visceral fat, the likelihood of metabolic syndrome significantly increased in women (odds ratio (OR): 2.16, 95% confidence interval (CI): 1.59–2.94). In contrast, the likelihood of metabolic syndrome decreased in both men (OR: 0.56, 95% CI: 0.39–0.80) and women (OR: 0.49, 95% CI: 0.34–0.69) with each standard deviation higher in thigh subcutaneous fat. These associations were partly mediated by adipocytokines; the association between thigh subcutaneous fat and metabolic syndrome was no longer significant in men. In summary, metabolically healthy obese older persons had a more favorable fat distribution, characterized by lower visceral fat and greater thigh subcutaneous fat and a more favorable inflammatory profile compared to their metabolically unhealthy obese counterparts.

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Metadata

Authors
Koster, A., Stenholm, S., Alley, D. E., Kim, L. J., Simonsick, E. M., Kanaya, A. M., Visser, M., Houston, D. K., Nicklas, B. J., Tylavsky, F. A., Satterfield, S., Goodpaster, B. H., Ferrucci, L., Harris, T. B., & Study, F. T. H. A.
Venue
Obesity
Publisher
Wiley
Published
2010-12
Volume
18
Issue
12
Pages
2354-2361
ISSN
  • 1930-7381 (ISSN-L)
  • 1930-739X
DOI
10.1038/oby.2010.86
OpenAlex
W2075206875
Cited by
248
References
12
FWCI
10.06
Type
journal article
Language
en
Open access
green

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