Cited by 545Diabetes, Cardiovascular Risks, and LipoproteinsObesity, Physical Activity, DietAdipokines, Inflammation, and Metabolic Diseases

The “metabolically-obese,” normal-weight individual

Ruderman, N B, Schneider, S H, Berchtold, P·1981·The American Journal of Clinical Nutrition

Abstract

A great many disorders including maturity-onset (type II) diabetes, hypertension, and hypertriglyceridemia are frequently associated with adult-onset obesity and improve with caloric restriction. It is the premise of this brief review that there are patients with these disorders who are not obese according to standard weight tables or other readily-available criteria; but who would also respond favorably to caloric restriction. It is proposed that such individuals might be characterized by hyperinsulinism and possibly an increase in fat cell size compared to patients of similar age, height, and weight and/or to themselves at an earlier time. The possibility is also discussed that inactivity is a contributing factor in some of these individuals and that for them, the appropriate therapy might be exercise.

Integrity signals

Registry

Crossref · 10.1093/ajcn/34.8.1617

Cites

31 of 31 references verified0 citation errors · 0 not checkable

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  • Not all adipose tissue expansion is necessarily associated with pathological changes.

    “However, not all AT expansion is necessarily associated with pathological changes.”

    From Adipose tissue remodeling and obesity (2011) · cites this paper as [2]

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Authors
Ruderman, N. B., Schneider, S. H., & Berchtold, P.
Venue
The American Journal of Clinical Nutrition
Publisher
Elsevier BV
Published
1981-08
Volume
34
Issue
8
Pages
1617-1621
ISSN
0002-9165 (ISSN-L)
OpenAlex
W1946178666
Cited by
545
References
31
Citations by year
2026: 18 · 2025: 15 · 2024: 20 · 2023: 17 · 2022: 15 · 2021: 23 · 2020: 38 · 2019: 20 · 2018: 32 · 2017: 27 · 2016: 29 · 2015: 30 · 2014: 29 · 2013: 35 · 2012: 27
FWCI
1.71
Type
journal article
Language
en
Open access
closed
Locations
  • American Journal of Clinical Nutrition (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institutes of Health (T32AM007201)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
Keywords
type 2 diabetes, hypertension, hypertriglyceridemia, caloric restriction, hyperinsulinism, adipocyte size, physical inactivity, exercise therapy, obesity
MeSH terms
Adipose Tissue, Aging, Body Weight, Diabetes Mellitus, Diet, Reducing, Physical Exertion, Humans, Hyperinsulinism, Hyperlipidemias, Obesity, Reference Values, Triglycerides

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