Cited by 8,481Adipokines, Inflammation, and Metabolic DiseasesCardiovascular Disease and AdiposityAdipose Tissue and Metabolism

The metabolic phenotype in obesity: Fat mass, body fat distribution, and adipose tissue function

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Goossens, Gijs H.·2017·Obesity Facts

Abstract

The current obesity epidemic poses a major public health issue since obesity predisposes towards several chronic diseases. BMI and total adiposity are positively correlated with cardiometabolic disease risk at the population level. However, body fat distribution and an impaired adipose tissue function, rather than total fat mass, better predict insulin resistance and related complications at the individual level. Adipose tissue dysfunction is determined by an impaired adipose tissue expandability, adipocyte hypertrophy, altered lipid metabolism, and local inflammation. Recent human studies suggest that adipose tissue oxygenation may be a key factor herein. A subgroup of obese individuals - the 'metabolically healthy obese' (MHO) - have a better adipose tissue function, less ectopic fat storage, and are more insulin sensitive than obese metabolically unhealthy persons, emphasizing the central role of adipose tissue function in metabolic health. However, controversy has surrounded the idea that metabolically healthy obesity may be considered really healthy since MHO individuals are at increased (cardio)metabolic disease risk and may have a lower quality of life than normal weight subjects due to other comorbidities. Detailed metabolic phenotyping of obese persons will be invaluable in understanding the pathophysiology of metabolic disturbances, and is needed to identify high-risk individuals or subgroups, thereby paving the way for optimization of prevention and treatment strategies to combat cardiometabolic diseases.

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Crossref · 10.1159/000471488

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Authors
Goossens, G. H.
Affiliations
Maastricht University Medical Centre (NL)
Corresponding author
Goossens, Gijs H.
Venue
Obesity Facts
Publisher
S. Karger AG
Published
2017
Volume
10
Issue
3
Pages
207-215
ISSN
  • 1662-4025 (ISSN-L)
  • 1662-4033
OpenAlex
W2620406790
Cited by
8,481
References
62
Citations by year
2026: 62 · 2025: 321 · 2024: 728 · 2023: 897 · 2022: 1131 · 2021: 724 · 2020: 557 · 2019: 687 · 2018: 696 · 2017: 673 · 2016: 597 · 2015: 577 · 2014: 200 · 2013: 70 · 2012: 72
FWCI
94.68
Type
journal article
Language
en
Open access
Locations
  • Obesity Facts (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Research Publications (Maastricht University) (submittedVersion, cc-by-nc-nd)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Research Publications (Maastricht University) (submittedVersion, other-oa)
Topics
  • Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Disease and Adiposity
  • Health Sciences › Medicine › Physiology › Adipose Tissue and Metabolism
Keywords
obesity, metabolic phenotypes, body fat distribution, adipose tissue function, metabolically healthy obesity, insulin resistance, cardiometabolic risk, ectopic fat, adipocyte hypertrophy, adipose tissue inflammation, lipid metabolism, adipose tissue expandability
MeSH terms
Adipose Tissue, Body Composition, Heart Diseases, Humans, Inflammation, Insulin Resistance, Metabolic Diseases, Obesity, Phenotype, Quality of Life, Risk Factors, Body Mass Index, Adiposity, Body Fat Distribution

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