The metabolic phenotype in obesity: Fat mass, body fat distribution, and adipose tissue function
Open accessAbstract
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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The ratio of body fat was not only associated with metabolic syndromes and adverse events but also with sarcopenia.
“The ratio of body fat was not only associated with metabolic syndromes and adverse events but also with sarcopenia (36, 37).”
From The role of obesity in sarcopenia and the optimal body composition to prevent against sarcopenia and obesity (2023) · cites this paper as [36]
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- Authors
- Goossens, G. H.
- Affiliations
- Maastricht University Medical Centre (NL)
- Corresponding author
- Goossens, Gijs H.
- ORCID
- 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
- PMC
- PMC5644968
- 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
- gold
- doi.org
- Licence
- 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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