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Cited by 1,456

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Impact of obesity on metabolism in men and women. Importance of regional adipose tissue distribution.

Open access
Krotkiewski, M, Björntorp, P, Sjöström, L, Smith, U·1983·Journal of Clinical Investigation
DOI 10.1172/jci111040
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Abstract

The distribution of adipose tissue thickness, fat cell weight (FCW), and number (FCN) were studied in four regions in randomly selected middle-aged men and women and in 930 obese individuals. Both the obese and the randomly selected men were found to have the largest adipose tissue thickness in the abdominal region. Women, however, showed a relative preponderance for the gluteal and femoral regions. FCW increased with expanding body fat up to a maximal size of approximately 0.7-0.8 micrograms/cell in each region. After this increase in FCW, a more rapid increase in FCN was found. For the same degree of relative overweight, men had higher triglyceride, fasting glucose, and insulin levels; higher sums of glucose and insulin levels during an oral glucose tolerance test; and higher blood pressure. Furthermore, elevated fasting glucose levels (greater than 7.4 mM) occurred twice as often in the males. These differences between males and females persisted even after body fat matching. A male risk profile was seen in women characterized by abdominal obesity (high waist/hip circumference ratio) as compared to women with the typical peripheral obesity. Stepwise multiple regression analyses in both women and men showed the obesity complications to be associated in a first step to waist/hip circumference or body fat and in a second to abdominal fat cell size. It may thus be concluded that: (a) In both obese and nonobese subjects, regional differences exist between the sexes with regard to adipose tissue distribution. (b) Moderate expansion of body fat is mainly due to FCW enlargement, which is subsequently followed by increased FCN. (c) Men and women with a male abdominal type of obesity are more susceptible to the effect of excess body fat on lipid and carbohydrate metabolism.

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Metadata

Authors
Krotkiewski, M., Björntorp, P., Sjöström, L., & Smith, U.
Venue
Journal of Clinical Investigation
Publisher
American Society for Clinical Investigation
Published
1983-09-01
Volume
72
Issue
3
Pages
1150-1162
ISSN
0021-9738 (ISSN-L)
DOI
10.1172/jci111040
OpenAlex
W2154797259
Cited by
1,456
References
0
FWCI
15.91
Type
journal article
Language
en
Open access
bronze

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