Cited by 223Thermoregulation and physiological responsesAdipose Tissue and MetabolismInfrared Thermography in Medicine

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Adiposity and human regional body temperature

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Savastano, David M, Gorbach, Alexander M, Eden, Henry S, Brady, Sheila M, Reynolds, James C, Yanovski, Jack A·2009·The American Journal of Clinical Nutrition

DOI 10.3945/ajcn.2009.27567PMC PMC2762153

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Abstract

Background Human obesity is associated with increased heat production; however, subcutaneous adipose tissue provides an insulating layer that impedes heat loss. To maintain normothermia, therefore, obese individuals must increase their heat dissipation.Objective The objective was to test the hypothesis that temperature in a heat-dissipating region of the hand is elevated in obese adults.Design Obese [body mass index (in kg/m(2)) > or = 30] and normal-weight (NW; body mass index = 18-25) adults were studied under thermoneutral conditions at rest. Core body temperature was measured by using ingested telemetric capsules. The temperatures of the third fingernail bed of the right hand and of abdominal skin from an area 1.5 cm inferior to the umbilicus were determined by using infrared thermography. Abdominal skin temperatures were also measured via adhesive thermistors that were placed over a prominent skin-surface blood vessel and over an adjacent nonvessel location. The groups were compared by analysis of covariance with age, sex, race, and room temperature as covariates.Results Core temperature did not differ significantly between the 23 obese and 13 NW participants (P = 0.74). However, infrared thermography-measured fingernail-bed temperature was significantly higher in obese subjects than in NW subjects (33.9 +/- 0.7 degrees C compared with 28.6 +/- 0.9 degrees C; P < 0.001). Conversely, infrared thermography-measured abdominal skin temperature was significantly lower in obese subjects than in NW subjects (31.8 +/- 0.2 degrees C compared with 32.8 +/- 0.3 degrees C; P = 0.02). Nonvessel abdominal skin temperatures measured by thermistors were also lower in obese subjects (P = 0.04).Conclusions Greater subcutaneous abdominal adipose tissue in obese adults may provide a significant insulating layer that blunts abdominal heat transfer. Augmented heat release from the hands may offset heat retention in areas of the body with greater adiposity, thereby helping to maintain normothermia in obesity. This trial was registered at clinicaltrials.gov as NCT00266500.

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Authors: Savastano, D. M., Gorbach, A. M., Eden, H. S., Brady, S. M., Reynolds, J. C., & Yanovski, J. A.
Affiliations: National Institutes of Health (US)
Corresponding author: Yanovski, Jack A
ORCID: Savastano, David M
Gorbach, Alexander M
Brady, Sheila M
Reynolds, James C
Yanovski, Jack A
Venue: The American Journal of Clinical Nutrition
Publisher: Elsevier BV
Published: 2009-11
Volume: 90
Issue: 5
Pages: 1124-1131
ISSN: 0002-9165 (ISSN-L)
DOI: 10.3945/ajcn.2009.27567
PMC: PMC2762153
OpenAlex: W1974792437
Cited by: 223
References: 44
Citations by year: 2026: 13 · 2025: 15 · 2024: 8 · 2023: 12 · 2022: 22 · 2021: 10 · 2020: 16 · 2019: 16 · 2018: 11 · 2017: 16 · 2016: 19 · 2015: 12 · 2014: 12 · 2013: 12 · 2012: 15
FWCI: 6.43
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 4862 d)
Locations: American Journal of Clinical Nutrition (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: U.S. Department of Health and Human Services
National Institutes of Health
National Institute of Biomedical Imaging and Bioengineering (Z01EB000032)
National Institute of Child Health and Human Development
Eunice Kennedy Shriver National Institute of Child Health and Human Development
Topics: Health Sciences › Medicine › Physiology (medical) › Thermoregulation and physiological responses
Health Sciences › Medicine › Physiology (medical) › Adipose Tissue and Metabolism
Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Infrared Thermography in Medicine
Keywords: obesity, subcutaneous adipose tissue, thermal insulation, heat dissipation, hand skin temperature, thermoregulation, normothermia, thermoneutrality, body mass index
MeSH terms: Abdomen, Adipose Tissue, Adolescent, Adult, Aged, Body Temperature, Body Temperature Regulation, Body Weight, Female, Hand, Humans, Male, Menstrual Cycle, Middle Aged, Obesity, Reference Values, Thermography, Body Mass Index, Postmenopause, Adiposity, Young Adult

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