2016
DOI: 10.1530/eje-15-0822
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Abdominal adipocyte populations in women with visceral obesity

Abstract: Background: Visceral obesity is independently related to numerous cardiometabolic alterations, with adipose tissue dysfunction as a central feature. Objective: To examine whether omental (OM) and subcutaneous (SC) adipocyte size populations in women relate to visceral obesity, cardiometabolic risk factors and adipocyte lipolysis independent of total adiposity. Design and methods: OM and SC fat samples were obtained during gynecological surgery in 60 women (mean age, 46.1G5.9 years; mean BMI, 27.1G4.5 kg/m 2 (r… Show more

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Cited by 25 publications
(28 citation statements)
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References 40 publications
(107 reference statements)
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“…The chosen sampling sites may partly explain these results. SC adipocyte diameters were larger than OM adipocyte diameters with every method, reflecting the depot‐specific difference in fat cell size reported in our previous studies in women and our detailed analysis of the literature . The association between visceral adiposity and cardiometabolic risk factors is well known .…”
Section: Discussionsupporting
confidence: 61%
“…The chosen sampling sites may partly explain these results. SC adipocyte diameters were larger than OM adipocyte diameters with every method, reflecting the depot‐specific difference in fat cell size reported in our previous studies in women and our detailed analysis of the literature . The association between visceral adiposity and cardiometabolic risk factors is well known .…”
Section: Discussionsupporting
confidence: 61%
“…hyperplasia) in health risks is debatable. Recent observations reported a higher prevalence of small fat cells in insulin-resistant individuals and in those with type 2 diabetes, compared with healthy individuals, suggesting hyperplastic expansion [8, 1416]. Importantly, we showed that 8 weeks of 40% overfeeding (~7.6 kg weight gain) resulted in greater impairment of insulin sensitivity in individuals who had smaller adipocytes at baseline compared with those who had larger adipocytes [17].…”
Section: Adipose Turnovermentioning
confidence: 44%
“…Evidence suggests that the manner of subcutaneous WAT expansion (hypertrophy vs hyperplasia) in humans can influence cardiometabolic health. Cross-sectional and longitudinal studies have shown that hypertrophic abdominal adipocytes are associated with insulin resistance [7, 8] and type 2 diabetes [9, 10], independent of overall obesity. It has also been proposed that impaired adipogenesis, or restricted hyperplasia, may lead to ectopic fat deposition in the liver and skeletal muscle, contributing to the pathogenesis of obesity-related disorders [11].…”
Section: Adipose Turnovermentioning
confidence: 99%
“…However, this constellation of metabolic risk factors does not affect all obese patients to the same extent, with a varying but important proportion of obese people remaining metabolically healthy [2,3] , thus suggesting that factors other than obesity itself are playing a role in the pathophysiology of MetS [4,5] . Previous studies have pointed to the dysregulation of visceral adipose tissue (VAT) as one of the major factors contributing to the development of MetS features [6,7] . From this viewpoint, VAT expandability to deal with the requirements of fat storage in the form of TG is a crucial issue implicated in this dysregulation [7] .…”
Section: Introductionmentioning
confidence: 99%
“…Previous studies have pointed to the dysregulation of visceral adipose tissue (VAT) as one of the major factors contributing to the development of MetS features [6,7] . From this viewpoint, VAT expandability to deal with the requirements of fat storage in the form of TG is a crucial issue implicated in this dysregulation [7] . Previous studies have highlighted the relevance of genes encoding cytoskeletal proteins in VAT expansion by showing that under energy restriction conditions they are predominantly underexpressed, whereas the reverse is observed when energy and lipid requirements are exceeded [8,9] .…”
Section: Introductionmentioning
confidence: 99%