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. 2019 Jun;65(6):399–408.

Table 2.

Characteristics of subcutaneous and visceral fat

VARIABLES CHARACTERISTICS

SUBCUTANEOUS FAT VISCERAL FAT
Clinical measurement Body mass index Waist circumference, waist-to-height ratio, waist-to-hip ratio
Association with cardiometabolic disease16 Association with mortality is inconsistent Direct linear association with mortality
Function15,18 Metabolic sink and longer-term energy storage Short-term energy source
Cardiac risk23 Moderate High
Metabolic risk24 Moderate High
Inflammation22 Moderate High
Catecholamine response22 Moderate Rapid
Insulin sensitivity17 Moderate Low
Metabolic flux18 Low High
Trend with age25 Increased to age 65 y, then reduced Gradual increase
Storage duration26 Long Short
Effect of exercise27 High levels needed for weight change Low levels effective for cardiometabolic benefit
Adverse effects of refined carbohydrate28 Moderate High