Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
July 20, 2021Scientific ReportsOpen Access

Changes in abdominal subcutaneous adipose tissue phenotype following menopause is associated with increased visceral fat mass

View Full Paper
Ask AI
Bookmark
Share

Key result

Postmenopausal status was associated with a 123% greater visceral adipose tissue mass compared to premenopausal status, alongside adipocyte hypertrophy, inflammation, and fibrosis.

Why the study?

Menopause is associated with a redistribution of adipose tissue toward central adiposity, which is known to cause insulin resistance.

Does postmenopausal status alter adipose tissue phenotype and insulin resistance in women aged 45-60?

Population

33 women between 45 and 60 years

Comparison

Adipose tissue phenotype and distribution across menopause

Design

Cross-sectional study

Authors

JAJulie AbildgaardTPThorkil PlougEAElaf Al-Saoudi

Discussion

Loading...

Member takes

Overview

Menopause-linked adipose changes may worsen insulin resistance; hypothesis-generating cross-sectional data leave causality and interventions open.

Study Design

Type

Cross-Sectional (n=33)

Multicenter

No

Structured PICO

Does postmenopausal status alter adipose tissue phenotype and insulin resistance in women aged 45-60?

P
Population
33 women aged 45 to 60 years undergoing benign gynecological surgeries, categorized by menopausal status, to assess adipose tissue inflammation and morphology.
E
Exposure
Postmenopausal status (exposure)
C
Comparator
Premenopausal and perimenopausal status
O
Outcome
Adipose tissue inflammation and morphology in subcutaneous adipose tissue (SAT) and visceral adipose tissue (VAT)surrogate

Main Result

Effect estimate: 123% increase (95% CI 16-231)

Absolute Event Rate: 1.21% vs 0.35%

p-value: p=0.01

Menopause is associated with adverse morphological and inflammatory changes in both subcutaneous and visceral adipose tissue, which correlate with increased visceral fat accumulation and decreased insulin sensitivity.

Limitations

  • Cross-sectional design precludes causal conclusions.
  • Differential indications for gynecological surgeries could be related to metabolic phenotype and confound results.
  • Small sample size, particularly for the perimenopausal group (n=5).
  • Postmenopausal women were approximately 5 years older than premenopausal women, which may contribute to adipose phenotype differences.

Cite This Study

Abildgaard et al. (2021) conducted a cross-sectional in Menopause (n=33). Postmenopausal status vs. Premenopausal status was evaluated on Visceral adipose tissue (VAT) mass (123% increase, 95% CI 16-231, p=0.01). Postmenopausal status was associated with a 123% greater visceral adipose tissue mass compared to premenopausal status, alongside adipocyte hypertrophy, inflammation, and fibrosis.

synapsesocial.com/papers/6a97345c8a6f469b3da1a78ahttps://doi.org/10.1038/s41598-021-94189-2
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Subcutaneous Adipose Tissue Metabolism at Menopause: Importance of Body Fatness and Regional Fat Distribution<sup>1</sup>2000 · 29 citations
  2. 2The Impact of the Menopausal Transition on Body Composition and Abdominal Fat Redistribution2026 · 10 citations
  3. 3Associations of Abdominal Subcutaneous and Visceral Fat with Insulin Resistance and Secretion Differ Between Men and Women: The Netherlands Epidemiology of Obesity Study2018 · 147 citations
  4. 4Postmenopausal women lose less visceral adipose tissue during a weight reduction program2003 · 17 citations
  5. 5Age-related increase in visceral adipose tissue and body fat and the metabolic risk profile of premenopausal women.1999 · 193 citations