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April 4, 2023Socio-Environmental Systems ModelingOpen Access

Sex-specific Association Between Adipose Tissue Inflammation and Vascular and Metabolic Complications of Obesity

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Why the study?

Adipose tissue inflammation predisposes to insulin resistance and metabolic syndrome in obesity, but its sex-specific associations with metabolic and atherosclerotic complications remain to be fully defined.

Is adipose tissue inflammation associated with metabolic and atherosclerotic complications of obesity in a sex-specific manner in adults with BMI ≥ 27 kg/m2?

Population

302 adult subjects with a BMI ≥ 27 kg/m2

Comparison

Sex-specific associations of adipose tissue inflammation parameters

Design

Cross-sectional cohort study

Key result

Adipose tissue inflammation and adipocyte size were associated with metabolic syndrome and insulin resistance, but not carotid atherosclerosis, with stronger associations observed in men.

Authors

BCBenjamin C. CossinsIMInge van den MunckhofJRJoost H.W. Rutten

Discussion

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Member takes

Overview

AT inflammation links more to metabolic than atherosclerotic complications of obesity, stronger in men; leaves open causal roles and targeted interventions.

Study Design

Type

Cross-Sectional (n=302)

Multicenter

No

Structured PICO

Is adipose tissue inflammation associated with metabolic and atherosclerotic complications of obesity in a sex-specific manner in adults with BMI ≥ 27 kg/m2?

P
Population
302 adult subjects with a BMI ≥ 27 kg/m2 evaluated for associations between adipose tissue inflammation and metabolic or atherosclerotic complications.
O
Outcome
Associations of adipose tissue inflammation parameters (adipocyte size, macrophage content, crown-like structures, gene expression) to biomarkers of systemic inflammation, leukocyte number and function, metabolic syndrome, insulin resistance, and carotid atherosclerotic plaquessurrogate

Inflammation in abdominal subcutaneous adipose tissue is more strongly related to metabolic than atherosclerotic complications of obesity, with these associations being significantly more pronounced in men.

Cite This Study

Cossins et al. (2023) conducted a cross-sectional in Obesity (n=302). Adipose tissue inflammation and adipocyte size was evaluated on Metabolic syndrome, insulin resistance, and carotid atherosclerotic plaques. Adipose tissue inflammation and adipocyte size were associated with metabolic syndrome and insulin resistance, but not carotid atherosclerosis, with stronger associations observed in men.

synapsesocial.com/papers/6aaa37328fc5b3c600e30b83https://doi.org/10.1210/clinem/dgad193
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Also Consider

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

  1. 1Adipose tissue macrophage burden, systemic inflammation, and insulin resistance2020 · 46 citations
  2. 2Adipose Macrophage Infiltration Is Associated With Insulin Resistance and Vascular Endothelial Dysfunction in Obese Subjects2008 · 384 citations
  3. 3Enlarged adipocytes from subcutaneous vs. visceral adipose tissue differentially contribute to metabolic dysfunction and atherogenic risk of patients with obesity2021 · 53 citations
  4. 4Fat cell size and adipokine expression in relation to gender, depot, and metabolic risk factors in morbidly obese adolescents2013 · 60 citations
  5. 5Markers of Adipogenesis, but Not Inflammation, in Adipose Tissue Are Independently Related to Insulin Sensitivity2017 · 45 citations