Are excess visceral fat and insulin resistance associated with an increased risk of incident prediabetes and type 2 diabetes in obese adults?
Visceral fat and insulin resistance, rather than general adiposity, are the primary drivers of incident prediabetes and type 2 diabetes in obese adults.
Excess visceral fat and insulin resistance, but not general adiposity, were independently associated with incident prediabetes and type 2 diabetes mellitus in obese adults.
Neeland et al. (2012) studied this question.