Facts about fat
Different types of fat
Brown fat: When we are born, we have a thin layer of brown fat under our skin which then disappears. Brown fat can burn fat and create heat, this is important for infants’ ability to maintain their body temperature.
White fat: The vast majority of fat in adult bodies is white fat, which stores energy, but cannot burn it.
In between: A new type of fat cell has recently been discovered which looks like white fat, but works like brown fat and has been given the name brite, from “brown into white” White fat cells are transformed into brite cells when it is cold. But researchers have now found a way to chemically stimulate white fat cells to become brite cells. Even if this is a long way from becoming a reality, this is a possible pathway for a future drug that will be able to burn fat.
Diseases caused by obesity
Obesity is defined as a disease in itself. In addition it carries with it an increased risk of the development of other diseases.
- Type 2 diabetes
- Cardiovascular disease
- Sleep apnoea
- Liver disturbances
- Musculoskeletal problems
- Psychological problems (women in particular have an increased risk of depression, bipolar disorder, panic disorder and agoraphobia)
Who is fat?
BMI thresholds, kg/m2
Body Mass Index, BMI is calculated by dividing weight by height, squared (kg/m2).
- Underweight: < 18,5
- Normal weight: 18,5–24,9
- Overweight: 25–29,9
- Obesity x 3: Obesity Grade I, Obesity Grade II, Obesity Grade III
Provides a good indication of the risk of developing consequential metabolic diseases.
- Increased risk: 94-102 cm
- Very increased risk: > 102 cm
- Increased risk: 80-88 cm
- Very increased risk: > 88 cm
Criteria for surgery
Criteria that are currently used: BMI >= 40 or BMI >= 35 with obesity-related morbidity. (some county councils in Sweden use BMI over 35 regardless of comorbidity).
Liposuction a cosmetic intervention
As opposed to the surgical methods, liposuction does not have any positive impact on other morbidity. Metabolic morbidity remains the same five years after liposuction, despite a large weight reduction.
Exercise does not reduce weight
Physical activity is very important for general well-being and for creating muscles that burn more fat. Exercising also has a clear effect on the dangerous abdominal fat. But as a method of weight loss its results are discouraging. Objective measurements show that obese adults and children are just as mobile as those of a normal weight. And exercise as a weight-reduction treatment shows a redistribution from fat to muscle, but no effect on weight.
Text: Fredrik Hedlund, first published in the magazine Medical Science 2015.