No, Obesity is just a red herring (symptom) of Insulin resistance.
80% of Overweight & Obese are sick
40% of normal weight & even thin individuals are sick
"Just because you are lean; you are not healthy " &
"Being Fat Does not mean you are sick "
(20% of Obese are metabolically healthy)
It is not the fat that you see from outside makes you metabolically sick but the Invisible Internal fat !!!
1. Internal Obesity (Fat Inside liver - Fatty liver, Fatty pancreas & viscera) possesses risk of Insulin Resistance syndrome.
It can occur in both
A. Normal weight (TOFI - Thin Outside Fat Inside) &
B. Obese individuals (Metabolically Unhealthy Obese)
2. External Obesity (Subcutaneous Fat) is actually the metabolic buffer of positive energy balance and protective against Insulin resistance UNLESS the Personal Fat Threshold is overwhelmed !!!
e.g Sumowrestlers,
Genetically Obese
(FOTI - Fat Outside Thin Inside)
"It is not the fat that you see but invisible Fat that you cannot see that actually kills you slowly"!!!!
This ectopic Internal fat deposition particularly in the liver causes Liver Insulin Resistance. The Glucose output from the liver is now poorly controlled due to two factors. One is due to the less effective inhibitory action of Insulin to stop gluconeogenesis and another one is due to uninhibited action of Glucagon increasing blood glucose levels. Now pancreas needs to secrete higher amounts of insulin just to keep the blood sugars in control and this vicious cycle repeats on and on, finally spreading the metabolic sickness to the entire body.
External Obesity - Benign
Internal Obesity - Dangerous
FOTI - Fat Outside Thin Inside
FOFI - Fat Outside Fat Inside
TOFI - Thin Outside Fat Inside
TOTI - Thin Outside Thin Inside
Women in the reproductive age group till menopause are at least 4 times more protected from falling metabolically sick compared to men even if they share the same food and lifestyle.
1. Men tend to carry less fat composition - 10-20%
2. Women tend to have greater fat composition : 18-30% because of the evolutionary advantage which nature has given to carry on the pregnancy without affecting the fetus even if there are times of adversity like food scarcity or famine.
Estrogen promotes hyperplasia of fat cells and its deposition mainly in the gluteo- femoral subcutaneous region. Thus women of reproductive age groups have the buffer to store large amounts of energy i.e., expand the adipose tissue without becoming metabolically sick.
Once they attain menopause,the protective effect of estrogen to store more subcutaneous fat is lost, they quickly become metabolically unhealthy by depositing fat in the viscera particularly if they are following a poor dietary lifestyle and sedentarism.
