Morphological characteristics of abdominal adipose tissue in normal-weight and obese women of different metabolic profiles.
OBJECTIVE
Morphological changes in adipose tissue reflect functional disorders that correlate with cardiometabolic complications of obesity. The metabolic risks vary among the obese individuals. Furthermore, normal-weight individuals are not necessarily metabolically healthy. Therefore, the aim of this study was to analyze morphological characteristics of the abdominal adipose tissue in normal-weight and obese individuals in regards to metabolic risks.


RESULTS
The study group consisted of 30 overweight or obese and 20 normal-weight women undergoing elective surgery. Women of each group were divided into metabolically healthy and metabolically obese, based on the homeostasis model assessment of insulin resistance (HOMA-IR), triglyceride, total-, LDL- and HDL-cholesterol levels. The size and numerical density of adipocytes, as well as volume density of blood vessels in subcutaneous and visceral adipose tissue were compared among subgroups. The results showed hypertrophy of adipocytes of visceral adipose tissue in metabolically obese normal-weight women. At the same time, metabolically healthy obese women had smaller adipocytes in both depots in comparison with "at risk" obese women. The lowest volume density of blood vessels correlated with the largest diameter of adipocytes in "at risk" obese women indicating hypoxic changes in visceral adipose tissue. The observed differences of the adipose tissue morphology did not correlate with considerable phenotypic differences within either the normal-weight or obese women group.


CONCLUSIONS
Changes in adipocyte size, cellular and vascular density of adipose tissue in relation with metabolic disorders, regardless of nutritional level, suggest limited capacity of fat deposition and adipose tissue response to hypoxia.
Department of Anatomy, Faculty of Medicine, Hajduk Veljkova 3, Novi Sad, Serbia. bixina@eunet.rs
B
B
Srdić
E
E
Stokić
A
A
Korać
M
M
Ukropina
K
K
Veličković
M
M
Breberina
D050153:Abdominal Fat / Q000098:blood supply / Q000473:pathology*; D017667:Adipocytes / Q000473:pathology; D050154:Adiposity; D000328:Adult; D002318:Cardiovascular Diseases / Q000453:epidemiology*; D002452:Cell Count; D048429:Cell Size; D005260:Female; D006801:Humans; D006984:Hypertrophy; D007333:Insulin Resistance; D050152:Intra-Abdominal Fat / Q000098:blood supply / Q000473:pathology; D008055:Lipids / Q000097:blood; D008875:Middle Aged; D009765:Obesity / Q000097:blood / Q000473:pathology* / Q000503:physiopathology*; D050177:Overweight / Q000097:blood / Q000473:pathology / Q000503:physiopathology; D012307:Risk Factors; D050507:Subcutaneous Fat, Abdominal / Q000098:blood supply / Q000473:pathology
D008055:Lipids