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Did you know that men have more central androgen (i.e. testosterone) receptor mediated fat storage while women have more non-central superficial estrogen receptor mediated fat storage?
This is why everyone who is in a consistent calorie surplus puts on fat in wildly varying ways. Some people will be more 🍐 shaped (estrogen dominant) while others are shaped like an (androgen dominant and potentially some cortisol dominance).
It all comes down to hormonal distribution presumably.
Unfortunately for men, women may be more prone to put on fat superficial to the muscles of their thighs (explaining why the ‘dimpling’ effect of cellulite is so common and NORMAL in women), butt, hips, and arms, but it is men who are most likely to have to contend with the fat that can end our lives the quickest: truncal obesity.
This focus of adipose tissue (fat) storage tends to be very highly associated with cardiovascular disease (CVD) related mortality. This essentially means that those with this foci of fat storage have a much higher chance of dying due to stroke, heart attack, heart failure, hypertension, PAD, DVT->PE (as well as suffering from the non-fatal ‘erectile dysfunction’)...the list goes on and on to include everything classified under CVD.
Men may be more prone to this, but women are likely to suffer from truncal obesity if enough factors are in play also. Even more concerning, recent research published in the Annals of Internal Medicine reveals that central obesity in normal-weight people (per BMI) places them at greater risk of death than does overall overweight or obesity in people (per BMI) without the excess abdominal fat. This is part of the reason why I’ve never been a fan of the “BMI measurement” for use in my patients...
You can determine if you fit the criteria for someone with central obesity (and its elevated mortality risk) using the World Health Organization criteria of waist/hip ratio 0.85 or greater in women and 0.90 or above in men.
Continued below... - 2 days ago