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Variations in the size of the major omentum are primarily determined by fat cell number
Karolinska Institute, Huddinge Hospital, Stockholm, Sweden.
Karolinska Institute, Huddinge Hospital, Stockholm, Sweden.
Södertälje Hospital, Sweden.
Karolinska Institute, Huddinge Hospital, Stockholm, Sweden.
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2013 (English)In: Journal of Clinical Endocrinology and Metabolism, ISSN 0021-972X, E-ISSN 1945-7197, Vol. 98, no 5, E897-E901 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: Accumulation of visceral adipose tissue (VAT) is strongly linked to insulin resistance. Variations in the size of any adipose depot are determined by alterations in adipocyte volume and/or number. The individual contribution of each of the latter factors was determined in the major omentum, a fully resectable VAT depot.

SUBJECTS: Total removal of the major omentum (omentectomy) was performed in conjunction with bariatric surgery in 55 obese patients. Tissue weight as well as mean adipocyte size and number in the omentum were determined. In subgroups, total VAT was estimated by computerized tomography (n = 17) or dual-energy x-ray absorptiometry (n = 34).

RESULTS: The weight of the major omentum (on average 0.6 kg) correlated significantly with total VAT mass estimated by computerized tomography or dual-energy x-ray absorptiometry (r = 0.48-0.7; P < .01). Omental weight in relation to total body fat correlated with several features of the metabolic syndrome and inversely with serum-leptin (P < .001). Mean adipocyte size and total adipocyte number correlated strongly with omental weight (r = 0.6-0.8; P < .0001), irrespective of body mass index and total body fat mass, and accounted almost in total for interindividual variations in omental size. However, stepwise regression analysis demonstrated that adipocyte number was significantly (P < .0001) more important (62%) than adipocyte size (35%).

CONCLUSION: The size of the major omentum is representative for VAT mass and correlates with a pernicious metabolic profile. Variations in omental weight are primarily determined by adipocyte number and to a lesser degree by adipocyte size, suggesting that increased VAT mass in obesity is predominantly dependent on adipocyte proliferation.

Place, publisher, year, edition, pages
The Endocrine Society , 2013. Vol. 98, no 5, E897-E901 p.
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Medical and Health Sciences
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URN: urn:nbn:se:liu:diva-105680DOI: 10.1210/jc.2012-4106ISI: 000318688200014PubMedID: 23543656OAI: oai:DiVA.org:liu-105680DiVA: diva2:709452
Available from: 2014-04-01 Created: 2014-04-01 Last updated: 2017-12-05Bibliographically approved

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Wirén, Mikael

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