The physiological regulation of where adipose tissue is preferentially deposited or mobilized throughout the body, specifically influencing the ratio of subcutaneous fat to visceral fat. Effective control aims to minimize the accumulation of metabolically harmful visceral fat, which is strongly linked to insulin resistance and cardiovascular risk. This process is highly sensitive to hormonal signals and reflects the body’s metabolic health and energy balance.
Origin
This concept originates from metabolic endocrinology and clinical anthropometry, where the distribution of body fat, rather than just the total amount, was identified as a critical determinant of disease risk. The term ‘partitioning’ highlights the body’s active, regulated process of directing nutrient energy storage. Understanding this control mechanism is central to managing metabolic syndrome and related hormonal imbalances.
Mechanism
Hormones such as cortisol, insulin, and sex steroids—testosterone and estrogen—exert significant control over fat partitioning by influencing adipocyte differentiation and lipolysis in different depots. Elevated cortisol and reduced testosterone often promote visceral fat accumulation due to the higher density of glucocorticoid and lower density of androgen receptors in this region. The mechanism involves the localized regulation of key enzymes like lipoprotein lipase and hormone-sensitive lipase, dictating whether triglycerides are stored or released from specific adipose sites.
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