Lean Tissue Mass (LTM) is the component of total body mass that excludes adipose tissue, encompassing skeletal muscle, bone mineral, water, and organs. In clinical assessment, it is often used synonymously with Fat-Free Mass (FFM) and serves as a critical indicator of metabolic capacity and physical function. Maintaining high LTM is strongly correlated with improved insulin sensitivity and longevity outcomes. It represents the metabolically active structural foundation of the body.
Origin
The quantification of LTM derives from early body composition studies utilizing hydrostatic weighing, later refined by dual-energy X-ray absorptiometry (DEXA) to precisely differentiate fat and non-fat compartments. The term emphasizes the quality of the mass—tissue that is dense and metabolically engaged—as opposed to inert fat storage. Its importance grew as sarcopenia and obesity became recognized as co-morbid states.
Mechanism
Lean tissue mass, particularly skeletal muscle, is the primary site for post-prandial glucose disposal, largely mediated by insulin signaling to facilitate GLUT4 translocation. Muscle tissue acts as a major sink for amino acids, requiring continuous turnover supported by anabolic hormones like Growth Hormone and testosterone. Maintaining its mass requires a positive net protein balance achieved through adequate nutrient delivery and mechanical tension via resistance exercise. Lower LTM correlates with systemic metabolic inefficiency and increased visceral adiposity risk.
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