Lipid handling capacity is the physiological efficiency of the body’s systems, primarily the liver, adipose tissue, and muscle, to absorb, transport, store, and utilize dietary and endogenous fats without causing metabolic dysfunction. A high capacity indicates robust metabolic flexibility, where excess lipids are safely sequestered in healthy adipose tissue or efficiently oxidized for energy. Reduced capacity leads to ectopic fat deposition in non-adipose tissues, a critical driver of insulin resistance and cardiovascular disease.
Origin
This concept is a modern refinement of classical lipid metabolism, emerging from the understanding that the metabolic health of adipose tissue is a key determinant of systemic health. Research highlighting the limited “storage space” or functional capacity of subcutaneous fat in some individuals, often leading to overflow into the liver and pancreas, formalized this capacity concept in the early 21st century.
Mechanism
Hormones like insulin and adiponectin play a major role in regulating this capacity by promoting the safe uptake and storage of fatty acids in adipose cells. When the capacity is overwhelmed, often due to chronic positive energy balance or underlying genetic factors, the liver’s ability to process and export lipoproteins is impaired. This results in dyslipidemia, characterized by elevated triglycerides and low HDL cholesterol, signaling a failure in the body’s protective lipid management system.
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