Visceral Adipose Tissue Accumulation is the pathological and excessive deposition of fat tissue specifically within the abdominal cavity, surrounding vital internal organs such as the liver, pancreas, and intestines, which is strongly correlated with a heightened risk of metabolic syndrome, cardiovascular disease, and chronic systemic inflammation. This is a clinically distinct and more dangerous form of adiposity than subcutaneous fat due to its profound metabolic impact.
Origin
This term is a cornerstone of metabolic medicine and clinical nutrition, distinguishing between fat storage locations based on their differential endocrine and inflammatory activity. It arose from imaging studies that highlighted the distinct health risks associated with central fat deposition.
Mechanism
Accumulation is driven by chronic positive energy balance, often exacerbated by hormonal imbalances like hypercortisolemia and insulin resistance, which favor the differentiation of pre-adipocytes in the visceral depot. This visceral fat is highly metabolically active, releasing pro-inflammatory adipokines and free fatty acids directly into the portal circulation, thereby inducing hepatic insulin resistance and systemic metabolic dysfunction.
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