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Is bone marrow very fatty? A closer look at marrow composition

6 min read

In adults, bone marrow fat can account for up to 70% of the bone marrow's volume, making it a significant portion of the body's total fat stores. This fact challenges the perception of marrow as solely a blood-producing factory and raises the question: is bone marrow universally and very fatty?

Quick Summary

Bone marrow contains significant fat, though the ratio of fat to blood-forming cells depends on the marrow type. Yellow marrow is primarily fat, while red marrow contains a mix of cells and fat. The proportion of fatty marrow increases with age. This fat is not inert, but a metabolically active organ with key functions beyond simple energy storage.

Key Points

  • Two Types, Different Fat Levels: Bone marrow exists as red (blood-forming) and yellow (fatty) types, with the yellow marrow containing the vast majority of fat.

  • Age-Related Conversion: Over a person's life, red marrow is gradually replaced by yellow marrow, shifting the body's overall marrow composition towards higher fat content.

  • Metabolically Active Fat: Bone marrow fat is no longer considered inert; it is a dynamic, metabolically active tissue that produces hormones and is linked to overall skeletal health.

  • Energy Reserve: The fat stored in yellow bone marrow serves as an important energy reserve for the body, particularly in times of heightened metabolic demand.

  • Reversible State: In cases of significant blood loss, the body can trigger the conversion of fatty yellow marrow back into blood-producing red marrow to aid recovery.

  • Nutritional Source: In culinary contexts, bone marrow is valued for its rich fat content and provides beneficial fatty acids and nutrients, though high in calories.

In This Article

The Dual Nature of Bone Marrow: Red vs. Yellow

To understand if bone marrow is very fatty, one must first distinguish between its two primary forms: red and yellow marrow. These two types have distinct compositions and roles within the body.

Yellow Bone Marrow: The Predominant Fat Store

Yellow bone marrow, named for its color, is where the bulk of the fat in the bone is stored. In healthy adults, it primarily occupies the hollow shaft (diaphysis) of long bones, such as the femur. It is composed mainly of adipose tissue (fat cells), giving it a high fat content. Yellow marrow's main functions include:

  • Energy storage: The fat acts as a vital reserve that the body can tap into during times of metabolic need, such as malnutrition or intense exercise.
  • Structural support: It helps fill the medullary cavity of the bones, providing structural integrity.
  • Cell source: It contains mesenchymal stem cells (MSCs) that can differentiate into fat cells, cartilage, or bone cells.

Red Bone Marrow: The Blood-Forming Factory

Red bone marrow is the site of hematopoiesis, the process of producing blood cells. At birth, nearly all bone marrow is red to support a baby's rapid growth and development. In adults, red marrow is found mostly in the flat bones, such as the ribs, vertebrae, pelvis, and skull, as well as the ends of long bones. While its primary function is blood production, red marrow is not fat-free. In fact, adult red marrow can be composed of up to 40% fat, with the remaining 60% being blood-forming cells. The fat within red marrow is now recognized as metabolically active, playing an important role in the marrow's microenvironment.

Red vs. Yellow Marrow: A Comparison

Feature Red Marrow Yellow Marrow
Primary Function Blood cell production (hematopoiesis) Fat storage, energy reserve
Composition High concentration of hematopoietic stem cells; also contains fat (approx. 40% fat in adults) Predominantly composed of adipocytes (fat cells), low cellularity (approx. 80% fat)
Location (Adults) Axial skeleton (ribs, vertebrae, pelvis, sternum); ends of long bones Shafts of long bones (e.g., femur, humerus)
Color Reddish due to a high concentration of red blood cells Yellowish due to a high concentration of fat cells
Reversibility Can be converted from yellow marrow if the body requires more blood cells (e.g., severe blood loss) Is the result of red marrow conversion over time

How Marrow Composition Changes with Age

An individual’s bone marrow composition is not static; it undergoes a dynamic shift from red to yellow marrow throughout life. A baby is born with nearly all red bone marrow, reflecting the high demand for blood cell production during infancy. As the body ages, this demand for new blood cells decreases, and the red marrow is progressively replaced by fatty yellow marrow, a process that is typically complete by around age 25.

This conversion follows a predictable pattern, moving from the extremities (hands and feet) towards the core axial skeleton (pelvis and spine). In adults, a balance is maintained, with active red marrow concentrated in the central bones and yellow marrow in the long bones. However, in cases of chronic anemia or significant blood loss, the body can signal the yellow marrow to revert to red marrow to boost blood cell production. Conversely, conditions like osteoporosis and aging can be associated with increased bone marrow adiposity.

The Active Role of Bone Marrow Fat

Historically, the fat in bone marrow was considered an inert filler, but recent research has revealed it is a highly active and important component. Bone marrow fat tissue is now recognized as the third largest fat depot in the body, and plays several critical roles:

  • Endocrine functions: Bone marrow fat cells, called adipocytes, produce hormones like adiponectin, which can influence insulin sensitivity and inflammation.
  • Metabolic regulation: It acts as a local regulator of the bone and hematopoietic microenvironment, influencing cell metabolism and signaling.
  • Skeletal health: The expansion of bone marrow fat is linked to bone mineral density. The development of more adipocytes can sometimes occur at the expense of bone-forming osteoblasts.

Bone Marrow in Diet and Cuisine: A High-Fat Delicacy

Beyond its biological function, bone marrow is also consumed as a food, where its rich fat content is prized. From a culinary perspective, animal bone marrow is known for its buttery, nutty, and savory flavor and smooth texture.

Nutritionally, bone marrow is a concentrated source of fat and calories. The fat profile includes monounsaturated, polyunsaturated, and saturated fats. It is also rich in essential nutrients, including:

  • Collagen: A structural protein that supports skin, joint, and gut health.
  • Vitamins: Such as vitamin B12, vitamin A, and vitamin K2.
  • Minerals: Including iron, zinc, and selenium.

Due to its high fat content, bone marrow should be consumed in moderation, especially by individuals with pre-existing heart conditions or high cholesterol.

Conclusion

The simple answer to the question, "Is bone marrow very fatty?" is a resounding yes, but the more nuanced response is that it depends on the type of marrow and the individual's age. Yellow marrow is predominantly fat, serving as a critical energy reserve, while red marrow, though focused on blood production, also contains a substantial amount of metabolically active fat. The dynamic conversion from red to yellow marrow is a natural part of aging, and this fat is now known to be a functional endocrine organ, not merely an inert substance. The existence of two distinct marrow types and their changing proportions over a lifetime highlights the complexity and adaptive nature of our skeletal system.

Bone Marrow Fat and Hematopoiesis: PMC

Bone Marrow Fat: More Than Just Filler

  • Dynamic Tissue: Bone marrow composition changes significantly with age, transitioning from mostly red (blood-forming) marrow in infants to a balance of red and yellow (fatty) marrow in adults.
  • Significant Fat Depot: Bone marrow fat is considered the body's third-largest fat store, behind subcutaneous and visceral fat.
  • Two Types: Yellow marrow is almost entirely fat, primarily for energy storage, while red marrow contains a mix of blood-forming cells and fat.
  • Metabolically Active: Contrary to older beliefs, bone marrow fat is a metabolically active endocrine organ, producing hormones and influencing overall metabolism.
  • Adaptable Reserve: The body can convert yellow marrow back to blood-producing red marrow during times of increased demand, such as severe blood loss.
  • Nutrient Source: When consumed as food, bone marrow provides healthy fats, collagen, vitamins (like B12), and minerals, though it should be eaten in moderation.

FAQs

Is all bone marrow fatty?

No, there are two types of bone marrow: red and yellow. Yellow marrow is very fatty, consisting mostly of fat cells. Red marrow, which produces blood cells, contains a mix of blood-forming cells and fat, with adults' red marrow being about 40% fat by weight.

What is the fat in bone marrow for?

The fat in yellow bone marrow serves as an energy reserve for the body, which can be used during illness or malnutrition. The fat in both marrow types is also metabolically active, influencing cell signaling and bone health.

How does age affect the fat in bone marrow?

With age, the proportion of red bone marrow gradually decreases and is replaced by fatty yellow marrow. As an infant, your bone marrow is almost entirely red, but by adulthood, about half is yellow, mostly in the long bones.

Is eating bone marrow bad for your health because it's fatty?

Bone marrow is high in fat and calories, so it should be consumed in moderation as part of a balanced diet, especially for individuals with heart conditions or high cholesterol. However, it also provides beneficial fats and nutrients like collagen.

Can bone marrow fat change back into blood-producing marrow?

Yes. Under circumstances that require increased blood cell production, such as severe blood loss or chronic anemia, the body can signal fatty yellow marrow to convert back to red marrow.

Does bone marrow contain healthy fat?

Yes. Bone marrow contains a profile of fats, including monounsaturated, polyunsaturated (like conjugated linoleic acid or CLA), and saturated fats. The specific fatty acid composition varies by animal and diet.

Where is the most fatty bone marrow found?

The most fatty bone marrow, yellow marrow, is typically found in the hollow shaft of long bones in adults, like the femur and humerus.

Is bone marrow fat the same as other body fat?

While it shares characteristics with other fat depots, bone marrow fat tissue is unique. It functions as a distinct endocrine organ within the bone microenvironment, separate from subcutaneous or visceral fat.

What is bone marrow adipose tissue (BMAT)?

BMAT is the technical term for the fat tissue found within the bone marrow. It is now considered a metabolically active organ rather than just an inert filler.

Can you tell the difference between red and yellow marrow fat?

Yes, imaging techniques like MRI can distinguish between the two based on their fat and water composition. Red marrow has lower fat and higher water content than yellow marrow, which appears brighter on specific MRI sequences.

Frequently Asked Questions

No, there are two types of bone marrow: red and yellow. Yellow marrow is very fatty, consisting mostly of fat cells. Red marrow, which produces blood cells, contains a mix of blood-forming cells and fat, with adults' red marrow being about 40% fat by weight.

The fat in yellow bone marrow serves as an energy reserve for the body, which can be used during illness or malnutrition. The fat in both marrow types is also metabolically active, influencing cell signaling and bone health.

With age, the proportion of red bone marrow gradually decreases and is replaced by fatty yellow marrow. As an infant, your bone marrow is almost entirely red, but by adulthood, about half is yellow, mostly in the long bones.

Bone marrow is high in fat and calories, so it should be consumed in moderation as part of a balanced diet, especially for individuals with heart conditions or high cholesterol. However, it also provides beneficial fats and nutrients like collagen.

Yes. Under circumstances that require increased blood cell production, such as severe blood loss or chronic anemia, the body can signal fatty yellow marrow to convert back to red marrow.

Yes. Bone marrow contains a profile of fats, including monounsaturated, polyunsaturated (like conjugated linoleic acid or CLA), and saturated fats. The specific fatty acid composition varies by animal and diet.

The most fatty bone marrow, yellow marrow, is typically found in the hollow shaft of long bones in adults, like the femur and humerus.

While it shares characteristics with other fat depots, bone marrow fat tissue is unique. It functions as a distinct endocrine organ within the bone microenvironment, separate from subcutaneous or visceral fat.

BMAT is the technical term for the fat tissue found within the bone marrow. It is now considered a metabolically active organ rather than just an inert filler.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.