What is Visceral Fat?
Visceral fat, also known as 'active fat,' is the type of body fat stored deep within the abdominal cavity and wraps around internal organs, such as the liver, pancreas, and intestines. While a certain amount of this fat is necessary to protect and insulate these organs, having too much can be detrimental to health. It is different from subcutaneous fat, which is the fat that lies just under the skin and is visible or 'pinchable'. Because of its location deep within the abdomen, you can't see or feel visceral fat from the outside, even if you have a relatively flat stomach. However, an increasing waistline can be an indicator of growing visceral fat stores.
The Dangers of Excessive Internal Fat
Excessive visceral fat is often referred to as 'toxic fat' because of its active role in the body's functions and its release of harmful chemicals and hormones. These substances, known as adipokines and cytokines, can trigger inflammation in organs and tissues and constrict blood vessels, leading to a host of health complications. High levels of this dangerous fat are strongly linked to an increased risk of developing numerous chronic diseases. These include:
- Heart Disease: Inflammation and high blood pressure caused by visceral fat can significantly raise the risk of cardiovascular problems.
- Type 2 Diabetes: Excess visceral fat is a major driver of insulin resistance, a precursor to type 2 diabetes.
- Stroke: Research has shown a link between higher visceral fat levels and an increased likelihood of having a stroke, sometimes at an earlier age.
- High Cholesterol: Visceral fat has a direct link to higher levels of 'bad' LDL cholesterol and triglycerides in the bloodstream.
- Certain Cancers: Studies have suggested a connection between excessive visceral fat and a higher risk of specific cancers, including colorectal cancer.
- Dementia and Alzheimer's Disease: Some studies have found that individuals with more belly fat and visceral fat have a greater risk for dementia.
How to Measure Your Visceral Fat
Pinpointing the exact amount of visceral fat requires expensive medical imaging tests like MRI or CT scans, which aren't typically covered by insurance for this purpose alone. However, there are simpler, more practical ways to estimate levels.
Common Measurement Methods:
- Waist Circumference: A simple tape measure can offer a good estimate. Wrap the tape measure around the waist just above the hip bones (around the navel). For women, a measurement of 35 inches or more suggests a higher risk of excess visceral fat; for men, that benchmark is 40 inches or more.
- Waist-to-Height Ratio: The waist circumference should be less than half of your height. A higher ratio is associated with a greater risk of metabolic and circulatory diseases.
- Bioelectrical Impedance Analysis (BIA): Advanced BIA devices, often found in gyms or medical offices, can measure body fat percentage and sometimes estimate visceral fat levels based on how electrical currents travel through your body.
- Body Mass Index (BMI): While BMI is a broad indicator of overall body fat, it cannot differentiate between visceral and subcutaneous fat or account for muscle mass. Therefore, it is a less reliable tool for assessing visceral fat risk compared to waist measurements.
Visceral Fat vs. Subcutaneous Fat: A Comparison
To fully appreciate the risks, it's important to understand the distinctions between the two main types of body fat.
| Feature | Visceral Fat | Subcutaneous Fat | 
|---|---|---|
| Location | Stored deep within the abdominal cavity, surrounding organs. | Stored just beneath the skin across the entire body, including belly, hips, and thighs. | 
| Appearance | Invisible and un-pinchable from the outside; contributes to a firm belly. | Visible and pinchable; often appears as soft and squishy. | 
| Metabolic Activity | Highly metabolically active, releasing inflammatory hormones and chemicals. | Less metabolically active and generally less harmful to overall health. | 
| Health Risks | Significantly higher risk for serious diseases like heart disease, diabetes, and certain cancers. | Associated with general obesity, but much less dangerous than visceral fat. | 
| Weight Loss Response | Responds relatively well and is often easier to lose than subcutaneous fat through lifestyle changes. | Can be slower and more challenging to lose, often requiring a consistent caloric deficit. | 
Strategies for Reducing Visceral Fat
Visceral fat is highly responsive to lifestyle changes. By adopting healthier habits, you can effectively reduce levels and mitigate the associated health risks.
Diet and Nutrition
- Increase Soluble Fiber: Soluble fiber, found in oats, beans, fruits, and vegetables, can help you feel full and has been shown to reduce belly fat gain.
- Prioritize Protein: A higher protein intake promotes a feeling of fullness and can boost your metabolism, which helps reduce abdominal fat.
- Limit Refined Sugars and Trans Fats: Foods high in added sugars, especially sweetened beverages, and trans fats are strongly linked to increased visceral fat.
- Eat Fatty Fish: Rich in omega-3 fatty acids, fatty fish like salmon and mackerel may help reduce visceral fat stores.
- Consider Intermittent Fasting: This eating pattern has been shown to be effective in reducing visceral fat in some studies.
Exercise and Physical Activity
- Focus on Cardio: Regular moderate-intensity aerobic exercise, such as brisk walking, jogging, or cycling for at least 150 minutes per week, is very effective for burning calories and reducing total body fat, including visceral fat.
- Incorporate High-Intensity Interval Training (HIIT): HIIT workouts, which alternate between intense and lower-intensity exercise periods, are particularly effective for visceral fat reduction.
- Don't Neglect Strength Training: Building muscle mass through resistance training helps boost your metabolism and burn more calories throughout the day.
Lifestyle Adjustments
- Manage Stress: The stress hormone cortisol can increase visceral fat storage. Practicing relaxation techniques like meditation or deep breathing can help.
- Get Quality Sleep: Insufficient sleep is linked to increased visceral fat. Aim for 7 to 9 hours of quality sleep per night.
- Limit Alcohol: Excessive alcohol intake, especially sugary drinks, is associated with increased visceral fat accumulation.
Conclusion
The internal body fat surrounding the organs is called visceral fat. It is far more than just a cosmetic concern. Unlike the more visible subcutaneous fat, excess visceral fat is metabolically active and poses significant health risks for chronic diseases. However, by adopting a strategic approach that includes a healthy diet rich in protein and fiber, regular exercise combining cardio and strength training, and lifestyle adjustments to manage stress and sleep, you can effectively reduce visceral fat and safeguard your long-term health. Consulting with a healthcare provider can help develop a personalized plan.
For more in-depth information on visceral fat and its health implications, you can visit the Cleveland Clinic's detailed resource: Visceral Fat: What It Is & How It Affects You.