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What is the difference between inside fat and outside fat?

5 min read

Subcutaneous fat makes up around 90% of total body fat, but the fat located deep inside the abdomen, known as visceral fat, poses more significant health risks. Understanding the distinction between these two types of body fat is crucial for managing overall health.

Quick Summary

This article explains the differences between visceral fat (inside fat) and subcutaneous fat (outside fat), exploring locations, metabolic activities, functions, and associated health risks. It provides methods for measurement and strategies for reducing both types of fat.

Key Points

  • Location is key: Inside fat (visceral) surrounds internal organs, while outside fat (subcutaneous) is just beneath the skin.

  • Visceral fat is more dangerous: The fat around your organs is more metabolically active and poses a higher risk for diseases like heart disease and diabetes.

  • Pinchable vs. Firm Fat: Outside fat is soft and pinchable, while excess inside fat often leads to a firm, protruding abdomen.

  • Lifestyle changes work best: Regular exercise, a balanced diet, and stress management are the most effective ways to reduce harmful visceral fat.

  • You can lose inside fat first: Studies suggest that because visceral fat is more metabolically active, it is often easier to lose than subcutaneous fat when you start a new health regimen.

  • Genetics influence distribution: Your genes can affect where your body stores fat, but lifestyle modifications are still the most powerful tool for positive change.

In This Article

Understanding the Two Types of Body Fat

For many, the word "fat" brings to mind the soft, pinchable layer just beneath the skin. However, the human body stores fat in two primary locations, and these two types of fat have vastly different impacts on health. The "outside" fat is technically known as subcutaneous fat, while the more dangerous "inside" fat is called visceral fat. Knowing the characteristics of each is the first step toward effective health management.

What is Outside Fat (Subcutaneous Fat)?

Subcutaneous fat is the layer of adipose tissue located just beneath the skin. This is the fat that you can easily see and pinch on your hips, thighs, arms, and belly. While excessive subcutaneous fat is associated with obesity, it is generally considered less harmful than visceral fat. A certain amount of subcutaneous fat is necessary for good health, as it serves several important biological functions:

  • Energy Storage: It acts as the body's primary energy reserve.
  • Insulation: It helps regulate body temperature and keeps you warm.
  • Cushioning: It provides padding that protects bones and muscles from impact.
  • Hormone Regulation: It produces some hormones, though typically a higher proportion of beneficial molecules compared to visceral fat.

What is Inside Fat (Visceral Fat)?

Visceral fat is located deep within the abdominal cavity, where it wraps around the internal organs, including the liver, pancreas, and intestines. It is not visible from the outside and cannot be pinched. While a small amount is protective, excessive visceral fat is far more metabolically active than subcutaneous fat, releasing inflammatory substances and hormones that can wreak havoc on the body. This is why even a person with a seemingly flat stomach can have unhealthy levels of visceral fat.

Comparison Table: Inside vs. Outside Fat

Feature Inside Fat (Visceral) Outside Fat (Subcutaneous)
Location Deep inside the abdominal cavity, surrounding organs. Just under the skin, covering the body's surface.
Appearance Not visible; contributes to a firm, distended belly. Visible; is the soft, pinchable layer of fat.
Metabolic Activity Highly active; releases harmful inflammatory molecules. Less metabolically active; produces some beneficial hormones.
Function Protects organs (in small amounts); excess is harmful. Insulates, cushions, and stores energy.
Associated Health Risks High risk for cardiovascular disease, type 2 diabetes, certain cancers, and metabolic syndrome. Generally less severe risks, but excess can lead to obesity-related issues like joint strain.
Measurement DEXA scans are most accurate; waist circumference provides an estimate. Calipers or visually assessing pinchable fat; overall body fat percentage.
Ease of Loss Often easier to lose first through diet and exercise due to high metabolic activity. Can be stubborn and takes longer to reduce.

Health Risks Associated with Excessive Fat

While all excess fat can be detrimental, visceral fat is the primary culprit behind many chronic diseases. Its metabolic activity and proximity to vital organs mean that the inflammatory substances it releases directly affect critical bodily systems.

Health Risks Linked to Visceral Fat:

  • Cardiovascular Disease: Excessive visceral fat is a strong predictor of heart disease, as its secretions can inflame and narrow blood vessels.
  • Type 2 Diabetes: It increases insulin resistance, a precursor to type 2 diabetes.
  • Metabolic Syndrome: This cluster of conditions, including high blood pressure, high blood sugar, and high triglycerides, is strongly associated with high visceral fat.
  • Certain Cancers: Studies have linked high visceral fat levels to an increased risk of colorectal and breast cancer.

How to Measure and Manage Your Fat

Measuring and managing fat distribution involves a combination of lifestyle and, in some cases, medical assessment. The most accurate way to measure visceral fat is through an MRI or DEXA scan, but simpler at-home methods can provide a good estimate.

Measuring at Home:

  1. Waist Circumference: Using a tape measure, measure your waist just above your hip bone. A waist size over 40 inches for men and 35 inches for women suggests an elevated risk of excess visceral fat.
  2. Visual Assessment: Pinchable, soft fat on the surface is subcutaneous, while a firm, protruding abdomen may indicate significant visceral fat.

Managing Both Types of Fat:

  • Regular Aerobic Exercise: Activities like brisk walking, cycling, or swimming for at least 30 minutes a day are highly effective at reducing visceral fat.
  • Strength Training: Building muscle mass increases your metabolism, helping burn more calories and reduce overall body fat.
  • Balanced Diet: Focus on lean proteins, whole grains, fruits, and vegetables while reducing refined carbs and sugary drinks. High-fiber diets are particularly effective at combating fat accumulation.
  • Stress Management: High levels of the stress hormone cortisol are linked to increased visceral fat storage. Practices like meditation and deep breathing can help.
  • Sufficient Sleep: Aim for 7-8 hours of quality sleep per night. Inadequate sleep can trigger excess visceral fat accumulation.

Conclusion

Understanding what is the difference between inside fat and outside fat is crucial for taking control of your health. While both types of fat are part of a healthy body, their location, function, and metabolic properties are fundamentally different. Outside fat, or subcutaneous fat, serves protective and energetic roles, and while excessive amounts are linked to obesity, it is less of a concern than the more metabolically active and dangerous inside fat, or visceral fat. Elevated visceral fat levels are a significant risk factor for chronic diseases like heart disease and type 2 diabetes. By focusing on a healthy, active lifestyle that includes diet, exercise, and stress management, you can effectively reduce both types of fat, especially the more dangerous visceral kind, and significantly improve your long-term health outcomes. Remember, a simple waist measurement can be a good indicator, but a holistic approach is key to achieving and maintaining a healthy body composition.

This article contains general health information and is not a substitute for professional medical advice. Always consult with a healthcare professional before starting any new diet or exercise regimen.

The Role of Genetics in Fat Distribution

It is also important to recognize that genetics play a significant role in determining where your body stores fat. Some people are naturally more prone to accumulating fat in the visceral area, while others tend to store it subcutaneously. However, regardless of genetic predisposition, lifestyle choices remain the most powerful tool for influencing body fat distribution and mitigating health risks. Healthy habits can help reduce visceral fat even in individuals who are genetically predisposed to it, proving that genetics are not the sole determinant of health outcomes.

Frequently Asked Questions

Inside fat (visceral) is more dangerous because it is highly metabolically active and releases inflammatory substances that increase the risk of serious conditions like heart disease and type 2 diabetes, unlike outside fat (subcutaneous) which is less harmful.

Yes, it is possible to have low levels of subcutaneous fat and appear to have a flat stomach while still having high levels of visceral fat around your internal organs. A firm, distended abdomen can be a sign of excess visceral fat.

Visceral fat is often easier to lose than subcutaneous fat through a balanced diet and regular exercise. Its higher metabolic activity makes it more responsive to lifestyle interventions.

You can roughly differentiate them by feel: soft, pinchable fat on your belly is subcutaneous, while a firm, deeper bulge indicates an accumulation of visceral fat underneath the muscle wall.

No, liposuction is a cosmetic procedure that removes subcutaneous fat, which is the surface fat. It does not target or remove the deeper, more dangerous visceral fat.

There is no way to spot-reduce fat. While targeted abdominal exercises can strengthen muscles, they do not specifically burn inside fat. Aerobic exercise combined with a healthy diet is the most effective approach for overall fat loss, including visceral fat.

Foods rich in protein and fiber, such as lean meats, beans, oats, nuts, and berries, can help reduce visceral fat by promoting satiety and supporting overall weight loss.

References

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Medical Disclaimer

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