When you lose weight, you not only feel better, but your fat cells are much healthier.
So says endocrinologist Andrew Greenberg, director of the Obesity Metabolism Laboratory at Tufts University in Boston.
Your body needs fat cells to be healthy, but in obese individuals when fat cells get very big, those cells are at risk of dying, he says.
"A fat cell is 95% fat. If it dies, it leaves behind insoluble fat, and the body views it as a foreign body, much like it would splinter," Greenberg says.
That excess fat is scooped up by macrophages, scavenger cells that are part of the immune system. During this process, some of the fat and other inflammatory proteins get released into the blood stream, which can significantly increase a person’s risk of developing diabetes, he says.
However, there is evidence that if you lose weight, you have fewer dying fat cells and significantly fewer fat-engorged macrophages, Greenberg says.
Think fat just hangs around and does nothing? It doesn’t
By Nanci Hellmich, USA TODAY
PHOENIX â€” Most people think of fat as an inert blob, but fat cells release powerful chemicals.
In obese people, the fat tissue often produces too many bad hormones and too few good ones, says Susan Fried, director of the Clinical Nutrition Research Unit of Maryland at the University of Maryland School of Medicine in Baltimore.
BETTER LIFE: The skinny on losing weight
Fried and other scientists discussed the latest research on fat cells here at the annual meeting of the Obesity Society. Fried talks about the relationship between obesity and fat cells.
Q: Do people have different numbers of fat cells?
A: A person at a healthy weight might have 10 billion to 20 billion, and an obese person can have up to 100 billion. Babies are born with about 10 billion. You naturally increase the number of fat cells, like other kinds of cells, as you grow.
Q: Is everybody born with the same number of fat cells?
A: No. There is a genetic component to how many you have, but I would say less than 5% of obese people have a genetic tendency to have a greatly excess number. It appears in animal experiments that animals that are overnourished in the womb and shortly thereafter tend to have more fat cells.
The number can increase at any time if you overeat long enough and hard enough. When your fat cells get to a maximum size, they send a signal to (fat-precursor) cells to become full-fledged fat cells. It may be that having too many hungry fat cells somehow makes us eat more.
But overweight people (those who are not obese but are one to 30 pounds over a healthy weight) don’t generally have an excess number. You can gain 30 pounds easily by increasing the size of current fat cells and not adding new ones.
Q: What do white fat cells do?
A: White fat cells store energy and produce hormones that are secreted into the blood. In theory, if we overeat, our fat cells will produce a little more of the hormone leptin, which will go to our brain and tell us we have plenty of energy down here; not to eat any more. If it worked perfectly, no one would get fat, but it doesn’t work perfectly, so many of us do get fat.
When fat cells are small, they produce high amounts of some hormones such as adiponectin. It is a good guy because it keeps the liver and muscles very sensitive to insulin and fights diabetes, heart disease and other diseases. But in obese people, fat cells tend to shut down the production of adiponectin, and that has bad effects on health, and it’s one reason people develop diabetes and heart disease.
Q: Does losing weight shrink the size of your fat cells?
A: If you are eating less energy than you require, your cells release fat for fuel and then shrink. If you are obese and have 100 billion fat cells and you lose a lot of weight, your fat cells may go down to a normal size, but you still have 100 billion. So you may still be overly fat, but you will be healthier since small fat cells produce more of the good fat hormones like adiponectin.
Q: Can you explain the new discoveries about brown fat?
A: While a white fat cell stores energy, a brown fat cell’s job is basically to generate heat. We always thought brown fat was only in human babies and helped keep them warm. Now there is more evidence that there are more brown fat cells in adults than we originally thought. Brown and white are not really related because they don’t come from the same precursor cell or stem cell.
Brown fat cell comes from the same kind of precursor cell as a muscle cell. Even though there are very few brown fat cells in adult humans, it looks like there is a lot of variability between people. There is increasing evidence that some humans, particularly lean ones, tend to have brown fat cells mixed in with their white fat cells in some regions of their body. So if we can figure out how to persuade the body to make more brown fat cells, we may be able to fight the tendency to gain excess weight.
By Allen Smith
The Basics of Weight Management
- As the old saying goes, "calories in, calories out." And so it is with managing your weight. For the majority of the 191 million American adults who are obese, struggling with their weight is a daily occurrence. In 2008, overweight men and women spent more than $109 million on the grapefruit, Atkins, South Beach, cabbage soup and hundreds of other fad diets in an effort to lose extra fat. Some work, some don’t. But what happens to all that fat when you lose it?
Scientists and exercise physiologists will tell you that the most basic unit of energy is the calorie or, more accurately, the "kilo-calorie," abbreviated as Kcal. Kilo-calories are units of heat and can either store or produce energy. One pound of fat is equal to 3,500 Kcal. So, in order to lose 1 pound of fat, you must either eat fewer calories or find a way to burn 3,500 Kcal with physical activity. The best approach is to do both.
How Fat Is Stored
- When you eat food, it is broken down in the stomach and intestinal tract into fat, carbohydrate and protein. If you live an active lifestyle, most of the calories from the food you eat will be burned before it has a chance to be stored. If you lead a sedentary lifestyle, any calories that aren’t burned will be stored, mostly in the form of fat.
What Happens to the Fat
- Some of the fuel you use for maintaining normal body functions and for exercise comes from two ready sources: glucose and triglycerides. Both circulate in the blood, so they are easily available as fuel sources, even though they are in relatively short supply. More abundant supplies are found in the liver and stored fat cells.
If the demands of your activity are greater than what circulating fat and glucose can supply, your body will need to dip into the stored energy in the liver and fat cells. Hormones in the body activate an enzyme called lipase that tells the fat cells to release triglycerides. The triglycerides are broken down into glycerol and free fatty acids and enter the bloodstream. The liver recycles the glycerol, and the muscles use the free fatty acids for energy. When the free fatty acids are consumed by working muscles and other tissues, they are converted to heat, water, carbon dioxide and adenosine triphosphate, or ATP. Your body releases heat through your skin, water as you sweat and carbon dioxide as you breathe; it converts the energy in the bonds of ATP into energy your body can use.