National Post

BELLY FAT CAN BE A CONCERN

- KIM PEARSON

COVID- 19 comes as a stark reminder of the extent to which being overweight is a threat to our health. Evidence shows that being obese doubles our risk of being hospitaliz­ed with the virus, and new research from University College London found that people over 65 who are obese have a 31- per- cent higher risk of dementia later in life.

Yet not all fat is created equal. We used to believe that body fat simply functioned as energy storage for the body, but we now know that different types of fat affect the body in different ways. Excess fat around the middle is particular­ly harmful to our health since it can increase our risk of heart disease, Type 2 diabetes, cancer and stroke.

Unlike subcutaneo­us fat, which lies beneath the skin, visceral fat sits under the abdominal wall surroundin­g vital organs like our liver, stomach and intestines. Excess visceral fat triggers lowlevel systemic inflammati­on, one of the main reasons why it’s linked to an increased risk of disease and faster aging.

How do you know if you have too much visceral fat?

Your bathroom scales won’t be of much use here since being in a healthy weight range for your height doesn’t necessaril­y mean you don’t have too much of it.

Body mass index has its limitation­s as an indicator of your weight’s impact on health. Your BMI doesn’t take into account situations such as high muscle percentage, so the readings of profession­al football players and body builders can show them falling into the “obese” category when they are anything but.

Many health experts now agree that our waist circumfere­nce is a more accurate indicator of health risk. Regardless of your height or BMI, it’s advisable to lose weight if your waist is greater than 94 centimetre­s ( 37 inches) for men and 80 cm (31.5 in) for women.

You’re at very high risk of serious health issues as a man if your waist measuremen­t is above 102 cm (40 in) or 88 cm (34.5 in) for women. You can take your waist measuremen­t at home, simply by using the tape measure in your sewing kit.

THE CORTISOL CONNECTION

Elevated levels of the stress hormone cortisol are linked to increased fat storage around the middle.

While we need some cortisol, when too much is produced ( for example during periods of prolonged stress such as working long hours, moving to a new house, divorce and so on), it disrupts other hormones that influence our weight and promotes fat storage.

Compared with subcutaneo­us fat, abdominal fat cells have four times more cortisol receptors, hence the stored fat is directed to our middle. And while many of our hormone levels decline as we age, sadly cortisol does not. It increases, which subsequent­ly elevates our chances of gaining weight around the middle.

The good news is that there are steps you can take to effectivel­y tackle it, such as diet, exercise and stress reduction.

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