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What Happens When Fat Cells Grow?

Published in Fat Cells 3 mins read

When fat cells grow, they primarily increase in size.

Fat Cell Growth: A Detailed Explanation

The number of fat cells in our body generally stabilizes in adulthood. Therefore, when we gain weight, it's typically not due to an increase in the number of fat cells, but rather an increase in the size (volume) of existing fat cells. This process is known as hypertrophy.

How Fat Cells Enlarge

  • Lipogenesis: When we consume more calories than we burn, the excess energy is converted into triglycerides (a type of fat) and stored within the fat cells. This influx of triglycerides causes the cells to expand.

  • Expansion Limits: Fat cells have a limit to how much they can expand. Once they reach their maximum size, the body may create new fat cells (hyperplasia), although this is less common in adults than during childhood and adolescence.

The Consequences of Enlarged Fat Cells

Enlarged fat cells are not merely storage units; they can contribute to metabolic dysfunction:

  • Inflammation: Larger fat cells can become inflamed, releasing inflammatory signals (cytokines) that can contribute to insulin resistance and other metabolic problems.

  • Metabolic Syndrome: The hormonal imbalances associated with enlarged fat cells are linked to an increased risk of developing metabolic syndrome, which includes conditions like high blood pressure, high blood sugar, and abnormal cholesterol levels.

Fat Cell Reduction: Weight Loss

When we lose weight, the fat cells shrink in size as the stored triglycerides are used for energy. However, the number of fat cells typically remains the same. This explains why some individuals find it easier to regain weight; the "empty" fat cells are still present and ready to refill.

Key Differences: Size vs. Number

Feature Enlarged Fat Cells (Hypertrophy) Increased Number of Fat Cells (Hyperplasia)
Description Increase in cell size Increase in cell number
Occurrence Common during weight gain More common in childhood/adolescence
Reversibility Size can shrink with weight loss Number generally remains constant after adulthood

In summary, when you gain weight, your existing fat cells get bigger as they store more fat. Weight loss reduces the size of these cells, but typically not their number.

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