What is Muscular Fat?
Muscular fat, more accurately described as intramuscular fat (IMF) or fat infiltration in muscle, is fat deposited within the muscle tissue itself. It's different from the fat you see just under the skin (subcutaneous fat) or between muscles (intermuscular fat). While small amounts of IMF are normal, excessive accumulation is associated with several health issues.
IMF is visible fat located inside the muscle. In contrast, intermuscular fat, found between muscles, is considered an ectopic fat depot—similar to the visceral adipose tissue (VAT) in the abdomen. [Source: Reference 1]
Health Implications of Excessive IMF
High levels of IMF are linked to several health problems, particularly in older adults. Studies show a strong correlation between increased IMF and:
- Reduced muscle function and mobility: High IMF significantly impacts muscle performance and movement abilities. [Source: Reference 2]
- Various comorbid conditions: It's associated with a wider range of co-occurring health issues. [Source: Reference 2]
- Muscle degeneration: In conditions like low back pain, muscle degeneration is marked by a decrease in muscle size and an increase in fat infiltration. [Source: Reference 3]
- Muscular dystrophy: In muscular dystrophy, muscle fibers break down and are replaced with fatty tissue, leading to muscle weakness. [Source: References 6, 9]
Muscle vs. Fat: A Clarification
It's crucial to understand that muscle does not turn into fat when you stop exercising. This is a common misconception. Fat cells and muscle cells are distinct; one does not transform into the other. [Source: Reference 4] While 5 pounds of muscle and 5 pounds of fat weigh the same, they differ significantly in density and overall health impact. Muscle is denser than fat. [Source: Reference 5]
Methods of Assessing IMF
Researchers use various techniques to measure IMF, including:
- Quantitative MRI: This advanced imaging method allows for precise quantification of fat replacement within muscle tissue. [Source: Reference 10]
- Muscle cross-sectional area measurements: Assessing the size of muscles can indirectly indicate the level of fat infiltration. [Source: Reference 7]