A larger waist circumference, even if you don't feel overall "fat," is often attributed to the presence of intra-abdominal visceral fat. This type of fat is distinct from the fat located just beneath your skin that you can easily pinch.
Visceral fat develops between and around internal organs. Unlike subcutaneous fat (the pinchable kind), visceral fat sits deeper within the abdominal cavity. While you might not have a high percentage of subcutaneous fat across your body, an accumulation of visceral fat can significantly increase your waist size.
Understanding Visceral vs. Subcutaneous Fat
It's helpful to understand the difference:
- Subcutaneous Fat: This is the fat layer directly under the skin. It's the fat you can see and feel. While too much is unhealthy, some subcutaneous fat is normal and serves as insulation and energy storage.
- Visceral Fat: This fat is packed around organs like your stomach, intestines, liver, and pancreas. You generally cannot see or feel it from the outside in the same way as subcutaneous fat.
According to Verywell Health, a larger waist circumference is frequently caused by this intra-abdominal visceral fat.
Why Visceral Fat Affects Waist Size
Because visceral fat is located deep within your abdomen and surrounds your organs, it pushes outward, leading to an increase in waist circumference. Even a person who appears relatively thin or has a low overall body mass index (BMI) can have concerning levels of visceral fat contributing to a large waist.
Potential Factors Contributing to Visceral Fat
Several factors can contribute to higher levels of visceral fat, including:
- Genetics: Some people are genetically predisposed to storing fat in the abdominal area.
- Diet: Diets high in added sugars, unhealthy fats, and refined carbohydrates are often linked to increased visceral fat.
- Lack of Exercise: Physical inactivity can contribute to the accumulation of visceral fat.
- Stress: High cortisol levels due to chronic stress can encourage visceral fat storage.
- Poor Sleep: Insufficient or poor-quality sleep is associated with higher visceral fat levels.
- Age: Hormonal changes with age, particularly for women after menopause, can lead to a shift in fat storage towards the abdomen.
Why Waist Circumference Matters
A large waist circumference, regardless of overall weight or BMI, is considered a significant health risk factor because high levels of visceral fat are metabolically active and are linked to an increased risk of:
- Type 2 Diabetes
- Heart Disease
- Stroke
- Certain Cancers
Monitoring your waist circumference can be a useful indicator of potential health risks, even if your weight seems healthy.
For more information on the importance of waist circumference and its connection to health, you can refer to resources like this article: The Importance of Waist Circumference.