Abstract

Differences in the content and distribution of body fat and ectopic lipids may be responsible for ethnic variations in metabolic disease susceptibility. The aim of this study was to examine the ethnic distribution of body fat in two separate UK-based populations. Anthropometry and body composition were assessed in two separate UK cohorts: the Hammersmith cohort and the UK Biobank, both comprising individuals of South Asian descent (SA), individuals of Afro-Caribbean descent (AC), and individuals of European descent (EUR). Regional adipose tissue stores and liver fat were measured by magnetic resonance techniques. The Hammersmith cohort (n = 747) had a mean (SD) age of 41.1 (14.5) years (EUR: 374 men, 240 women; SA: 68 men, 22 women; AC: 14 men, 29 women), and the UK Biobank (n = 9,533) had a mean (SD) age of 55.5 (7.5) years (EUR: 4,483 men, 4,873 women; SA: 80 men, 43 women, AC: 31 men, 25 women). Following adjustment for age and BMI, no significant differences in visceral adipose tissue or liver fat were observed between SA and EUR individuals in the either cohort. Our data, consistent across two independent UK-based cohorts, present a limited number of ethnic differences in the distribution of body fat depots associated with metabolic disease. These results suggest that the ethnic variation in susceptibility to features of the metabolic syndrome may not arise from differences in body fat.

Highlights

  • Differences in anthropometry and body composition are associated with increased or decreased susceptibility of specific ethnicities to obesity-related metabolic disorders [1,2,3]

  • ► Elevated central adiposity in South Asian descent (SA) has been linked to greater risk of developing type 2 diabetes, insulin resistance, and cardiovascular disease at a lower BMI compared with European descent (EUR)

  • No significant differences in visceral Adipose tissue (AT) (VAT) or liver fat fraction were observed between EUR and SA of either sex. In this cross-sectional study, we investigated ethnic variation in anthropometry and body fat distribution in adult EUR, SA, and Afro-Caribbean descent (AC) in two separate UK-based populations

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Summary

Introduction

Differences in anthropometry and body composition are associated with increased or decreased susceptibility of specific ethnicities to obesity-related metabolic disorders [1,2,3]. Elevated central adiposity in SA has been linked to greater risk of developing type 2 diabetes (T2D), insulin resistance, and cardiovascular disease at a lower BMI compared with EUR [7]. ► Elevated central adiposity in SA has been linked to greater risk of developing type 2 diabetes, insulin resistance, and cardiovascular disease at a lower BMI compared with EUR. ► Our results, consistent across both cohorts, present a limited number of ethnic differences in the distribution of body fat depots associated with metabolic disease. How might these results change the direction of research? ► We examined the ethnic distribution of body fat in EUR, SA, and individuals of Afro-Caribbean descent in two separate UK-based populations: the Hammersmith cohort and the UK Biobank.

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