Denton County Living Well Magazine January/February 2020 | Page 18

BELLY FAT E By Julie Alvira, MD, MBA ach day millions of people are becoming aware of the risks of excess fat in the abdominal area also known as “belly fat.” It is not the idea of not fitting into your favorite jeans anymore, right now it is about your health. Accord- ing to a recent study published in the Journal of American Medical Associa- tion (2015), abdominal fat is tending to be very common among adults. For this reason obesity is a major issue in the United States. When a person ex- ercises too little and doesn’t balance the amount of calories going in and burning off, excess body fat can ac- cumulate in the abdominal area. This aspect, plus the fact that with aging comes muscle mass loss, means one thing––you need to take charge of your health. You can do it! The science behind it There are two types of belly fat: subcu- taneous and visceral. While the subcu- taneous fat refers to the one between the skin and the wall of the abdomen, the visceral is deeper and surrounds abdominal organs. According to Har- vard University, the type of fat related to health risks is visceral. Abdominal fat is supposed to break down into fatty acids that travel directly into the 16 liver and muscle. Fatty acids stimulate certain reactions in the liver that result in health risks which UT Southwest- ern Medical Center (2015) describe as: inflammation of joints and tissues, altered cholesterol levels, heart dis- ease, some types of cancers, diabetes type 2, liver problems, metabolic syn- drome, and overall mortality. Interesting points: not all fat is com- pletely dangerous, it all depends where it’s deposited in the body. Belly fat is metabolically active and produces factors and hormones that increase risks for the illnesses men- tioned above. Even skinny people can have hidden, unhealthy belly fat. Take note: waist measurements with the use of a tape measure of more than 35 inches for women and more than 40 inches in men need to be evaluated. Why it develops? • • • • • Lack of physical activity High caloric inadequate food choices Excess of saturated fats Larger portion sizes while eating Busy schedules with not enough time to cook • Incorporating too many processed foods into eating plans DENTON COUNTY Living Well Magazine | JANUARY/FEBRUARY 2020 Women and men Usually both men and women undergo a decrease in hormone levels and mus- cle mass as they advance in age. The difference relies in the following: As women age, there is a decrease of estrogen that influences the accumula- tion of fat in various areas in the body especially in the abdominal area. Such accumulation in the abdomen can in- crease a woman’s risk for heart dis- ease. According to a study published in the Journal of the National Cancer Institute, pre-menopausal women with enlarged waists pose a risk for breast cancer. Also, fatty acids released from belly fat are associated with an in- crease in LDL cholesterol (commonly known as the “bad”), which is a risk factor for heart disease. Let’s remem- ber that cardiovascular disease is the number one killer of American women. When men age there is a decrease in muscle mass but also the accumulation of fat in several areas. Linked to this is the famous beer belly. In this situ- ation the liver burns alcohol instead of fat. Let us not forget that alcohol can increase your appetite. A person ends up drinking lots of empty calories (sometimes in one sitting) and consum-