In the statement, scientists paid special attention to abdominal or abdominal obesity. With it, large amounts of fat are deposited in the abdominal cavity. The easiest diagnostic test to detect it is to measure the waist circumference. The authors of the scientific document emphasize that abdominal obesity may not be accompanied by “normal obesity.” In people with a normal weight, it is an important indicator of the risk of cardiovascular disease, metabolic syndrome and death.
Experts recommend that physicians evaluate both BMI and waist circumference when working with patients.
“Research that looks at the link between abdominal fat and cardiovascular outcomes confirms that internal fat is a health hazard,” said Tiffany M. Powell-Wiley, Chair of the Scientific Statement Committee , Head of the Laboratory for the Social Determinants of Obesity and Cardiovascular Risk, National Heart, Lung and Blood Institute.
People with abdominal obesity may have a higher risk of cardiovascular disease than people with high BMI but little fat around their viscera, internal (visceral) fat, the statement said. This condition is often referred to as metabolically healthy obesity.
Another type of visceral fat that is dangerous for the heart is epicardial, it is located between the myocardium and the outer shell of the heart. This fat can only be detected with additional examination. It is associated with a worsening prognosis in cardiovascular diseases. Epicardial fat is commonly found in people with large waist circumferences.
A scientific statement says exercise can help fight visceral fat. Scientists point out that in studies, the amount decreased after 12-52 weeks of exercising five times a week. Both intensive and moderate exercise were effective. Even walking regularly can help you get rid of a small amount of internal fat. Evidence also suggests that exercise that the World Health Organization recommends for physical activity (150-300 minutes per week) may be sufficient to combat visceral obesity.