Relationship between body fat mass and free fatty acid kinetics in men and women

Bettina Mittendorfer, Faidon Magkos, Elisa Fabbrini, B. Selma Mohammed, Samuel Klein

Research output: Contribution to journalArticlepeer-review

121 Scopus citations


An increased release of free fatty acids (FFAs) into plasma likely contributes to the metabolic complications associated with obesity. However, the relationship between body fat and FFA metabolism is unclear because of conflicting results from different studies. The goal of our study was to determine the inter-relationships between body fat, sex, and plasma FFA kinetics. We determined FFA rate of appearance (R a) in plasma, by using stable isotopically labeled tracer techniques, during basal conditions in 106 lean, overweight, and obese, nondiabetic subjects (43 men and 63 women who had 7.0-56.0% body fat). Correlation analyses demonstrated: (i) no differences between men and women in the relationship between fat mass (FM) and total FFA R a (νmol/min); (ii) total FFA R a increased linearly with increasing FM (r = 0.652, P 0.001); (iii) FFA R a per kg FM decreased in a curvilinear fashion with increasing FM (r = 0.806; P 0.001); (iv) FFA R a in relationship to fat-free mass (FFM) was greater in obese than lean subjects and greater in women than in men; and (v) abdominal fat itself was not an important determinant of total FFA R a. We conclude that total body fat, not regional fat distribution or sex, is an important modulator of the rate of FFA release into plasma. Although increased adiposity is associated with a decrease in fatty acid release in relationship to FM, this downregulation is unable to completely compensate for the increase in FM, so total FFA R a and FFA R a with respect to FFM are greater in women than in men and in obese than in lean subjects.

Original languageEnglish
Pages (from-to)1872-1877
Number of pages6
Issue number10
StatePublished - Oct 2009


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