Is it possible to be metabolically healthy and overweight or obese? In this episode, we discuss the science of what makes fat healthy or unhealthy. We discuss how metabolic dysfunction in fat tissue can affect the rest of the body. We also review evidence pertaining to the "obesity paradox" and explore explanations for the associations of body mass index (BMI) and changes in the risk of disease complications and mortality. We discuss how metrics of central obesity can be used to obtain a better picture of an individual's metabolic health. Lastly, we discuss the critical link between exercise capacity and future health, as well as how to begin to transform our existing fat stores into a healthier state.

Chapters:

00:00 - Introduction

00:50 - Healthy Obesity as an Idea

02:36 - Concepts of Healthy vs. Unhealthy Fat

02:59 - Subcutaneous, Visceral, and Ectopic Fat

05:22 - Adipocyte Hypertrophy

06:36 - Fat Cell Insulin Resistance

08:19 - The Obesity Paradox

12:23 - BMI & Age

13:53 - Bariatric Surgery

15:51 - Limitations of BMI

16:26 - Lifetime Maximal BMI

16:37 - Metrics of Central Adiposity

18:30 - Metabolically Healthy Obesity

21:38 - Exercise & Metabolically Healthy Obesity

22:36 - Improving the Health of Fat

24:03 - Exercise Capacity & Risk of Death

25:29 - Zone 2 Training

26:51 - The Effects of Weight Loss (Fat Loss)

27:55 - Summary

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References & Show Notes:

http://www.nicksterling.com/

Maffetone Method:

https://philmaffetone.com/180-formula/