Why does my body look fat even though I'm skinny?

Skinny fat people are often a normal weight (or underweight!) but because of their sedentariness, lack of muscle, or poor diet, they have a high percentage of body fat. Often, skinny fat people are at risk of certain medical issues as listed: Raised blood sugar, leading to insulin resistance or diabetes.

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Tools that can be useful for finding out skinny fat are caliper measurements, Bioelectrical Impedance Analysis (BIA), and clinical tests. In general, some symptoms or signs that very suggestive of skinny fat:

Is the term “skinny fat” a real thing?

Yes, skinny fat is a real, remarkably common phenomenon and can be deadly even. It describes lean individuals (BMI < 25kg/m2) with a dangerously high percentage of body fat compared to lean muscle mass. Many terms had been coined with skinny fat like Thin Outside Fat Inside (TOFI), Metabolically-Obese Normal-Weight (MONW), Normal Weight Obesity (NWO) and Sarcopenic Obesity (SO). In a recent research study, it was estimated that 14% of the men and 12% of the women scanned with a BMI 20–25 kg/m 2 were classified as TOFI. Being lean doesn't mean you're healthy.

What does “skinny fat” look like?

Phenotypically, they look lean and healthy, but when we check them out they have high levels of body fat and inflammation. This ectomorph body build has hidden high levels of body fat. They appear thin and flabby.

How do we know whether we’re considered “skinny fat”? What can we do to find out? What are the symptoms?

Weight is not the main measurement to use when determining the presence of skinny fat. The best way to tell if a body has excess fat stores on a smaller frame is to have their body composition checked out. Once you’re able to get reliable information about your body fat percentage, you can compare it against the recommended percent body fat ranges. The recommended ranges for healthy men are between 10-20% body fat, and for women, the ranges are 18-28%. If your body fat exceeds these ranges, but you have a normal weight when you stand on the scale, you may be skinny fat.

Who does this usually affect? Is it common?

All age groups in both genders are affected and it is common.

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Why do people who are “skinny fat” end up that way?

Most skinny fat people are the way they are because they don’t lift heavy weights or do any resistant exercise. Skinny fat people have low muscle mass. Their fat percentage is high compared to their muscle mass. If someone is slim (means have low-fat percentage), you would be able to see their abs and their bodies wouldn't be flabby (especially their upper arms, thighs, and bellies).

Is it a dangerous issue? Are there any health risks?

Yes, skinny fat does lead to adverse clinical outcomes. The medical term for ‘skinny fat’ is technically MONW or “metabolically obese, normal weight” and “Sarcopenic obesity”. Skinny fat people are often a normal weight (or underweight!) but because of their sedentariness, lack of muscle, or poor diet, they have a high percentage of body fat. Often, skinny fat people are at risk of certain medical issues as listed: Raised blood sugar, leading to insulin resistance or diabetes. Increased inflammatory markers in the body, which is linked to an increased risk of certain cancers, heart disease, arthritis, psoriasis, and depression. Elevated blood pressure, which puts you at an amplified risk of stroke and dementia. High triglycerides, which can root to heart disease. Vitamin deficiencies that can lead to conditions such as chronic fatigue, anemia, and more Digestive issues like IBS or acid reflux. A study in the Journal of the American Medical Association (JAMA) showed that 1 in 4 skinny people have prediabetes and are ‘metabolically obese.’ This study also found that if you are ‘skinny fat’ at the time you are diagnosed with diabetes, then your risk of death is double that of someone who is an overweight diabetic.

columbiaasia.com - I'm Skinny but I'm Fat | Columbia Asia Hospital - Malaysia

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