Obesity

Adipose tissue insulin resistance, not muscle insulin resistance, is associated with impaired metabolic health in humans

Diabetes Res Clin PractPublished Cross-sectional study

Authors' conclusion

These findings demonstrate that adipose IR is more strongly and consistently linked to impaired metabolic health than muscle IR

Study context

Population
Adults aged 40–75 years, BMI 25–40 kg/m², PERSON study; categorized into four groups by indices of muscle and adipose insulin sensitivity
Participants
229 adults
Exposure
Adipose insulin resistance (IR) vs muscle IR phenotypes
Outcome
Metabolic and clinical differences between adipose and muscle IR phenotypes
Follow-up
Baseline
Methodological detailsbaseline data of the PERSON study, Muscle IR assessed with 7-point OGTT; adipose IR from fasting plasma insulin and non-esterified fatty acids, Detailed phenotyping under controlled conditions and daily life
  • Baseline data of the PERSON study
  • Muscle IR assessed with 7-point OGTT; adipose IR from fasting plasma insulin and non-esterified fatty acids
  • Detailed phenotyping under controlled conditions and daily life

Main finding

As reported in the abstract

Participants with discordant IR patterns

42%

Observational data: associations, not effects.

Original publication

Adipose tissue insulin resistance, not muscle insulin resistance, is associated with impaired metabolic health in humans. Diabetes Res Clin Pract. Published 2 August 2026. doi:10.1016/j.diabres.2026.113480

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